Cited by 722SARS-CoV-2 and COVID-19 ResearchImmune responses and vaccinationsAnimal Virus Infections Studies

Durability of Responses after SARS-CoV-2 mRNA-1273 Vaccination

Open access
Widge, Alicia T., Rouphael, Nadine G., Jackson, Lisa A., Anderson, Evan J., Roberts, Paul C., Makhene, Mamodikoe, Chappell, James D., Denison, Mark R. +23 more·2021·New England Journal of Medicine

Abstract

Immunogenicity and the mRNA-1273 SARS-CoV-2 Vaccine Thirty-four adults received two 100-μg injections of the mRNA-1273 SARS-CoV-2 vaccine, and serum anti–spike protein and neutralizing antibody tit...

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Registry

Crossref · 10.1056/nejmc2032195

Cites

3 of 3 references verified0 citation errors · 0 not checkable

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  • The mRNA-1273 vaccine has the potential to provide durable humoral immunity, with protection persisting after 119 days.

    “the results of a clinical trial with the mRNA-1273 vaccine show that, despite a slight expected decline in titers of binding and neutralizing antibodies, mRNA-1273 has the potential to provide durable humoral immunity: as the natural infection, which produces variable antibody longevity and might induce robust memory B cell responses, also mRNA-1273 vaccine elicited primary CD4 type 1 helper T”

    From Modeling vaccination rollouts, SARS-CoV-2 variants and the requirement for non-pharmaceutical interventions in Italy (2021) · cites this paper as [40]

    The article reports that binding and neutralizing antibodies remained elevated at day 119 and concludes that mRNA-1273 has the potential to provide durable humoral immunity. It also says that correlates of protection were not yet established; it does not show that protection persisted beyond day 119. The supplied article-body passages have no page numbers. (LLM, conf=0.88)

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  • In the first months, neutralizing and binding antibodies appear to wane at similar rates after vaccination and after infection.

    “Initial comparisons of the durability of both neutralizing and binding antibody responses over the first months after vaccination suggest that the early rate of decay of antibody responses is not significantly different after vaccination or infection24,69 (Fig. 1c).”
  • Nine of the 17 strongest antibodies lost at least ten-fold potency against pseudoviruses with E484K.

    “As seen in natural infection, a majority of the antibodies tested (9/17) were at least ten-fold less effective against pseudotyped viruses carrying the E484K mutation7,12,29.”
  • Class 1 antibodies are resisted by A475V; class 2 by E484K and Q493R; class 3 by R346S, N439K, and N440K.

    “A475V is resistant to class 1 antibodies (structurally defined as described29); E484K and Q493R are resistant to class 2 antibodies7,8,12,13,29,30,32,33; while R346S, N439K, and N440K are resistant to class 3 antibodies7,8,12,13,29,33.”
  • Mutations at K417, E484, and N501 often reduce their activity, and these antibodies select K417N, E484K, and N501Y in yeast and VSV S libraries.

    “They are frequently sensitive to mutation in these residues and select for K417N, E484K and N501Y mutations in SARS-CoV-2 S protein expression libraries in yeast and VSV 12,15,33.”

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Cites

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Research works printed but not linked: 2

  1. [4]Dan JM, Mateus J, Kato Y, et al. Immunological memory to SARS-CoV-2 assessed for greater than six months after infection. November 16, 2020 (https://www.biorxiv.org/content/10.1101/2020.11.15.383323v1). preprint. · DOI
  2. [5]Robbiani DF, Gaebler C, Muecksch F, et al. Convergent antibody responses to SARS-CoV-2 in convalescent individuals. Nature 2020; 584: 437- 442. 32555388 PMC7442695

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Authors
Widge, A. T., Rouphael, N. G., Jackson, L. A., Anderson, E. J., Roberts, P. C., Makhene, M., Chappell, J. D., Denison, M. R., Stevens, L. J., Pruijssers, A. J., McDermott, A. B., Flach, B., Lin, B. C., Doria-Rose, N. A., O’Dell, S., Schmidt, S. D., Neuzil, K. M., Bennett, H., Leav, B., Makowski, M., Albert, J., Cross, K., Edara, V.-V., Floyd, K., Suthar, M. S., Buchanan, W., Luke, C. J., Ledgerwood, J. E., Mascola, J. R., Graham, B. S., & Beigel, J. H.
Affiliations
  • National Institute of Allergy and Infectious Diseases (US)
  • Emory University (US)
  • Kaiser Permanente Washington Health Research Institute (US)
  • National Institutes of Health (US)
  • Vanderbilt University Medical Center (US)
  • NIAID, Bethesda, MD
  • University of Maryland, Baltimore (US)
  • Moderna Therapeutics (United States) (US)
  • Emmes (United States) (US)
Corresponding author
Widge, Alicia T.
Venue
New England Journal of Medicine
Published
2021-01-07
Volume
384
Issue
1
Pages
80-82
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W3108610942
Cited by
722
References
3
Citations by year
2026: 13 · 2025: 13 · 2024: 41 · 2023: 72 · 2022: 195 · 2021: 377 · 2020: 11
FWCI
21.52
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (UL1TR002243, P51OD011132)
  • National Institute on Aging (U54AG062334)
  • National Institute of Allergy and Infectious Diseases (U01AI151698, R38AI140299, U01AI149644, HHSN272201500002C, UM1AI148373, UM1AI148576, UM1AI148684)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
  • Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
  • Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
Keywords
mRNA-1273 vaccine, SARS-CoV-2, COVID-19 vaccines, vaccine immunogenicity, neutralizing antibodies, anti-spike antibodies, antibody persistence
MeSH terms
COVID-19, SARS-CoV-2, COVID-19 Vaccines, 2019-nCoV Vaccine mRNA-1273, Adolescent, Adult, Aged, Antibodies, Viral, Humans, Immunization, Secondary, Middle Aged, Th1 Cells, Young Adult, Antibodies, Neutralizing, Spike Glycoprotein, Coronavirus

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