TY - JOUR A1 - Delbrück, Marla A1 - Hoehl, Sebastian A1 - Toptan, Tuna A1 - Schenk, Barbara A1 - Grikscheit, Katharina A1 - Metzler, Melinda A1 - Herrmann, Eva A1 - Ciesek, Sandra T1 - Low but recoverable markers of humoral immune response to BNT162b2 in elderly LTCF residents five to seven months after two-dose vaccination T2 - Frontiers in aging N2 - The immune response is known to wane after vaccination with BNT162b2, but the role of age, morbidity and body composition is not well understood. We conducted a cross-sectional study in long-term care facilities (LTCFs) for the elderly. All study participants had completed two-dose vaccination with BNT162b2 five to 7 months before sample collection. In 298 residents (median age 86 years, range 75–101), anti-SARS-CoV-2 rector binding IgG antibody (anti-RBD-IgG) concentrations were low and inversely correlated with age (mean 51.60 BAU/ml). We compared the results to Health Care Workers (HCW) aged 18–70 years (n = 114, median age: 53 years), who had a higher mean anti-RBD-IgG concentration of 156.99 BAU/ml. Neutralization against the Delta variant was low in both groups (9.5% in LTCF residents and 31.6% in HCWs). The Charlson Comorbidity Index was inversely correlated with anti-RBD-IgG, but not the body mass index (BMI). A control group of 14 LTCF residents with known breakthrough infection had significant higher antibody concentrations (mean 3,199.65 BAU/ml), and 85.7% had detectable neutralization against the Delta variant. Our results demonstrate low but recoverable markers of immunity in LTCF residents five to 7 months after vaccination. KW - COVID-19 KW - SARS-CoV-2 KW - elderly KW - immunity KW - immunosenescence KW - multimorbidity KW - vaccination Y1 - 2022 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/81397 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-813976 SN - 2673-6217 N1 - This study was funded by the Hessian Ministry of Social Issues and Integration. VL - 3 IS - art. 883724 SP - 1 EP - 7 PB - Frontiers Media S.A. CY - Lausanne ER -