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T cells prevent severe disease after prime vaccination / Antibodies provide reliable protection against infection only after boost vaccination / Research results published in Nature
In view of the continuing high numbers of infections, vaccination offers important protection against severe COVID-19 disease. Scientists from the Faculty of Medicine – University of Freiburg have now been able to determine in detail at what time point initial immune protection is established after vaccination with an mRNA-based vaccine and how the reactions of the various components of the human immune system develop over months. The researchers published their results on July 28, 2021 in the online edition of the renowned journal Nature.
"Already ten days after prime vaccination, there is effective protection against severe disease. At this point, however, neutralizing antibodies preventing the virus from entering cells are barely detectable. Instead, this early protective effect is due to specific T cells controlling the cellular immune response," says Dr. Maike Hofmann, Head of a research group at the Department of Internal Medicine II at Medical Center – University of Freiburg.
Detailed analysis of the immune response
The scientists examined blood samples from 32 volunteers before prime vaccination and at intervals of three to four days continuously for up to four months after boost vaccination. This allowed them to follow the development of the different components of the immune response in detail. "In the majority of subjects, a relevant increase in so-called CD8+ T cells precisely tailored to the SARS-CoV-2 spike protein could be detected as early as six to eight days after prime vaccination," reports Prof. Dr. Christoph Neumann-Haefelin, Head of the Gerok Liver Center at Medical Center – University of Freiburg.
After boost vaccination, the number of CD8+ T cells increased. Only at this point neutralizing antibodies could be detected in quantities large enough to prevent the virus from invading cells and thus the infection itself. "Our results underscore the importance of complete vaccination with two doses of the mRNA vaccine for adequate protection against infection," Neumann-Haefelin adds.
Highly effective mRNA vaccine technology
The potent combination of a rapid T-cell response and neutralizing antibodies is evidence of the high efficacy of the still-new mRNA vaccination technology. Follow-up studies will have to show how long protection lasts after boost vaccination and when a second boost vaccination - possibly adapted to new virus variants - will be necessary. "The more precisely we understand how the mRNA vaccination works, the sooner we will be able to develop it further for other diseases - for example, for a future vaccination against hepatitis C or a therapeutic vaccination against cancer," explains Prof. Dr. Robert Thimme, Medical Director of the Department of Internal Medicine II at Medical Center – University of Freiburg.
"The fact that important insights into the development of a solid immune response to SARS-CoV-2 could be gained and published within a few months is proof of the great expertise and commitment of our researchers," says Prof. Dr. Lutz Hein, Dean of the Faculty of Medicine –University of Freiburg.
Prof. Dr. Robert Thimme, Medical Director
Prof. Dr. Christoph Neumann-Haefelin, Head of the Gerok Liver Center
Dr. Maike Hofmann, Head of Research Group
Department of Medicine II – Gastroenterology, Hepatology, Endocrinology, and Infectious Diesases
University of Freiburg – Medical Center
robert.thimme@uniklinik-freiburg.de
christoph.neumann-haefelin@uniklinik-freiburg.de
maike.hofmann@uniklinik-freiburg.de
Original title of the study: Rapid and stable mobilization of CD8+ T cells by SARS-CoV-2 mRNA vaccine
DOI: 10.1038/s41586-021-03841-4
http://www.nature.com/articles/s41586-021-03841-4
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