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               <mods:identifier type="citation">Muñoz-Gómez, M.J., Martin-Vicente, M., Vigil-Vazquez, S. et al. IgG antibody levels against the SARS-CoV-2 spike protein in mother–child dyads after COVID-19 vaccination. Infection 52, 813–824 (2024). https://doi.org/10.1007/s15010-023-02111-x</mods:identifier>
               <mods:identifier type="doi">10.1007/s15010-023-02111-x</mods:identifier>
               <mods:identifier type="journal">Infection</mods:identifier>
               <mods:identifier type="pubmedID">37898587</mods:identifier>
               <mods:identifier type="uri">https://hdl.handle.net/20.500.12105/27527</mods:identifier>
               <mods:abstract>Purpose: We aimed to assess IgG antibodies against the SARS-CoV-2 spike protein (anti-SARS-CoV-2 S IgG) in vaccinated mothers and their infants at delivery and 2-3 months of age. Methods: We conducted a prospective study on mothers who received at least one dose of the COVID-19 vaccine (Pfizer-BNT162b2, Moderna mRNA-1273, or Oxford-AstraZeneca ChAdOx1-S) during pregnancy and on their infants. The baseline was at the time of delivery (n = 93), and the end of follow-up was 2 to 3 months post-partum (n = 53). Serum anti-SARS-CoV-2 S IgG titers and ACE2 binding inhibition levels were quantified by immunoassays. Results: Mothers and infants had high anti-SARS-CoV-2 S IgG titers against the B.1 lineage at birth. However, while antibody titers were maintained at 2-3 months post-partum in mothers, they decreased significantly in infants (p &lt; 0.001). Positive and significant correlations were found between anti-SARS-CoV-2 S IgG titers and ACE2-binding inhibition levels in mothers and infants at birth and 2-3 months post-partum (r > 0.8, p &lt; 0.001). Anti-S antibodies were also quantified for the Omicron variant at 2-3 months post-partum. The antibody titers against Omicron were significantly lower in mothers and infants than those against B.1 (p &lt; 0.001). Again, a positive correlation was observed for Omicron between IgG titers and ACE2-binding inhibition both in mothers (r = 0.818, p &lt; 0.001) and infants (r = 0.386, p &lt; 0.005). Previous SARS-CoV-2 infection and COVID-19 vaccination near delivery positively impacted anti-SARS-CoV-2 S IgG levels. Conclusions: COVID-19 mRNA vaccines induce high anti-SARS-CoV-2 S titers in pregnant women, which can inhibit the binding of ACE2 to protein S and are efficiently transferred to the fetus. However, there was a rapid decrease in antibody levels at 2 to 3 months post-partum, particularly in infants.</mods:abstract>
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                  <mods:topic>Infant</mods:topic>
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                  <mods:topic>Pregnant</mods:topic>
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                  <mods:topic>SARS-CoV-2</mods:topic>
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                  <mods:topic>Spike glycoprotein</mods:topic>
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               <mods:subject>
                  <mods:topic>Vaccine</mods:topic>
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                  <mods:title>IgG antibody levels against the SARS-CoV-2 spike protein in mother-child dyads after COVID-19 vaccination.</mods:title>
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