Waning of IgG, total and neutralizing antibodies 6 months post-vaccination with bnt162b2 in healthcare workers

Jean Louis Bayart, Jonathan Douxfils, Constant Gillot, Clara David, François Mullier, Marc Elsen, Christine Eucher, Sandrine Van Eeckhoudt, Tatiana Roy, Vincent Gerin, Grégoire Wieers, Christine Laurent, Mélanie Closset, Jean Michel Dogné, Julien Favresse

Research output: Contribution to journalArticlepeer-review

Abstract

Data about the long-term duration of antibodies after SARS-CoV-2 vaccination are still scarce and are important to design vaccination strategies. In this study, 231 healthcare professionals received the two-dose regimen of BNT162b2. Of these, 158 were seronegative and 73 were seropositive at baseline. Samples were collected at several time points. The neutralizing antibodies (NAbs) and antibodies against the nucleocapsid and the spike protein of SARS-CoV-2 were measured. At day 180, a significant antibody decline was observed in seronegative (−55.4% with total antibody assay; −89.6% with IgG assay) and seropositive individuals (−74.8% with total antibody assay; −79.4% with IgG assay). The estimated half-life of IgG from the peak humoral response was 21 days (95% CI: 13–65) in seronegative and 53 days (95% CI: 40–79) in seropositive individuals. The estimated half-life of total antibodies was longer and ranged from 68 days (95% CI: 54–90) to 114 days (95% CI: 87–167) in seropositive and seronegative individuals, respectively. The decline of NAbs was more pronounced (−98.6%) and around 45% of the subjects tested were negative at day 180. Whether this decrease correlates with an equivalent drop in the clinical effectiveness against the virus would require appropriate clinical studies.

Original languageEnglish
Article number1092
JournalVaccines
Volume9
Issue number10
DOIs
Publication statusPublished - Oct 2021

Keywords

  • Antibody response
  • BNT162b2
  • COVID-19
  • MRNA vaccine
  • Neutralizing antibodies
  • SARS-CoV-2

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