PMID- 36196614 OWN - NLM STAT- MEDLINE DCOM- 20230117 LR - 20240313 IS - 1537-6591 (Electronic) IS - 1058-4838 (Print) IS - 1058-4838 (Linking) VI - 76 IP - 2 DP - 2023 Jan 13 TI - Booster Vaccination Against SARS-CoV-2 Induces Potent Immune Responses in People With Human Immunodeficiency Virus. PG - 201-209 LID - 10.1093/cid/ciac796 [doi] AB - BACKGROUND: People with human immunodeficiency virus (HIV) on antiretroviral therapy (ART) with good CD4 T-cell counts make effective immune responses following vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). There are few data on longer term responses and the impact of a booster dose. METHODS: Adults with HIV were enrolled into a single arm open label study. Two doses of ChAdOx1 nCoV-19 were followed 12 months later by a third heterologous vaccine dose. Participants had undetectable viraemia on ART and CD4 counts >350 cells/microL. Immune responses to the ancestral strain and variants of concern were measured by anti-spike immunoglobulin G (IgG) enzyme-linked immunosorbent assay (ELISA), MesoScale Discovery (MSD) anti-spike platform, ACE-2 inhibition, activation induced marker (AIM) assay, and T-cell proliferation. FINDINGS: In total, 54 participants received 2 doses of ChAdOx1 nCoV-19. 43 received a third dose (42 with BNT162b2; 1 with mRNA-1273) 1 year after the first dose. After the third dose, total anti-SARS-CoV-2 spike IgG titers (MSD), ACE-2 inhibition, and IgG ELISA results were significantly higher compared to Day 182 titers (P < .0001 for all 3). SARS-CoV-2 specific CD4+ T-cell responses measured by AIM against SARS-CoV-2 S1 and S2 peptide pools were significantly increased after a third vaccine compared to 6 months after a first dose, with significant increases in proliferative CD4+ and CD8+ T-cell responses to SARS-CoV-2 S1 and S2 after boosting. Responses to Alpha, Beta, Gamma, and Delta variants were boosted, although to a lesser extent for Omicron. CONCLUSIONS: In PWH receiving a third vaccine dose, there were significant increases in B- and T-cell immunity, including to known variants of concern (VOCs). CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America. FAU - Fidler, Sarah AU - Fidler S AD - Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, United Kingdom. AD - Department of HIV Medicine, St Mary's Hospital, Imperial College Healthcare National Health Service (NHS) Trust, London, United Kingdom. AD - National Institute for Health and Care Research (NIHR) Imperial Clinical Research Facility and NIHR Imperial Biomedical Research Centre, London, United Kingdom. FAU - Fox, Julie AU - Fox J AD - NIHR Guy's and St Thomas' Biomedical Research Centre, London, United Kingdom. AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Tipoe, Timothy AU - Tipoe T AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Longet, Stephanie AU - Longet S AD - Nuffield Department of Medicine, Wellcome Centre for Human Genetics, University of Oxford, Oxford, United Kingdom. FAU - Tipton, Tom AU - Tipton T AD - Nuffield Department of Medicine, Wellcome Centre for Human Genetics, University of Oxford, Oxford, United Kingdom. FAU - Abeywickrema, Movin AU - Abeywickrema M AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Adele, Sandra AU - Adele S AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Alagaratnam, Jasmini AU - Alagaratnam J AD - Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, United Kingdom. AD - Department of HIV Medicine, St Mary's Hospital, Imperial College Healthcare National Health Service (NHS) Trust, London, United Kingdom. FAU - Ali, Mohammad AU - Ali M AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Aley, Parvinder K AU - Aley PK AD - Oxford Vaccine Group, Department of Pediatrics, University of Oxford, Oxford, United Kingdom. FAU - Aslam, Suhail AU - Aslam S AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Balasubramanian, Anbhu AU - Balasubramanian A AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Bara, Anna AU - Bara A AD - National Institute for Health and Care Research (NIHR) Imperial Clinical Research Facility and NIHR Imperial Biomedical Research Centre, London, United Kingdom. FAU - Bawa, Tanveer AU - Bawa T AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Brown, Anthony AU - Brown A AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Brown, Helen AU - Brown H AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Cappuccini, Federica AU - Cappuccini F AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Davies, Sophie AU - Davies S AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Fowler, Jamie AU - Fowler J AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Godfrey, Leila AU - Godfrey L AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Goodman, Anna L AU - Goodman AL AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. AD - Medical Research Council Clinical Trials Unit, University College London, London, United Kingdom. FAU - Hilario, Kathrine AU - Hilario K AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Hackstein, Carl-Philipp AU - Hackstein CP AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Mathew, Moncy AU - Mathew M AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Mujadidi, Yama F AU - Mujadidi YF AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Packham, Alice AU - Packham A AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Petersen, Claire AU - Petersen C AD - Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, United Kingdom. AD - Department of HIV Medicine, St Mary's Hospital, Imperial College Healthcare