Obesity does not influence SARS-CoV-2 humoral vaccine immunogenicity

Abstract Obesity is a recognized factor influencing immune function and infectious disease outcomes. Characterization of the influence of obesity on SARS-CoV-2 humoral vaccine immunogenicity is required to properly tailor vaccine type (mRNA, viral-vector, protein subunit vaccines) and dosing schedul...

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Main Authors: Mathieu D’Souza, Alexa Keeshan, Christopher A. Gravel, Marc-André Langlois, Curtis L. Cooper
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:npj Vaccines
Online Access:https://doi.org/10.1038/s41541-024-01022-8
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author Mathieu D’Souza
Alexa Keeshan
Christopher A. Gravel
Marc-André Langlois
Curtis L. Cooper
author_facet Mathieu D’Souza
Alexa Keeshan
Christopher A. Gravel
Marc-André Langlois
Curtis L. Cooper
author_sort Mathieu D’Souza
collection DOAJ
description Abstract Obesity is a recognized factor influencing immune function and infectious disease outcomes. Characterization of the influence of obesity on SARS-CoV-2 humoral vaccine immunogenicity is required to properly tailor vaccine type (mRNA, viral-vector, protein subunit vaccines) and dosing schedule. Data from a prospective cohort study collected over 34 months was used to evaluate the slope of antibody production and decay and neutralizing capacity following SARS-CoV-2 vaccination in individuals with and without obesity at baseline. Most participants were female (65.4%), white (92.4%), and received mRNA vaccines. 210 were obese and 697 non-obese. Sex and infection-acquired immunity were identified as effect modifiers for the relationship between obesity and COVID-19 vaccine humoral immunogenicity. No consistent influence of obesity on peak titres, titre retention, antibody isotype (IgG, IgM, IgA), or neutralization was identified when controlling for other key variables. It may not be necessary to consider this variable when developing SARS-CoV-2 vaccine dosing strategies.
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series npj Vaccines
spelling doaj-art-7dad72e7e4194c51ad6c6a8b21fd016c2024-11-24T12:09:38ZengNature Portfolionpj Vaccines2059-01052024-11-019111010.1038/s41541-024-01022-8Obesity does not influence SARS-CoV-2 humoral vaccine immunogenicityMathieu D’Souza0Alexa Keeshan1Christopher A. Gravel2Marc-André Langlois3Curtis L. Cooper4Ottawa Hospital Research InstituteOttawa Hospital Research InstituteSchool of Epidemiology and Public Health, Faculty of Medicine, University of OttawaDepartment of Biochemistry, Microbiology and Immunology, University of OttawaOttawa Hospital Research InstituteAbstract Obesity is a recognized factor influencing immune function and infectious disease outcomes. Characterization of the influence of obesity on SARS-CoV-2 humoral vaccine immunogenicity is required to properly tailor vaccine type (mRNA, viral-vector, protein subunit vaccines) and dosing schedule. Data from a prospective cohort study collected over 34 months was used to evaluate the slope of antibody production and decay and neutralizing capacity following SARS-CoV-2 vaccination in individuals with and without obesity at baseline. Most participants were female (65.4%), white (92.4%), and received mRNA vaccines. 210 were obese and 697 non-obese. Sex and infection-acquired immunity were identified as effect modifiers for the relationship between obesity and COVID-19 vaccine humoral immunogenicity. No consistent influence of obesity on peak titres, titre retention, antibody isotype (IgG, IgM, IgA), or neutralization was identified when controlling for other key variables. It may not be necessary to consider this variable when developing SARS-CoV-2 vaccine dosing strategies.https://doi.org/10.1038/s41541-024-01022-8
spellingShingle Mathieu D’Souza
Alexa Keeshan
Christopher A. Gravel
Marc-André Langlois
Curtis L. Cooper
Obesity does not influence SARS-CoV-2 humoral vaccine immunogenicity
npj Vaccines
title Obesity does not influence SARS-CoV-2 humoral vaccine immunogenicity
title_full Obesity does not influence SARS-CoV-2 humoral vaccine immunogenicity
title_fullStr Obesity does not influence SARS-CoV-2 humoral vaccine immunogenicity
title_full_unstemmed Obesity does not influence SARS-CoV-2 humoral vaccine immunogenicity
title_short Obesity does not influence SARS-CoV-2 humoral vaccine immunogenicity
title_sort obesity does not influence sars cov 2 humoral vaccine immunogenicity
url https://doi.org/10.1038/s41541-024-01022-8
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