1. Timing of maternal vaccination against COVID-19 for effective protection of neonates: cohort study
- Author
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Aleksandra Nowakowska, Seung Mi Lee, Minjee Kim, Jungmin Chun, Sehyun Kim, Byung Chul Kim, Hyun Ju In, Eunji Lee, Chanyeong Lee, Hyeondong Lee, Yuyeon Jang, Hansam Cho, Jinha Kim, Jeesun Lee, Hee-Jung Lee, Yoo-Kyoung Lee, Joong Shin Park, and Young Bong Kim
- Subjects
SARS-CoV-2 ,maternal vaccination ,pregnancy ,COVID-19 ,passive immunity ,Immunologic diseases. Allergy ,RC581-607 - Abstract
IntroductionAlthough the safety and effectiveness of COVID-19 vaccination during pregnancy have been proven, there is still little data explaining neonatal outcomes of maternal pre-pregnancy vaccination.MethodsHere, we investigated the impact of vaccination and SARS-CoV-2 infection on maternal-neonate immune response in a cohort study involving 141 pregnant individuals, and defined the importance of maternal COVID-19 vaccination timing for its effectiveness.Results and discussionOur data indicate that vertically transferred maternal hybrid immunity provides significantly better antiviral protection for a neonate than either maternal post-infection or post-vaccination immunity alone. Higher neutralization potency among mothers immunized before pregnancy and their newborns highlights the promising role of pre-pregnancy vaccination in neonatal protection. A comparison of neutralizing antibody titers calculated for each dyad suggests that infection and pre-/during-pregnancy vaccination all support transplacental transfer, providing the offspring with strong passive immunity against SARS-CoV-2. Analysis of neutralizing antibody levels in maternal sera collected during pregnancy and later during delivery shows that immunization may exert a positive effect on maternal protection.
- Published
- 2024
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