Codominant IgG and IgA expression with minimal vaccine mRNA in milk of BNT162b2 vaccinees

JM Low, Y Gu, MSF Ng, Z Amin, LY Lee, YPM Ng… - npj Vaccines, 2021 - nature.com
JM Low, Y Gu, MSF Ng, Z Amin, LY Lee, YPM Ng, BDO Shunmuganathan, Y Niu, R Gupta…
npj Vaccines, 2021nature.com
Lactating women can produce protective antibodies in their milk after vaccination, which has
informed antenatal vaccination programs for diseases such as influenza and pertussis.
However, whether SARS-CoV-2-specific antibodies are produced in human milk as a result
of COVID-19 vaccination is still unclear. In this study, we show that lactating mothers who
received the BNT162b2 vaccine secreted SARS-CoV-2-specific IgA and IgG antibodies into
milk, with the most significant increase at 3–7 days post-dose 2. Virus-specific IgG titers were …
Abstract
Lactating women can produce protective antibodies in their milk after vaccination, which has informed antenatal vaccination programs for diseases such as influenza and pertussis. However, whether SARS-CoV-2-specific antibodies are produced in human milk as a result of COVID-19 vaccination is still unclear. In this study, we show that lactating mothers who received the BNT162b2 vaccine secreted SARS-CoV-2-specific IgA and IgG antibodies into milk, with the most significant increase at 3–7 days post-dose 2. Virus-specific IgG titers were stable out to 4–6 weeks after dose 2. In contrast, SARS-CoV-2-specific IgA levels showed substantial decay. Vaccine mRNA was detected in few milk samples (maximum of 2 ng/ml), indicative of minimal transfer. Additionally, infants who consumed post-vaccination human milk had no reported adverse effects up to 28 days post-ingestion. Our results define the safety and efficacy profiles of the vaccine in this demographic and provide initial evidence for protective immunity conferred by milk-borne SARS-CoV-2-specific antibodies. Taken together, our study supports recommendations for uninterrupted breastfeeding subsequent to mRNA vaccination against COVID-19.
nature.com
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