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Elevated serum IgA following vaccination against SARS-CoV-2 in a cohort of high-risk first responders

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TLDR
In this article , the authors evaluated the serum anti-spike (anti-S) IgG, anti-nucleocapsid (antiN) and anti-S IgA response following vaccination against SARS-CoV-2 in a cohort of first-responders.
Abstract
Abstract IgA plays an important early neutralizing role after SARS-CoV-2 infection. Systemically administered vaccines typically produce an IgM/IgG predominant response. We evaluated the serum anti-spike (anti-S) IgG, anti-nucleocapsid (anti-N) IgG and anti-S IgA response following vaccination against SARS-CoV-2 in a cohort of first-responders. Among the 378 completely vaccinated participants, 98% were positive for anti-S IgG and 96% were positive for anti-S IgA. Nine percent were positive for anti-N IgG suggesting prior exposure to SARS-CoV-2. No statistically significant difference was seen in IgA response based on prior evidence infection (p = 0.18). Ninety-eight of those receiving the Moderna vaccine (98%) were positive for anti-S IgA as compared to 91% of those who received the Pfizer vaccine (p = 0.0009). The high proportion of participants observed to have a positive anti-S IgA response after vaccination suggests that the vaccines elicit a systemic response characterized by elevated levels of both IgG and IgA.

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Evaluation of Anti-S1 IgA Response to Different COVID-19 Vaccination Regimens

TL;DR: In this article , the level of anti-S1 IgA in the serum of participants immunized with different COVID-19 vaccination regimens was evaluated and it was shown that heterologous boosters, especially after priming with an inactivated vaccine, elicited higher IgA levels than homologous booster.
Journal ArticleDOI

Detailed characterization of SARS-CoV-2-specific T and B cells after infection or heterologous vaccination

TL;DR: In this article , the authors investigated the magnitude, phenotype, and functionality of SARS-CoV-2-specific immune memory in two groups of healthy subjects after heterologous vaccination compared to a group of subjects who recovered from severe acute respiratory syndrome coronavirus 2 infection or vaccination.
References
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Journal ArticleDOI

Influenza Virus: Immunity and Vaccination Strategies. Comparison of the Immune Response to Inactivated and Live, Attenuated Influenza Vaccines

TL;DR: An update of the current status on influenza vaccination is provided and concentrates on the two main types of influenza vaccines currently in use, namely the cold‐adapted vaccine (CAV) given intranasally/orally, and the inactivated vaccine (IV) delivered subcutanously or intramuscularly.
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Enhanced SARS-CoV-2 neutralization by dimeric IgA.

TL;DR: The authors found that dimeric IgA antibodies neutralized SARS-CoV-2 more effectively than their monomeric counterparts, and suggested that vaccines that induce dimeric igA antibodies at mucosal surfaces may be good candidates for protection against SARS, the virus that causes COVID-19.
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Structure and function relationships in IgA

TL;DR: An overview of human IgA structure is provided, describing the distinguishing features of the IgA1 and IgA2 subclasses and mapping the sites of interaction with host receptors important for IgA's functional repertoire.
Journal ArticleDOI

Lung mucosal immunity: immunoglobulin‐A revisited

TL;DR: The role of IgA in the defence of mucosal surfaces has now expanded from a limited role of scavenger of exogenous material to a broader protective function with potential applications in immunotherapy.
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