Abstract
Objective: People with Down syndrome (DS) are particularly vulnerable to coronavirus disease 2019 (COVID-19) and show altered immune response to vaccination. We aimed to evaluate the immune response of a group of adults with DS treated with standard regimens of SARS-CoV-2 vaccine as compared with an age- and sex-matched group of persons without DS.
Methods: We compared antibody responses between 42 subjects with DS (41.6 ± 10.8 years, 57% male), and an age- and sex-matched comparison group of healthy health care workers (HCW) (41.4 ± 8.8 years, 54.8% male) after SARS-CoV-2 vaccination with the standard regimen of BNT162b2 mRNA COVID-19. Receptor binding domain (RBD) IgG antibodies were assessed at 4 time points (baseline, 21 days after the first dose, 21 days after the second dose, and 6 months after the first dose) with Siemens SARS-CoV-2 IgG (COV2G) antibody test.
Results: We observed significantly different antibody responses at all time points after vaccination (HCW vs. DS: 7.9 ± 3.9 vs. 1.4 ± 3.6 IU/mL at 21 days after first dose; 358.5 ± 3.8 vs. 38.1 ± 3.0 IU/mL at 21 days after second dose; 34.6 ± 2.4 vs. 7.9 ± 3.1 IU/mL at 6 months after vaccination) and a significantly different time course of decline in antibody titers between the two groups.
Discussion: Subjects with DS have a valid antibody response to SARS-CoV-2 vaccination. However, this response is lower than that of subjects in the HCW group. This finding could indicate a more rapid decline in the protective effects of the vaccination in subjects with DS and could suggest that people with DS may benefit from a booster dose of vaccine.
Keywords: COVID-19; Down syndrome; Efficacy; SARS-CoV-2; Vaccination.
【저자키워드】 COVID-19, SARS-CoV-2, Efficacy, vaccination, Down syndrome, 【초록키워드】 coronavirus disease, Vaccine, immune response, vaccination, Antibody Response, SARS-CoV-2 vaccine, IgG antibody, RBD, mRNA, male, Antibody titer, Health care worker, age, Antibody test, booster dose, SARS-CoV-2 IgG, SARS-CoV-2 vaccination, protective effect, HCW, regimen, two groups, subject, second dose, first dose, binding domain, benefit, Course, evaluate, significantly, healthy, treated, baseline, of BNT162b2, Siemen, were assessed, 【제목키워드】 SARS-CoV-2 vaccine, humoral,