Publication: Immunogenicity of standard and extended dosing intervals of BNT162b2 mRNA vaccine
Issued Date
2021-11-11
Resource Type
ISSN
10974172
00928674
00928674
Other identifier(s)
2-s2.0-85118834382
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Cell. Vol.184, No.23 (2021), 5699-5714.e11
Suggested Citation
Rebecca P. Payne, Stephanie Longet, James A. Austin, Donal T. Skelly, Wanwisa Dejnirattisai, Sandra Adele, Naomi Meardon, Sian Faustini, Saly Al-Taei, Shona C. Moore, Tom Tipton, Luisa M. Hering, Adrienn Angyal, Rebecca Brown, Alexander R. Nicols, Natalie Gillson, Susan L. Dobson, Ali Amini, Piyada Supasa, Andrew Cross, Alice Bridges-Webb, Laura Silva Reyes, Aline Linder, Gurjinder Sandhar, Jonathan A. Kilby, Jessica K. Tyerman, Thomas Altmann, Hailey Hornsby, Rachel Whitham, Eloise Phillips, Tom Malone, Alexander Hargreaves, Adrian Shields, Ayoub Saei, Sarah Foulkes, Lizzie Stafford, Sile Johnson, Daniel G. Wootton, Christopher P. Conlon, Katie Jeffery, Philippa C. Matthews, John Frater, Alexandra S. Deeks, Andrew J. Pollard, Anthony Brown, Sarah L. Rowland-Jones, Juthathip Mongkolsapaya, Eleanor Barnes, Susan Hopkins, Victoria Hall, Christina Dold, Christopher J.A. Duncan, Alex Richter, Miles Carroll, Gavin Screaton, Thushan I. de Silva, Lance Turtle, Paul Klenerman, Susanna Dunachie, Hibatullah Abuelgasim, Emily Adland, Syed Adlou, Hossain Delowar Akther, Ahmed Alhussni, Mohammad Ali, M. Azim Ansari, Carolina V. Arancibia-Cárcamo, Martin Bayley, Helen Brown, Jeremy Chalk, Meera Chand, Anu Chawla, Senthil Chinnakannan, Jospeh Cutteridge, Catherine de Lara, Lucy Denly, Ben Diffey, Stavros Dimitriadis, Thomas M. Drake, Timothy Donnison, Maeva Dupont, David Eyre, Alex Fairman, Siobhan Gardiner, Javier Gilbert-Jarmillo, Philip Goulder, Carl Philipp Hackstein, Sophie Hambleton, Muzlifah Haniffa, Jenny Haworth, Jennifer Holmes, Emily Horner, Anni Jämsén, Chris Jones, Mwila Kasanyinga, Sinead Kelly, Rosemary Kirk, Michael L. Knight, Allan Lawrie, Lian Lee Immunogenicity of standard and extended dosing intervals of BNT162b2 mRNA vaccine. Cell. Vol.184, No.23 (2021), 5699-5714.e11. doi:10.1016/j.cell.2021.10.011 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/75958
Research Projects
Organizational Units
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Thesis
Title
Immunogenicity of standard and extended dosing intervals of BNT162b2 mRNA vaccine
Author(s)
Rebecca P. Payne
Stephanie Longet
James A. Austin
Donal T. Skelly
Wanwisa Dejnirattisai
Sandra Adele
Naomi Meardon
Sian Faustini
Saly Al-Taei
Shona C. Moore
Tom Tipton
Luisa M. Hering
Adrienn Angyal
Rebecca Brown
Alexander R. Nicols
Natalie Gillson
Susan L. Dobson
Ali Amini
Piyada Supasa
Andrew Cross
Alice Bridges-Webb
Laura Silva Reyes
Aline Linder
Gurjinder Sandhar
Jonathan A. Kilby
Jessica K. Tyerman
Thomas Altmann
Hailey Hornsby
Rachel Whitham
Eloise Phillips
Tom Malone
Alexander Hargreaves
Adrian Shields
Ayoub Saei
Sarah Foulkes
Lizzie Stafford
Sile Johnson
Daniel G. Wootton
Christopher P. Conlon
Katie Jeffery
Philippa C. Matthews
John Frater
Alexandra S. Deeks
Andrew J. Pollard
Anthony Brown
Sarah L. Rowland-Jones
Juthathip Mongkolsapaya
Eleanor Barnes
Susan Hopkins
Victoria Hall
Christina Dold
Christopher J.A. Duncan
Alex Richter
Miles Carroll
Gavin Screaton
Thushan I. de Silva
Lance Turtle
Paul Klenerman
Susanna Dunachie
Hibatullah Abuelgasim
Emily Adland
Syed Adlou
Hossain Delowar Akther
Ahmed Alhussni
Mohammad Ali
M. Azim Ansari
Carolina V. Arancibia-Cárcamo
Martin Bayley
Helen Brown
Jeremy Chalk
Meera Chand
Anu Chawla
Senthil Chinnakannan
Jospeh Cutteridge
Catherine de Lara
Lucy Denly
Ben Diffey
Stavros Dimitriadis
Thomas M. Drake
Timothy Donnison
Maeva Dupont
David Eyre
Alex Fairman
Siobhan Gardiner
Javier Gilbert-Jarmillo
Philip Goulder
Carl Philipp Hackstein
Sophie Hambleton
Muzlifah Haniffa
Jenny Haworth
Jennifer Holmes
Emily Horner
Anni Jämsén
