Complement System Response of Vaccinated Individuals with the Pfizer- Biontech and BBIBP-CorV (Sinopharm) Vaccines
Abstract
Background: Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 is an contagious illness that emerged in December 2019, remains a serious threat it has caused millions of deaths around the world, resulting in a global pandemic. COVID-19 vaccines protect against this severe illness through different approaches. Sinopharm and Pfizer-BioNTech COVID-19 vaccines were the greatest used vaccines in Iraq. Both vaccines have a specific mechanism to activate the immune system in human body.
This research aims to assessment the complement system C3 and C4 responses in vaccinated individuals with each the Pfizer-BioNTech COVID-19 vaccine or the Sinopharm vaccine.
Methods
The study included 180 Iraqi adults vaccinated with two doses, 1 week apart, using either the Sinopharm or Pfizer-BioNTech vaccine sixty person received the Pfizer vaccine, sixty person received the Sinopharm vaccine, and the other sixty subjects were un-vaccinated. After one week, the second dose was administered, and the blood samples were collected.
Results
study findings shown that Complement system 3 (C3) and (C4) levels were significantly increased (P-value=< P<0. 05) in total vaccinated groups when compared with healthy control. also . the table was indicated C3 concentration was significantly high increased in first dose compared to second dose on vaccinated group , while the C4 concentration was non-significantly between two dose groups.
The study concluded that the Pfizer-BioNTech and Sinopharm vaccine boosted the immune system by high activation complement may also have a protective role and could function to enhance virus neutralization by antibodies, promote virus phagocytosis by immune cells, and lysis of coronavirus.
References
2. Teijaro JR, Farber DL. COVID-19 vaccines: modes of immune activation and future challenges. Nat Rev Immunol. 2021; 21:(4):195–7. doi:10.1038/s41577-021-00526-x.
3. Adam L, Rosenbaum P, Bonduelle O, Combadière B. Strategies for immunomonitoring after vaccination and during infection. Vaccines. 2021; 9:(4):365. doi:10.3390/vaccines9040365.
4. Snell AM. Liver function tests and their interpretation. Gastroenterol. 1958; 34:(4):675–82. doi:10.1016/S0016-5085(58)80052-9.
5. Li Q, Ding X, Xia G, Chen H-G, Chen F, Geng Z, et al. Eosinopenia and elevated C-reactive protein facilitate triage of COVID-19 patients in fever clinic: A retrospective case-controlstudy. EClinicalMedicine. 2020 Jun; 23::100375. doi:10.1016/J.ECLINM.2020.100375.
6. Polack, F. P. et al. Safety and efficacy of the BNT162b2 mRNA COVID-19 vaccine. N. Engl. J. Med. 383, 2603–2615 (2020
7. Walsh, E. E. et al. Safety and immunogenicity of two RNA-based COVID-19 vaccine candidates. N. Engl. J. Med. 383, 2439–2450 (2020).
8. Riad, A . Pokorná, A . Attia,S. Klugarová, J. Košˇcík, M. Klugar, M. Prevalence of COVID-19 Vaccine Side Effects among Healthcare Workers in the Czech Republic. 2021, J. Clin. Med., 10, p. 1428.
9. Mulligan MJ, Lyke KE, Kitchin N, (2020) Phase I/II study of COVID-19 RNA vaccine BNT162b1 in adults. Nature.j,586:589–93. doi: 10.1038/s41586-020-2639-4
10. Team MCVT. COVID-19 vaccine tracker: McGill COVID19 Vaccine Tracker Team; 2021 [Available from: https://covid19.trackvaccines.org/vaccines/ap
11. Ndwandwe, D.; Wiysonge, C.S. COVID-19 Vaccines. Curr. Opin. Immunol. 2021, 71, 111.
12. Merle N.S. Complement system part I - molecular mechanisms of activation and regulation. Front. Immunol. 2015;6:262.
13. Stahel PF, Barnum SR. The role of the complement system in CNS inflammatory diseases. Expert Rev Clin Immunol. (2006) 2:445–56. doi: 10.1586/1744666X.2.3.445
14. Jayasekera J.P. Natural antibody and complement mediate neutralization of influenza virus in the absence of prior immunity. J. Virol. 2007;81:3487–3494
15. Najaoui A. Autoantibody-mediated complement activation on platelets is a common finding in patients with immune thrombocytopenic purpura (ITP) Eur. J. Haematol. 2012;88:167–174.
