Sleep Quality Affects Humoral Response in Recipients of Two-Dose Sinovac Vaccines

Linawati Hananta(1), Victoria Larasati(2), Surilena Surilena(3),


(1) School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
(2) School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
(3) School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Abstract

To curb the COVID-19 pandemic, the government distributed Sinovac vaccines. Sleep mediates immune function, including post-vaccination antibody response. This study aimed to analyze whether there was a difference in post-vaccination antibody levels in Sinovac vaccine recipients with poor and good sleep quality. This study used analytical observations of recipients of the two-dose Sinovac vaccine in 2021. Primary data included age, sex, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and post-vaccination IgG-SARS-CoV-2 antibody levels. The PSQI and IgG SARS-CoV-2 antibody levels were measured a month after the second vaccination. Participants with non-reactive antibody levels before the first vaccination were included, and participants with incomplete data were excluded. The Mann-Whitney test was used to look for associations between sleep quality and post-vaccination IgG SARS-CoV-2 levels. Univariate analysis showed that of 54 participants, 37 (68.5%) were male, and 28 (51.9%) had poor sleep quality. 15 participants (27.78%) were in the 36-45 age group, and median antibody levels in participants who received the second Sinovac Vaccine was 223.5 (199.01) units/mL. Post-vaccination IgG SARS-CoV-2 antibody levels were significantly associated with sleep quality (p=0.036).

Keywords

antibody; SARS-CoV-2; COVID-19 vaccine; inactivated vaccine; sleep quality

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References

Anastassopoulou, C. et al. (2022) ‘Age and sex associations of SARS-CoV-2 antibody responses post BNT162b2 vaccination in healthcare workers: A mixed effects model across two vaccination periods’, PLOS ONE, 17(4), p. e0266958. Available at: https://doi.org/10.1371/journal.pone.0266958.

Argo, T.M. et al. (2021) ‘Association between depression, anxiety, and stress with sleep quality in Indonesian people during the COVID-19 pandemic’, Public Health of Indonesia, 7(2), pp. 58–66. Available at: https://doi.org/10.36685/phi.v7i2.409.

Asif, N., Iqbal, R. and Nazir, C.F. (2017) ‘Human immune system during sleep’, American Journal of Clinical and Experimental Immunology, 6(6), pp. 92–96.

Athanasiou, N. et al. (2022) ‘Association of sleep duration and quality with immunological response after vaccination against severe acute respiratory syndrome coronavirus‐2 infection’, Journal of Sleep Research, p. e13656. Available at: https://doi.org/10.1111/jsr.13656.

Balbo, M., Leproult, R. and Van Cauter, E. (2010) ‘Impact of Sleep and Its Disturbances on Hypothalamo-Pituitary-Adrenal Axis Activity’, International Journal of Endocrinology, 2010, p. 759234. Available at: https://doi.org/10.1155/2010/759234.

Cerqueira-Silva, T. et al. (2022) ‘Vaccine effectiveness of heterologous CoronaVac plus BNT162b2 in Brazil’, Nature Medicine, 28(4), pp. 838–843. Available at: https://doi.org/10.1038/s41591-022-01701-w.

Cohen, S. et al. (2009) ‘Sleep Habits and Susceptibility to the Common Cold’, Archives of internal medicine, 169(1), pp. 62–67. Available at: https://doi.org/10.1001/archinternmed.2008.505.

Comas, M. et al. (2017) ‘A circadian based inflammatory response – implications for respiratory disease and treatment’, Sleep Science and Practice, 1(1), p. 18. Available at: https://doi.org/10.1186/s41606-017-0019-2.

Cucinotta, D. and Vanelli, M. (2020) ‘WHO Declares COVID-19 a Pandemic’, Acta Bio Medica : Atenei Parmensis, 91(1), pp. 157–160. Available at: https://doi.org/10.23750/abm.v91i1.9397.

Farid, E., Herrera-Uribe, J. and Stevenson, N.J. (2022) ‘The Effect of Age, Gender and Comorbidities Upon SARS-CoV-2 Spike Antibody Induction After Two Doses of Sinopharm Vaccine and the Effect of a Pfizer/BioNtech Booster Vaccine’, Frontiers in Immunology, 13. Available at: https://www.frontiersin.org/articles/10.3389/fimmu.2022.817597 (Accessed: 9 January 2023).

Heriyanto, R.S. et al. (2021) ‘The role of COVID‐19 survivor status and gender towards neutralizing antibody titers 1, 2, 3 months after Sinovac vaccine administration on clinical‐year medical students in Indonesia’, International Journal of Infectious Diseases, 113, pp. 336–338. Available at: https://doi.org/10.1016/j.ijid.2021.10.009.

Ikbal Zendi Alim, A. (2015) Uji validitas dan reliabilitas instrumen pittsburgh sleep quality index versi Bahasa Indonesia = Test validity and reliability of the instrument pittsburgh sleep quality index Indonesia language version, Universitas Indonesia Library. Available at: https://lib.ui.ac.id (Accessed: 5 January 2023).

Jahrami, H.A. et al. (2022) ‘Sleep disturbances during the COVID-19 pandemic: A systematic review, meta-analysis, and meta-regression’, Sleep Medicine Reviews, 62, p. 101591. Available at: https://doi.org/10.1016/j.smrv.2022.101591.

