TY - INPR A1 - Urschel, Rebecca A1 - Bronder, Saskia A1 - Klemis, Verena A1 - Marx, Stefanie A1 - Hielscher, Franziska A1 - Abu-Omar, Amina A1 - Guckelmus, Candida A1 - Schneitler, Sophie Charlotte A1 - Baum, Christina A1 - Becker, Sören Leif A1 - Gärtner, Barbara A1 - Sester, Urban A1 - Widera, Marek A1 - Schmidt, Tina A1 - Sester, Martina T1 - SARS-CoV-2 specific cellular and humoral immunity after bivalent BA.4/5 COVID-19 vaccination in previously infected and non-infected individuals T2 - medRxiv N2 - Knowledge is limited as to how prior SARS-CoV-2 infection influences cellular and humoral immunity after booster-vaccination with bivalent BA.4/5-adapted mRNA-vaccines, and whether vaccine-induced immunity correlates with subsequent infection. In this observational study, individuals with prior infection (n=64) showed higher vaccine-induced anti-spike IgG antibodies and neutralizing titers, but the relative increase was significantly higher in non-infected individuals (n=63). In general, both groups showed higher neutralizing activity towards the parental strain than towards Omicron subvariants BA.1, BA.2 and BA.5. In contrast, CD4 or CD8 T-cell levels towards spike from the parental strain and the Omicron subvariants, and cytokine expression profiles were similar irrespective of prior infection. Breakthrough infections occurred more frequently among previously non-infected individuals, who had significantly lower vaccine-induced spike-specific neutralizing activity and CD4 T-cell levels. Thus, the magnitude of vaccine-induced neutralizing activity and specific CD4 T-cells after bivalent vaccination may serve as a correlate for protection in previously non-infected individuals. Y1 - 2023 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/73982 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-739827 IS - 2023.05.03.23289472 ER -