16. Merle N.S. Complement system part I - molecular mechanisms of activation and regulation. Front. Immunol. 2015;6:262.
17. Magro C. Complement associated microvascular injury and thrombosis in the pathogenesis of severe COVID-19 infection: a report of five cases. Transl. Res. 2020;220:1–13.
18. Wei X.-S. Diarrhea is associated with prolonged symptoms and viral carriage in COVID-19. Clin. Gastroenterol. Hepatol. 2020;18:1753–1759.
19. Merle N.S. Complement system part I - molecular mechanisms of activation and regulation. Front. Immunol. 2015;6:262.
20. Tegla C.A. Membrane attack by complement: the assembly and biology of terminal complement complexes. Immunol. Res. 2011;51:45.
21. Mehlhop E. Complement protein C1q reduces the stoichiometric threshold for antibody-mediated neutralization of West Nile virus. Cell Host Microbe. 2009;6:381–391.
22. Kindt TJ, Goldsby RA, Osborne BA, Kuby J (2007). Kuby Immunology. 6th W.H. Freeman, New York. pp. 168-188.
23. Janeway C.A ( 2001).. "The complement system and innate immunity". Immunobiology: the immune system in health and disease. New York: Garland Science.
24. Mellors, J.; Tipton, T.; Longet, S.; Carroll, M. (2020) Viral evasion of the complement system and its importance for vaccines and therapeutics. Front Immunol 11:1450. doi: 10.3389/fimmu.2020.01450
25. Schultze, J.L.; Aschenbrenner, A.C. (2021)COVID-19 and the human innate immune system. Cell, 184, 1671–1692.
26. Wintjens R., Bifani,A. M..; Bifani,. P.(2020).Impact of glycan cloud on the B-cell epitope prediction of SARS-CoV-2 Spike protein. NPJ Vaccines 5, 81
27. Pisanic N, Randad PR, Kruczynski K, Manabe,Y.C.; Thomas,D.L. (2020) COVID-19 Serology at Population Scale: SARS-CoV-2-Specific Antibody Responses in Saliva. J - Clin Microbiol p-16; 59(1)
28. Zinellu ,A. and Mangoni, AA. (2021)Serum complement C3 and C4 and COVID-19 severity and mortality: a systematic review and meta-analysis with meta-regression. Front Immunol., , vol.12.
29. Dhelr H, Sİpahİ S, Yaylaci S, Çetİn ES, AB GÇ, Firat N et al (2020) Clinical course of COVID-19 disease in immunosuppressed renal transplant patients. Turkish journal of medical sciences 51:428–434. https://doi.org/10.3906/sag-2007-260
30. Shen, Z., Yang, Y., Yang, S., Zhang, G., Xiao, S., Fu, Z. F., et al. (2020). Structural and biological basis of alphacoronavirus nsp1 associated with host proliferation and immune evasion. Viruses 12:812. doi: 10.3390/v12080812
31. de Nooijer A.H. (2020)Complement activation in the disease course of coronavirus disease 2019 and its effects on clinical outcomes. J. Infect. Dis. doi: 10.1093/infdis/jiaa646.
32. Merle NS, Church SE, Fremeaux-Bacchi V, Roumenina LT. (2015) Complement system part I – molecular mechanisms of activation and regulation. Front Immunol 6:262. doi:10.3389/fimmu.2015.00262
33. Zimmer, J.; Hobkirk ,J.; Mohamed ,F.;Browning, MJ.; Stover, CM. (2014) On the functional overlap between complement and anti-microbial peptides. Front Immunol 5:689. doi: 10.3389/fimmu.2014.00689
34. Ramlall, V; Thangaraj, PM.; Meydan, C.; Foox, J.; Butler, D.; Kim, J.; (2020) Immune complement and coagulation dysfunction in adverse outcomes of SARS-CoV-2 infection. Nat Med 26(10):1609–15. doi: 10.1038/s41591-020-1021-2