National Health Service (NHS) Trust, London, United Kingdom. FAU - Plested, Emma AU - Plested E AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Pollock, Katrina M AU - Pollock KM AD - National Institute for Health and Care Research (NIHR) Imperial Clinical Research Facility and NIHR Imperial Biomedical Research Centre, London, United Kingdom. FAU - Ramasamy, Maheshi N AU - Ramasamy MN AD - Oxford Vaccine Group, Department of Pediatrics, University of Oxford, Oxford, United Kingdom. AD - Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom. FAU - Robinson, Hannah AU - Robinson H AD - Oxford Vaccine Group, Department of Pediatrics, University of Oxford, Oxford, United Kingdom. FAU - Robinson, Nicola AU - Robinson N AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. AD - NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Rongkard, Patpong AU - Rongkard P AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Sanders, Helen AU - Sanders H AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Serafimova, Teona AU - Serafimova T AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Spence, Niamh AU - Spence N AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Waters, Anele AU - Waters A AD - Department of Infection, Harrison Wing and NIHR Clinical Research Facility, Guys and St Thomas' NHS Trust, London, United Kingdom. FAU - Woods, Danielle AU - Woods D AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Zacharopoulou, Panagiota AU - Zacharopoulou P AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Barnes, Eleanor AU - Barnes E AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. AD - Department of HIV Medicine, St Mary's Hospital, Imperial College Healthcare National Health Service (NHS) Trust, London, United Kingdom. AD - Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom. AD - NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Dunachie, Susanna AU - Dunachie S AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. AD - Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom. AD - Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom. AD - Mahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand. FAU - Goulder, Philip AU - Goulder P AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. AD - Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom. AD - Department of Paediatrics, University of Oxford, Oxford, United Kingdom. FAU - Klenerman, Paul AU - Klenerman P AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. AD - Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom. AD - NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Winston, Alan AU - Winston A AD - Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, United Kingdom. AD - Department of HIV Medicine, St Mary's Hospital, Imperial College Healthcare National Health Service (NHS) Trust, London, United Kingdom. FAU - Hill, Adrian V S AU - Hill AVS AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Gilbert, Sarah C AU - Gilbert SC AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. FAU - Carroll, Miles AU - Carroll M AD - Nuffield Department of Medicine, Wellcome Centre for Human Genetics, University of Oxford, Oxford, United Kingdom. AD - Public Health England, Porton Down, Salisbury, United Kingdom. FAU - Pollard, Andrew J AU - Pollard AJ AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. AD - NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. FAU - Lambe, Teresa AU - Lambe T AD - Oxford Vaccine Group, Department of Pediatrics, University of Oxford, Oxford, United Kingdom. AD - Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom. AD - Chinese Academy of Medical Sciences Oxford Institute, Oxford, United Kingdom. FAU - Ogbe, Ane AU - Ogbe A AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. FAU - Frater, John AU - Frater J AUID- ORCID: 0000-0001-7163-7277 AD - Nuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford, United Kingdom. AD - Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom. AD - NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. LA - eng GR - 403193363/WT_/Wellcome Trust/United Kingdom GR - MC_UU_00004/04/MRC_/Medical Research Council/United Kingdom GR - MR/L00528X/1/MRC_/Medical Research Council/United Kingdom GR - MR/W024977/1/MRC_/Medical Research Council/United Kingdom GR - MR/X009297/1/MRC_/Medical Research Council/United Kingdom GR - MR/L006588/1/MRC_/Medical Research Council/United Kingdom GR - MR/W02067X/1/MRC_/Medical Research Council/United Kingdom GR - WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Clin Infect Dis JT - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JID - 9203213 RN - B5S3K2V0G8 (ChAdOx1 nCoV-19) RN - 0 (BNT162 Vaccine) RN - 0 (Immunoglobulin G) RN - 0 (Antibodies, Viral) RN - SARS-CoV-2 variants SB - IM MH - Adult MH - Humans MH - HIV MH - ChAdOx1 nCoV-19 MH - BNT162 Vaccine MH - SARS-CoV-2 MH - *COVID-19/prevention & control MH - Lymphocyte Activation MH - Vaccination MH - *HIV Infections/drug therapy MH - Immunoglobulin G MH - Antibodies, Viral PMC - PMC9619587 OTO - NOTNLM OT - SARS-CoV-2 OT - T-cell responses OT - antibody responses OT - people with HIV OT - vaccination EDAT- 2022/10/06 06:00 MHDA- 2023/01/18 06:00 PMCR- 2022/10/05 CRDT- 2022/10/05 03:53 PHST- 2022/05/18 00:00 [received] PHST- 2022/10/06 06:00 [pubmed] PHST- 2023/01/18 06:00 [medline] PHST- 2022/10/05 03:53 [entrez] PHST- 2022/10/05 00:00 [pmc-release] AID - 6748267 [pii] AID - ciac796 [pii] AID - 10.1093/cid/ciac796 [doi] PST - ppublish SO - Clin Infect Dis. 2023 Jan 13;76(2):201-209. doi: 10.1093/cid/ciac796.