TY - JOUR UR - https://doi.org/10.1172/jci.insight.157031 PB - American Society for Clinical Investigation SN - 2379-3708 N2 - Duration of protection from SARS-CoV-2 infection in people living with HIV (PWH) following vaccination is unclear. In a substudy of the phase II/III the COV002 trial (NCT04400838), 54 HIV+ male participants on antiretroviral therapy (undetectable viral loads, CD4+ T cells > 350 cells/?L) received 2 doses of ChAdOx1 nCoV-19 (AZD1222) 4-6 weeks apart and were followed for 6 months. Responses to vaccination were determined by serology (IgG ELISA and Meso Scale Discovery [MSD]), neutralization, ACE-2 inhibition, IFN-? ELISpot, activation-induced marker (AIM) assay and T cell proliferation. We show that, 6 months after vaccination, the majority of measurable immune responses were greater than prevaccination baseline but with evidence of a decline in both humoral and cell-mediated immunity. There was, however, no significant difference compared with a cohort of HIV-uninfected individuals vaccinated with the same regimen. Responses to the variants of concern were detectable, although they were lower than WT. Preexisting cross-reactive T cell responses to SARS-CoV-2 spike were associated with greater postvaccine immunity and correlated with prior exposure to beta coronaviruses. These data support the ongoing policy to vaccinate PWH against SARS-CoV-2, and they underpin the need for long-term monitoring of responses after vaccination. ID - discovery10184137 A1 - Ogbe, A A1 - Pace, M A1 - Bittaye, M A1 - Tipoe, T A1 - Adele, S A1 - Alagaratnam, J A1 - Aley, PK A1 - Ansari, MA A1 - Bara, A A1 - Broadhead, S A1 - Brown, A A1 - Brown, H A1 - Cappuccini, F A1 - Cinardo, P A1 - Dejnirattisai, W A1 - Ewer, KJ A1 - Fok, H A1 - Folegatti, PM A1 - Fowler, J A1 - Godfrey, L A1 - Goodman, AL A1 - Jackson, B A1 - Jenkin, D A1 - Jones, M A1 - Longet, S A1 - Makinson, RA A1 - Marchevsky, NG A1 - Mathew, M A1 - Mazzella, A A1 - Mujadidi, YF A1 - Parolini, L A1 - Petersen, C A1 - Plested, E A1 - Pollock, KM A1 - Rajeswaran, T A1 - Ramasamy, MN A1 - Rhead, S A1 - Robinson, H A1 - Robinson, N A1 - Sanders, H A1 - Serrano, S A1 - Tipton, T A1 - Waters, A A1 - Zacharopoulou, P A1 - Barnes, E A1 - Dunachie, S A1 - Goulder, P A1 - Klenerman, P A1 - Screaton, GR A1 - Winston, A A1 - Hill, AVS A1 - Gilbert, SC A1 - Carroll, M A1 - Pollard, AJ A1 - Fidler, S A1 - Fox, J A1 - Lambe, T A1 - Frater, J KW - AIDS/HIV KW - Adaptive immunity KW - COVID-19 KW - Cellular immune response KW - T cells KW - COVID-19 KW - ChAdOx1 nCoV-19 KW - HIV Infections KW - Humans KW - Male KW - SARS-CoV-2 KW - Vaccination JF - JCI Insight AV - public VL - 7 Y1 - 2022/04/08/ TI - Durability of ChAdOx1 nCoV-19 vaccination in people living with HIV IS - 7 N1 - Copyright: © 2022, Ogbe et al. This is an open access article published under the terms of the Creative CommonsAttribution 4.0 International License. ER -