Antibody response of an octogenarian population elicited by two vaccine doses 15 and 20 months after SARS-CoV-2 infection
(A) Sixteen nuns (median age 81 years old) received one dose of the BNT162b2 vaccine 15 months after recovering from COVID-19 and a second dose after another 5 months. Blood was collected over a period of 20 months as indicated by the colored circles.
(B) Co-morbidities. The co-morbidities of each individual are listed in Table S1.
(C–G) Plasma IgG antibody binding the SARS-CoV-2 RBD (spike) from different variants and the N protein within 15 months after infection (C and D), after the first dose vaccination (E and F), and after the second vaccination (G). p values are from two-way ANOVA with Tukey’s multiple comparisons test (C, E, and G) and unpaired t test with Welch’s correction (D and F). ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001, and ∗∗∗∗p < 0.0001 (2 mo, n = 16; 10 mo, n = 5; 15 mo [D0], n = 16; 15 mo [D7], n = 15; 17.5 mo, n = 16; 19 mo, n = 8; 20 mo [D0], n = 7; 20 mo [D7], n = 7).
(H) Neutralizing antibody response to Delta (B.1.617.2). p values are from one-way ANOVA with Tukey’s multiple comparisons test. ∗∗p < 0.01. The individual data are listed in Table S2. Colors in dot plots were matched to the ones in timeline in (A) (15 mo [D0], n = 16; 15 mo [D7], n = 15; 17.5 mo, n = 16).
(I) Blocking of interactions between ACE2 and SARS-CoV-2 spike (RBD) interactions was tested by competition ELISA. p values are from two-way ANOVA with Sidak’s multiple comparisons test. ∗p < 0.05 and ∗∗∗p < 0.001 (15 mo [D7], n = 7; 20 mo [D7], n = 7).