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SG-APSIC1054: Sputnik-V postvaccination immunologic responses in nasal mucosa: A prospective cohort study in Kazakhstan

Published online by Cambridge University Press:  16 March 2023

Irina Kadyrova
Affiliation:
Karaganda Medical University, Karaganda, Kazakhstan
Svetlana Kolesnichenko
Affiliation:
Karaganda Medical University, Karaganda, Kazakhstan
Ilya Korshukov
Affiliation:
Karaganda Medical University, Karaganda, Kazakhstan
Yevgeniya Kolesnikova
Affiliation:
Karaganda Medical University, Karaganda, Kazakhstan
Baurzhan Negmetzhanov
Affiliation:
Nazarbayev University, Nur-Sultan, Kazakhstan
Yeldar Baiken
Affiliation:
Nazarbayev University, Nur-Sultan, Kazakhstan
Aidana Sultanbekova
Affiliation:
Karaganda Medical University, Karaganda, Kazakhstan
Sergey Yegorov
Affiliation:
McMaster University, Hamilton, Ontario, Canada
Dmitriy Babenko
Affiliation:
Karaganda Medical University, Hemer, Germany
Bakhyt Matkarimov
Affiliation:
Nazarbayev University, Nur-Sultan, Kazakhstan
Gonzalo Hortelano
Affiliation:
Nazarbayev University, Nur-Sultan, Kazakhstan
Matthew S. Miller
Affiliation:
McMaster University, Hamilton, Ontario, Canada

Abstract

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Objectives: Sputnik-V (Gam-COVID-Vac) is a recombinant adenoviral (rAdv) vector-based, COVID-19 vaccine now used in >70 countries. Mucosal immunity is thought to be important for protection against COVID-19. We did a prospective cohort study to assess Sputnik-V–elicited mucosal SARS-CoV-2 antibody responses. Methods: We divided 82 COVID-19–free participants into prior COVID-19 and no prior COVID-19 groups and followed them at day 21 after Sputnik-V dose 1′ (rAd5) and dose 2′ (rAd26). Nasopharyngeal swabs and blood were collected to perform SARS-CoV-2 diagnostic and immunologic assays. SARS-CoV-2 spike-specific IgG and IgA ELISAs were performed on both nasal swabs and blood. SARS-CoV-2 real-time RT-PCR testing was performed to exclude infectious influencing. Results: Nasal S-IgG levels increased 25-fold after dose 1′ (P < .001) and remained high after dose 2 in all participants. Prior COVID-19 exposure was associated with both elevated baseline mucosal IgG and IgA and higher postvaccination IgG, but not IgA, boost. Nasal IgA levels increased 16.5-fold after dose 1′ (P < .001) and remained high after dose 2’ in all participants. Compared to dose 1′, Sputnik-V dose 2′ did not further increase either mucosal IgG levels (P = .626) or IgA levels (P = .609). Conclusions: A single dose of Sputnik-V boosted mucosal SARS-CoV-2 immunity. The effects of Sputnik-V dose 2′ on mucosal immunity were minimal. These findings indicate (1) that intramuscularly administered adenoviral vaccines enhance SARS-CoV-2 immunity via both systemic and mucosal routes and (2) that cost-effectiveness and the efficacy of Sputnik-V vaccination could be improved by adjusting the current prime-booster regimen and extending the 21-day interval between the doses. Trial registration: Registered on ClinicalTrials.gov (no. NCT04871841).

Type
COVID-19
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America