RT Journal Article T1 Superior neutralizing response after first versus second SARS‐CoV‐2 infection in fully vaccinated individuals A1 Rivas Hernández, Gonzalo A1 Labiod Becerro, Nuria A1 Luczkowiak, Joanna A1 Lasala Sánchez, Fátima A1 Rolo, Marta A1 Mancheño Losa, Mikel A1 Rial Crestelo, David A1 Lora-Tamayo Morillo-Velarde, Jaime A1 Pérez Rivilla, José Alfredo A1 Folgueira López, María Dolores A1 Delgado Vázquez, Rafael AB Currently, the majority of the population has been vaccinated against COVID‐19and/or has experienced SARS‐CoV‐2 infection either before or after vaccination.The immunological response to repeated episodes of infections is not completelyclear. We measured SARS‐CoV‐2 specific neutralization titers by a pseudovirusassay after BA.1 infection and RBD‐specific immunoglobulin G (IgG), immuno-globulin A (IgA), and immunoglobulin M (IgM) in a cohort of COVID‐19uninfected and triple vaccinated individuals (breakthrough infection group,BTI) as compared with those previously infected by SARS‐CoV‐2 (reinfectiongroup, REI) who underwent identical vaccination schedule. SARS‐CoV‐2specificneutralizing response after BA.1 infection was significantly higher in the BTIgroup as compared with the REI. Furthermore, neutralization titers in REI werenot significant different from convalescent non reinfected controls. RBD‐specific IgG and IgA, but not IgM, werealso significantly higher in BTI ascompared with REI. Our results show that the first episode of SARS‐CoV‐2infection induces a significant increase inneutralizing titers in triple vaccinatedindividuals and that previous SARS‐CoV‐2 infection compromise significantly theneutralization response induced by reinfection, even by divergent SARS‐CoV‐2variants and at least up to 2 years postinfection, suggesting a fundamentallimitation in inducing effective booster through the intranasal route in previouslyinfected individuals PB Wiley SN 0146-6615 SN 1096-9071 YR 2023 FD 2023-11 LK https://hdl.handle.net/20.500.14352/103291 UL https://hdl.handle.net/20.500.14352/103291 LA eng NO Rivas G, Labiod N, Luczkowiak J, Lasala F, Rolo M, Mancheño-Losa M, Rial-Crestelo D, Lora-Tamayo J, Pérez-Rivilla A, Folgueira MD, Delgado R. Superior neutralizing response after first versus second SARS-CoV-2 infection in fully vaccinated individuals. J Med Virol. 2023 Nov;95(11):e29225. doi: 10.1002/jmv.29225 NO European Commission NO Comunidad de Madrid NO Instituto de Salud Carlos III (España) NO Centro de Investigación Biomédica en Red NO Fundación Caixa‐Health Research DS Docta Complutense RD 9 abr 2025