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SARS-CoV-2 vaccination, booster, and infection in pregnant population enhances passive immunity in neonates

Author

Listed:
  • Elisabeth A. Murphy

    (Weill Cornell Medicine)

  • Camila Guzman-Cardozo

    (The Rockefeller University)

  • Ashley C. Sukhu

    (New York Presbyterian/Weill Cornell Medical Center)

  • Debby J. Parks

    (The Rockefeller University)

  • Malavika Prabhu

    (Weill Cornell Medicine)

  • Iman Mohammed

    (Weill Cornell Medicine)

  • Magdalena Jurkiewicz

    (Weill Cornell Medicine)

  • Thomas J. Ketas

    (Weill Cornell Medicine)

  • Sunidhi Singh

    (Weill Cornell Medicine)

  • Marie Canis

    (The Rockefeller University)

  • Eva Bednarski

    (The Rockefeller University)

  • Alexis Hollingsworth

    (Weill Cornell Medicine)

  • Embree M. Thompson

    (Weill Cornell Medicine)

  • Dorothy Eng

    (New York Presbyterian/Weill Cornell Medical Center)

  • Paul D. Bieniasz

    (The Rockefeller University
    The Rockefeller University)

  • Laura E. Riley

    (Weill Cornell Medicine)

  • Theodora Hatziioannou

    (The Rockefeller University)

  • Yawei J. Yang

    (Weill Cornell Medicine
    New York Presbyterian/Weill Cornell Medical Center)

Abstract

The effects of heterogeneous infection, vaccination and boosting histories prior to and during pregnancy have not been extensively studied and are likely important for protection of neonates. We measure levels of spike binding antibodies in 4600 patients and their neonates with different vaccination statuses, with and without history of SARS-CoV-2 infection. We investigate neutralizing antibody activity against different SARS-CoV-2 variant pseudotypes in a subset of 259 patients and determined correlation between IgG levels and variant neutralizing activity. We further study the ability of maternal antibody and neutralizing measurements to predict neutralizing antibody activity in the umbilical cord blood of neonates. In this work, we show SARS-CoV-2 vaccination and boosting, especially in the setting of previous infection, leads to significant increases in antibody levels and neutralizing activity even against the recent omicron BA.1 and BA.5 variants in both pregnant patients and their neonates.

Suggested Citation

  • Elisabeth A. Murphy & Camila Guzman-Cardozo & Ashley C. Sukhu & Debby J. Parks & Malavika Prabhu & Iman Mohammed & Magdalena Jurkiewicz & Thomas J. Ketas & Sunidhi Singh & Marie Canis & Eva Bednarski , 2023. "SARS-CoV-2 vaccination, booster, and infection in pregnant population enhances passive immunity in neonates," Nature Communications, Nature, vol. 14(1), pages 1-10, December.
  • Handle: RePEc:nat:natcom:v:14:y:2023:i:1:d:10.1038_s41467-023-39989-y
    DOI: 10.1038/s41467-023-39989-y
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    References listed on IDEAS

    as
    1. Leander Witte & Viren A. Baharani & Fabian Schmidt & Zijun Wang & Alice Cho & Raphael Raspe & Camila Guzman-Cardozo & Frauke Muecksch & Marie Canis & Debby J. Park & Christian Gaebler & Marina Caskey , 2023. "Epistasis lowers the genetic barrier to SARS-CoV-2 neutralizing antibody escape," Nature Communications, Nature, vol. 14(1), pages 1-11, December.
    2. Joshua Guedalia & Michal Lipschuetz & Ronit Calderon-Margalit & Sarah M. Cohen & Debra Goldman-Wohl & Tali Kaminer & Eli Melul & Galit Shefer & Yishai Sompolinsky & Asnat Walfisch & Simcha Yagel & Ofe, 2022. "Effectiveness of a third BNT162b2 mRNA COVID-19 vaccination during pregnancy: a national observational study in Israel," Nature Communications, Nature, vol. 13(1), pages 1-7, December.
    3. Caroline G. Atyeo & Lydia L. Shook & Sara Brigida & Rose M. Guzman & Stepan Demidkin & Cordelia Muir & Babatunde Akinwunmi & Arantxa Medina Baez & Maegan L. Sheehan & Erin McSweeney & Madeleine D. Bur, 2022. "Maternal immune response and placental antibody transfer after COVID-19 vaccination across trimester and platforms," Nature Communications, Nature, vol. 13(1), pages 1-15, December.
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