[PDF][PDF] Ipsilateral immunization after a prior SARS-CoV-2 mRNA vaccination elicits superior B cell responses compared to contralateral immunization

W Jiang, AR Maldeney, X Yuan, MJ Richer… - Cell reports, 2024 - cell.com
W Jiang, AR Maldeney, X Yuan, MJ Richer, SE Renshaw, W Luo
Cell reports, 2024cell.com
Summary mRNA vaccines have proven to be pivotal in the fight against COVID-19. A
recommended booster, given 3 to 4 weeks post the initial vaccination, can substantially
amplify protective antibody levels. Here, we show that, compared to contralateral boost,
ipsilateral boost of the SARS-CoV-2 mRNA vaccine induces more germinal center B cells
(GCBCs) specific to the receptor binding domain (RBD) and generates more bone marrow
plasma cells. Ipsilateral boost can more rapidly generate high-affinity RBD-specific …
Summary
mRNA vaccines have proven to be pivotal in the fight against COVID-19. A recommended booster, given 3 to 4 weeks post the initial vaccination, can substantially amplify protective antibody levels. Here, we show that, compared to contralateral boost, ipsilateral boost of the SARS-CoV-2 mRNA vaccine induces more germinal center B cells (GCBCs) specific to the receptor binding domain (RBD) and generates more bone marrow plasma cells. Ipsilateral boost can more rapidly generate high-affinity RBD-specific antibodies with improved cross-reactivity to the Omicron variant. Mechanistically, the ipsilateral boost promotes the positive selection and plasma cell differentiation of pre-existing GCBCs from the prior vaccination, associated with the expansion of T follicular helper cells. Furthermore, we show that ipsilateral immunization with an unrelated antigen after a prior mRNA vaccination enhances the germinal center and antibody responses to the new antigen compared to contralateral immunization. These findings propose feasible approaches to optimize vaccine effectiveness.
cell.com