Kow, C.S. and Hasan, S.S. (2021) ‘Do sleep quality and sleep duration before or after COVID-19 vaccination affect antibody response?’, Chronobiology International, 38(7), pp. 941–943. Available at: https://doi.org/10.1080/07420528.2021.1900216.

Lange, T. et al. (2003) ‘Sleep Enhances the Human Antibody Response to Hepatitis A Vaccination’, Psychosomatic Medicine, 65(5), pp. 831–835. Available at: https://doi.org/10.1097/01.PSY.0000091382.61178.F1.

Lange, T. et al. (2011) ‘Sleep after Vaccination Boosts Immunological Memory’, The Journal of Immunology, 187(1), pp. 283–290. Available at: https://doi.org/10.4049/jimmunol.1100015.

Lim, W.W. et al. (2021) ‘Comparative immunogenicity of mRNA and inactivated vaccines against COVID-19’, The Lancet Microbe, 2(9), p. e423. Available at: https://doi.org/10.1016/S2666-5247(21)00177-4.

Michos, A. et al. (2021) ‘Association of total and neutralizing SARS-CoV-2 spike -receptor binding domain antibodies with epidemiological and clinical characteristics after immunization with the 1st and 2nd doses of the BNT162b2 vaccine’, Vaccine, 39(40), pp. 5963–5967. Available at: https://doi.org/10.1016/j.vaccine.2021.07.067.

Patel, S.R. et al. (2012) ‘A Prospective Study of Sleep Duration and Pneumonia Risk in Women’, Sleep, 35(1), pp. 97–101. Available at: https://doi.org/10.5665/sleep.1594.

Prather, A. (2010) ‘DO SLEEP DIMENSIONS PREDICT PRIMARY AND SECONDARY ANTIBODY RESPONSES TO VACCINATION’, in. Available at: https://www.semanticscholar.org/paper/DO-SLEEP-DIMENSIONS-PREDICT-PRIMARY-AND-SECONDARY-Prather/0045e2d500bdb361d1f0ad5959167a486dc513fd (Accessed: 5 January 2023).

Prather, A.A. et al. (2012) ‘Sleep and Antibody Response to Hepatitis B Vaccination’, Sleep, 35(8), pp. 1063–1069. Available at: https://doi.org/10.5665/sleep.1990.

Prather, A.A. et al. (2021) ‘Temporal Links Between Self-Reported Sleep and Antibody Responses to the Influenza Vaccine’, International Journal of Behavioral Medicine, 28(1), pp. 151–158. Available at: https://doi.org/10.1007/s12529-020-09879-4.

Schmitz, N.C.M., van der Werf, Y.D. and Lammers-van der Holst, H.M. (2022) ‘The Importance of Sleep and Circadian Rhythms for Vaccination Success and Susceptibility to Viral Infections’, Clocks & Sleep, 4(1), pp. 66–79. Available at: https://doi.org/10.3390/clockssleep4010008.

Setiadi, W. et al. (2022) ‘Prevalence and epidemiological characteristics of COVID-19 after one year of pandemic in Jakarta and neighbouring areas, Indonesia: A single center study’, PLOS ONE, 17(5), p. e0268241. Available at: https://doi.org/10.1371/journal.pone.0268241.

Taffertshofer, K. et al. (2022) ‘Design and performance characteristics of the Elecsys anti-SARS-CoV-2 S assay’, Frontiers in Immunology, 13. Available at: https://www.frontiersin.org/articles/10.3389/fimmu.2022.1002576 (Accessed: 2 February 2023).

Taylor, D.J. et al. (2017) ‘Is Insomnia a Risk Factor for Decreased Influenza Vaccine Response?’, Behavioral sleep medicine, 15(4), pp. 270–287. Available at: https://doi.org/10.1080/15402002.2015.1126596.

Tsverava, L. et al. (2021) ‘Antibody profiling reveals gender differences in response to SARS-COVID-2 infection’. medRxiv, p. 2021.06.01.21258175. Available at: https://doi.org/10.1101/2021.06.01.21258175.

Ward, H. et al. (2022) ‘Population antibody responses following COVID-19 vaccination in 212,102 individuals’, Nature Communications, 13(1), p. 907. Available at: https://doi.org/10.1038/s41467-022-28527-x.

Wirawan, G.B.S. and Januraga, P.P. (2021) ‘Correlation of Demographics, Healthcare Availability, and COVID-19 Outcome: Indonesian Ecological Study’, Frontiers in Public Health, 9. Available at: https://www.frontiersin.org/articles/10.3389/fpubh.2021.605290 (Accessed: 2 February 2023).

Wolff, D. et al. (2021) ‘Risk factors for Covid-19 severity and fatality: a structured literature review’, Infection, 49(1), pp. 15–28. Available at: https://doi.org/10.1007/s15010-020-01509-1.

Zimmermann, P. and Curtis, N. (2019) ‘Factors That Influence the Immune Response to Vaccination’, Clinical Microbiology Reviews, 32(2), pp. e00084-18. Available at: https://doi.org/10.1128/CMR.00084-18.

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