Detection of anti-SARS-CoV-2 mucosal IgA in clinical saliva samples after a dose of Novavax COVID-19 vaccine

Publication date: Jan 21, 2025

Immunoglobulin (Ig) A acts as a first line of defense against respiratory pathogens. Mucosal IgA in salivary and nasal passages has a rapid response to antigens and can play a protective role against reinfection. The mainstay for analyzing SARS-CoV-2 infection and vaccine efficacy has been assessment of serum IgG levels; however, validated assays for assessment of mucosal IgA in clinical samples are necessary as new and adapted measures are generated to combat immune-evasive viral variants. A mucosal IgA assay was developed and tested through assessment of IgA levels in salivary samples from participants of the 2019nCoV-314/ NCT05973006 study. These participants had previously received [≥]2 mRNA-based COVID-19 vaccinations prior to enrollment and received a single intramuscular study dose of NVX-CoV2601 (XBB.1.5) or bivalent vaccine (NVX-CoV2601 + NVX-CoV2373 [Wuhan]). Salivary samples were collected prior to vaccination on day 0 and on day 28 to assess response post vaccination. Both vaccine groups elicited a significant increase in anti -SARS-CoV-2 spike IgA against XBB.1.5. Furthermore, cross-reactivity via identification of anti-JN.1 and anti-Wuhan IgA was also observed. The detection of IgA in clinical mucosal samples through this assay will be a valuable tool in supporting vaccine development.

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Concepts Keywords
Aguilera Clinical
Boykins Cov
Immunoglobulin Covid
Influenza Https
Iga
Medrxiv
Mucosal
Novavax
Nvx
Preprint
Salivary
Sars
Spike
Vaccine
Xbb

Semantics

Type Source Name
disease IDO role
disease MESH reinfection
disease MESH SARS-CoV-2 infection
pathway REACTOME SARS-CoV-2 Infection
disease IDO assay
drug DRUGBANK Coenzyme M
disease IDO production
disease IDO susceptibility
disease MESH infection
disease MESH recurrence
disease IDO symptom
disease MESH breakthrough infections
disease MESH influenza
disease MESH infection transmission
disease IDO pathogen
disease MESH comorbidity
disease MESH clinical significance
disease MESH Allergy
disease MESH IgA Deficiency
disease MESH viral infection
disease MESH severe acute respiratory syndrome
disease MESH pneumonia
disease MESH Infectious Diseases
disease IDO blood

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