Chris Jones
Mwila Kasanyinga
Sinead Kelly
Rosemary Kirk
Michael L. Knight
Allan Lawrie
Lian Lee
Stephanie Longet
James A. Austin
Donal T. Skelly
Wanwisa Dejnirattisai
Sandra Adele
Naomi Meardon
Sian Faustini
Saly Al-Taei
Shona C. Moore
Tom Tipton
Luisa M. Hering
Adrienn Angyal
Rebecca Brown
Alexander R. Nicols
Natalie Gillson
Susan L. Dobson
Ali Amini
Piyada Supasa
Andrew Cross
Alice Bridges-Webb
Laura Silva Reyes
Aline Linder
Gurjinder Sandhar
Jonathan A. Kilby
Jessica K. Tyerman
Thomas Altmann
Hailey Hornsby
Rachel Whitham
Eloise Phillips
Tom Malone
Alexander Hargreaves
Adrian Shields
Ayoub Saei
Sarah Foulkes
Lizzie Stafford
Sile Johnson
Daniel G. Wootton
Christopher P. Conlon
Katie Jeffery
Philippa C. Matthews
John Frater
Alexandra S. Deeks
Andrew J. Pollard
Anthony Brown
Sarah L. Rowland-Jones
Juthathip Mongkolsapaya
Eleanor Barnes
Susan Hopkins
Victoria Hall
Christina Dold
Christopher J.A. Duncan
Alex Richter
Miles Carroll
Gavin Screaton
Thushan I. de Silva
Lance Turtle
Paul Klenerman
Susanna Dunachie
Hibatullah Abuelgasim
Emily Adland
Syed Adlou
Hossain Delowar Akther
Ahmed Alhussni
Mohammad Ali
M. Azim Ansari
Carolina V. Arancibia-Cárcamo
Martin Bayley
Helen Brown
Jeremy Chalk
Meera Chand
Anu Chawla
Senthil Chinnakannan
Jospeh Cutteridge
Catherine de Lara
Lucy Denly
Ben Diffey
Stavros Dimitriadis
Thomas M. Drake
Timothy Donnison
Maeva Dupont
David Eyre
Alex Fairman
Siobhan Gardiner
Javier Gilbert-Jarmillo
Philip Goulder
Carl Philipp Hackstein
Sophie Hambleton
Muzlifah Haniffa
Jenny Haworth
Jennifer Holmes
Emily Horner
Anni Jämsén
Chris Jones
Mwila Kasanyinga
Sinead Kelly
Rosemary Kirk
Michael L. Knight
Allan Lawrie
Lian Lee
Other Contributor(s)
Siriraj Hospital
Mahidol Oxford Tropical Medicine Research Unit
Oxford University Hospitals NHS Foundation Trust
Liverpool University Hospitals NHS Foundation Trust
Public Health England
University of Oxford
University Hospitals Birmingham NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
University of Liverpool
Imperial College Faculty of Medicine
University of Birmingham
Nuffield Department of Medicine
Newcastle University
University of Oxford Medical Sciences Division
The University of Sheffield
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
Great North Children's Hospital
Mahidol Oxford Tropical Medicine Research Unit
Oxford University Hospitals NHS Foundation Trust
Liverpool University Hospitals NHS Foundation Trust
Public Health England
University of Oxford
University Hospitals Birmingham NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
University of Liverpool
Imperial College Faculty of Medicine
University of Birmingham
Nuffield Department of Medicine
Newcastle University
University of Oxford Medical Sciences Division
The University of Sheffield
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
Great North Children's Hospital
Abstract
Extension of the interval between vaccine doses for the BNT162b2 mRNA vaccine was introduced in the United Kingdom to accelerate population coverage with a single dose. At this time, trial data were lacking, and we addressed this in a study of United Kingdom healthcare workers. The first vaccine dose induced protection from infection from the circulating alpha (B.1.1.7) variant over several weeks. In a substudy of 589 individuals, we show that this single dose induces severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) neutralizing antibody (NAb) responses and a sustained B and T cell response to the spike protein. NAb levels were higher after the extended dosing interval (6–14 weeks) compared with the conventional 3- to 4-week regimen, accompanied by enrichment of CD4+ T cells expressing interleukin-2 (IL-2). Prior SARS-CoV-2 infection amplified and accelerated the response. These data on dynamic cellular and humoral responses indicate that extension of the dosing interval is an effective immunogenic protocol.