Mini Review Immunological Consequences of Immunization With COVID-19 mRNA Vaccines: Preliminary Results

Front Immunol. 2021 Mar 12:12:657711. doi: 10.3389/fimmu.2021.657711. eCollection 2021.

Abstract

Background: BNT162b2 and mRNA-1273 are the two recently approved mRNA-based vaccines against COVID-19 which has shown excellent safety and efficacy. Preliminary data about specific and neutralizing antibodies is available covering the first 100 days after vaccination. Methods: We reviewed all the publications regarding the immunologic consequences of BNT162b2 and mRNA-1273 vaccination. A summary of specific antibodies concentration and neutralizing antibodies titers elicited by each vaccine is provided. Results: BNT162b2 and mRNA-1273 displayed a reassuring safety and efficacy profile, with the latter above 94%. They can elicit specific antibodies titers and neutralizing antibodies concentrations that are far superior from those observed among COVID-19 human convalescent serum, across a wide span of age, for at least 100 days after vaccination. Moreover, the vaccine-induced T cellular response is oriented toward a TH1 response and no evidence of vaccine-enhanced disease have been reported. Discussion: BNT162b2 and mRNA-1273 can elicit specific antibodies titers and neutralizing antibodies concentrations above those observed among COVID-19 human convalescent serum in the first 100 days after vaccination. Data about vaccine efficacy in those with previous COVID-19 or immunocompromised is still limited.

Keywords: COVID-19; CTL; RNA vaccine; SARS-CoV-2; antibodies; neutralization test.

Publication types

  • Review

MeSH terms

  • 2019-nCoV Vaccine mRNA-1273
  • Animals
  • Antibodies, Neutralizing / blood
  • Antibodies, Viral / blood
  • BNT162 Vaccine
  • COVID-19 / blood
  • COVID-19 / immunology
  • COVID-19 / prevention & control*
  • COVID-19 / virology
  • COVID-19 Vaccines / adverse effects
  • COVID-19 Vaccines / therapeutic use*
  • Diffusion of Innovation
  • Host-Pathogen Interactions
  • Humans
  • Immunization*
  • Immunogenicity, Vaccine*
  • SARS-CoV-2 / genetics
  • SARS-CoV-2 / immunology*
  • Treatment Outcome
  • Vaccines, Synthetic / adverse effects
  • Vaccines, Synthetic / therapeutic use*
  • mRNA Vaccines

Substances

  • Antibodies, Neutralizing
  • Antibodies, Viral
  • COVID-19 Vaccines
  • Vaccines, Synthetic
  • 2019-nCoV Vaccine mRNA-1273
  • BNT162 Vaccine