Age and vitamin D affect the magnitude of the antibody response to the first dose of the SARS-CoV-2 BNT162b2 vaccine.

Curr Res Transl Med

Faculty of Medicine and Health, University of East Anglia, Norwich, UK; Department of Clinical Biochemistry, Norfolk and Norwich University Hospitals Trust, Norwich, UK. Electronic address:

Published: July 2022

AI Article Synopsis

  • - The UK government extended the interval between the first and second doses of the BNT162b2 vaccine to increase vaccination rates, and this study evaluated the immune response (antibody levels) from the first dose over eight weeks, considering factors like age and vitamin D levels.
  • - Blood samples were taken from healthcare workers after receiving their first vaccine dose, showing that antibody levels peaked around 3.2 weeks post-vaccination and remained detectable at 8 weeks; younger individuals and those with higher vitamin D levels had stronger immune responses.
  • - The findings suggest that age and adequate vitamin D status positively influence vaccine response, indicating that booster vaccination campaigns should consider vitamin D levels, especially following sun exposure or supplementation.

Article Abstract

Background: Most approved vaccines utilise a two-dose strategy. To enable larger groups of patients to receive the first dose, the UK government increased the gap between the two doses from three to twelve weeks. Here we report on the immunogenicity of the first dose, including effect of age and vitamin D status on these levels over an 8 week-period.

Methods: Blood samples were collected from healthcare workers (HCW) receiving their first BNT162b2 vaccine dose between January and February 2021. Antibody (Ab) production was measured, prior to and weekly for 4 weeks post immunization, and a final measurement was performed at 8 weeks. Serum vitamin D concentrations were also measured at baseline.

Findings: Immunization of 97 HCW induced an Ab response that peaked 3•2 weeks post immunization to decrease thereafter. Ab levels remained positive at 8 weeks. IgG peak concentration was negatively associated with age (β=-0•440, p<0.001). Response to immunization was also significantly affected by vitamin D status (p=0•022), on average 29•3% greater peak value in individuals with 25(OH)D>50nmol/L. No other variable showed significant effect.

Interpretation: The first dose of BNT162b2 produced Ab levels that remained positive after 8 weeks. Peak was greater in younger subjects and 25(OH)D>50nmol/L was beneficial. Booster campaigns should take into consideration vitamin D status which is at its highest following a period of sunshine exposure or following oral supplementation (400-1000IU daily).

Funding: Abbott Diagnostics Ltd supplied the kits used to quantify the anti-SARS -CoV-2 Spike IgG and technical support as well as provided financial support for sample collections.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8923881PMC
http://dx.doi.org/10.1016/j.retram.2022.103344DOI Listing

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