"Due to limited vaccine supply and uneven vaccine distribution in many regions of the world, health authorities urgently need data on the immune response to vaccines to optimize vaccination strategies," says senior author Andrea Gamarnik of the Fundación Instituto Leloir-CONICET in Buenos Aires, Argentina. "The peer-reviewed data we present provide information for guiding public health decisions in light of the current global health emergency."
Past research has shown that two doses of Sputnik V results in 92% efficacy against coronavirus disease 2019 (COVID-19), which is caused by SARS-CoV-2. An important question is whether a single dose would achieve greater public health benefit than two doses by allowing protection of a larger population more quickly.
Evidence from other vaccines offers support for the one-shot approach. The AstraZeneca vaccine shows 76% efficacy after a single dose, and the Moderna and Pfizer vaccines may induce sufficient immunity in previously infected individuals after one dose, with no apparent benefit of an additional dose.
In the Cell Reports Medicine study, Gamarnik and her colleagues compared the effects of one and two shots of Sputnik V on SARS-CoV-2-specific antibody responses in 289 healthcare workers in Argentina. Three weeks after the second dose, all volunteers with no prior infection generated virus-specific immunoglobulin G (IgG) antibodies - the most common type of antibody found in blood.
But even within three weeks of receiving the first dose, 94% of these participants developed IgG antibodies against the virus, and 90% showed evidence of neutralizing antibodies, which interfere with the ability of viruses to infect cells.
Additional results showed that IgG and neutralizing antibody levels in previously infected participants were significantly higher after one dose than those in fully vaccinated volunteers with no history of infection. A second dose did not increase the production of neutralizing antibodies in previously infected volunteers.
"This highlights the robust response to vaccination of previously infected individuals, suggesting that naturally acquired immunity might be enhanced sufficiently by a single dose, in agreement with recent studies using mRNA vaccines," Gamarnik says.
Further studies are needed to evaluate the duration of the immune response and to assess how antibody levels relate to vaccine protection against COVID-19. "Evidence based on quantitative information will guide vaccine deployment strategies in the face of worldwide vaccine supply restriction," Gamarnik says.
Rossi and Ojeda et al.
Sputnik V Vaccine Elicits Seroconversion and Neutralizing Capacity to SARS-CoV-2 after a Single Dose.
Cell Reports Medicine, 2021. doi: 10.1016/j.xcrm.2021.100359