麻豆视频

Research

New Study Finds Evidence of COVID Antibodies in Breast Milk of Vaccinated Mothers

Nov. 10, 2021
Immunity from both prior infection and vaccination produces antibody response in breast milk

A study published in JAMA Pediatrics co-authored by researchers at the 麻豆视频 and New York University has found evidence that mothers with two types of immunity from COVID 鈥 disease-acquired (those who have contracted COVID and recovered) and mRNA vaccination-acquired 鈥 produced breast milk with active SARS-CoV-2 antibodies.

The study, titled 鈥溾 was funded by The National Institute of Allergy and Infectious Diseases (NIAID) with in-kind support from Medela LLC. Samples were collected from 77 mothers - 47 in the infected group, 30 in the vaccine group 鈥 to determine the level of antibodies in breast milk over time. Mothers who had disease-acquired immunity produced high levels of Immunoglobulin A (IgA) antibodies against the virus in breast milk, while vaccine-acquired immunity produced robust Immunoglobulin G (IgG) antibodies.

Samples of breast milk were infected with live SARS-CoV-2 virus, and both types of antibodies provided neutralization against SARS-CoV-2, the first time such evidence has been discovered for IgA and IgG antibodies, according to study co-author Bridget Young, Ph.D., assistant professor in the Division of Pediatric Allergy and Immunology at URMC.

鈥淚t鈥檚 one thing to measure antibody concentrations, but it鈥檚 another to say that antibodies are functional and can neutralize the SARS-CoV-2 virus,鈥 said Young, 鈥淥ne of the exciting findings in this work is that breast milk from both mothers with COVID-19 infection, and from mothers receiving mRNA vaccination contained these active antibodies that were able to neutralize the virus.鈥

Previous studies from URMC had shown evidence of antibodies in breast milk from COVID positive mothers. This follow-up study represents the longest time period that disease-acquired antibodies have been examined post-illness, and the results showed that these antibodies exist for three months after infection.

For vaccinated mothers, the study found evidence of a mild-to-modest decline in antibodies 鈥 on average - three months post-vaccination.

鈥淭he trend in breast milk antibodies aligns with what we see in vaccination sera,鈥 said study co-author Kirsi Jarvinen-Seppo, PhD, M.D., Chief of Pediatric Allergy and Immunology at URMC, 鈥渁fter a few months, the antibodies trend downward, but the levels are still significantly above what they were pre-vaccine.鈥

Both Young and Jarvinen-Seppo emphasize, however, that while the antibody response exists, it鈥檚 not yet shown whether these breast milk antibodies can provide protection against COVID for nursing children.

鈥淭he study does not imply that children would be protected from illness,鈥 said Jarvinen-Seppo, 鈥渁nd breast milk antibodies may not be a substitute for vaccination for infants and children, once approved.鈥

For the next phase of the study, 麻豆视频researchers are looking to find evidence whether both vaccination and illness-acquired immunity provide antibodies against other seasonal coronaviruses.

.