Efektivitas Vaksin Covid-19 dalam Kinerjanya untuk Memodulasi Imunitas Tubuh Melawan Infeksi SARS-COV-2

  • Andika Ridwan Nugraha Harahap Program Studi Profesi Dokter, Fakultas Kedokteran, Universitas Lampung
Keywords: antibody, COVID-19, efektivitas, SARS-CoV-2, vaksin

Abstract

Vaksin adalah komponen penting untuk mengendalikan pandemi Coronavirus Disease 2019 (COVID-19). Namun, munculnya varian Severe Acure Respiratory Sindrome-Coronavirus 2 (SARS-CoV-2) dapat semakin mengancam efektifitas vaksin yang saat ini tengah dikembangkan. Tujuan dari penelitian ini adalah untuk memberikan pemaparan terkini tentang karakteristik, efek samping, kemanjuran, efektivitas dan dampak dari varian yang menjadi perhatian untuk vaksin COVID-19. Metode yang digunakan dalam penelitian ini adalah literature review dengan menelusuri jurnal yang sesuai kata kunci dalam rentang waktu 2012-2021. Referensi untuk tinjauan ini diidentifikasi melalui pencarian PubMed, Google Scholar, BioRxiv, MedRxiv, badan pengawas obat, dan situs web perusahaan farmasi. Secara keseluruhan, semua vaksin COVID-19 memiliki kemanjuran tinggi terhadap strain asli dan varian perhatian, dan ditoleransi dengan baik. BNT162b2, mRNA-1273 dan Sputnik V setelah dua dosis memiliki kemanjuran yang tertinggi (>90%) dalam mencegah kasus simtomatik dalam uji coba fase III. Vaksin mRNA, AZD1222, dan CoronaVac efektif dalam mencegah gejala COVID-19 dan infeksi parah terhadap varian Alpha, Beta, Gamma atau Delta. Semua vaksin tampaknya merupakan alat yang aman dan efektif untuk mencegah COVID-19 yang parah, rawat inap, dan kematian terhadap semua varian yang menjadi perhatian, tetapi kualitas bukti sangat bervariasi tergantung pada vaksin yang dipertimbangkan. Manfaat vaksinasi COVID-19 lebih besar daripada risikonya, meskipun ada efek samping serius yang jarang terjadi.

References

Andrews, N., Tessier, E., Stowe, J., Gower, C., Kirsebom, F., Simmons, R., Gallagher, E., Chand, M., Brown, K., Ladhani, S., Ramsay, M., & Bernal, J. (2021). Vaccine effectiveness and duration of protection of Comirnaty, Vaxzevria and Spikevax against mild and severe COVID-19 in the UK. 10.1101/2021.09.15.21263583.

Barberis, I., Myles, P., Ault, S. K., Bragazzi, N. L., & Martini, M. (2016). History and evolution of influenza control through vaccination: from the first monovalent vaccine to universal vaccines. Journal of preventive medicine and hygiene, 57 (3), E115–E120.

Brown CM, Vostok J, Johnson H, et al. (2021). Outbreak of SARS-CoV-2 Infections, Including COVID-19 Vaccine Breakthrough Infections, Associated with Large Public Gatherings — Barnstable County. MMWR Morb Mortal Wkly Rep., 70: 1059-1062. http://dx.doi.org/10.15585/mmwr.mm7031e2

Calina, D., Docea, A. O., Petrakis, D., Egorov, A. M., Ishmukhametov, A. A., Gabibov, A. G., Shtilman, M. I., Kostoff, R., Carvalho, F., Vinceti, M., Spandidos, D. A., & Tsatsakis, A. (2020). Towards effective COVID‑19 vaccines: Updates, perspectives and challenges (Review). International journal of molecular medicine, 46 (1), 3–16. https://doi.org/10.3892/ijmm.2020.4596

Chia, P. Y., Ong, S., Chiew, C. J., Ang, L. W., Chavatte, J. M., Mak, T. M., Cui, L., Kalimuddin, S., Chia, W. N., Tan, C. W., Chai, L., Tan, S. Y., Zheng, S., Lin, R., Wang, L., Leo, Y. S., Lee, V. J., Lye, D. C., & Young, B. E. (2021). Virological and serological kinetics of SARS-CoV-2 Delta variant vaccine breakthrough infections: a multicentre cohort study. Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, S1198-743X(21)00638-8. Advance online publication. https://doi.org/10.1016/j.cmi.2021.11.010

Dagan, N., Barda, N., Kepten, E., Miron, O., Perchik, S., Katz, M. A., Hernán, M. A., Lipsitch, M., Reis, B., & Balicer, R. D. (2021). BNT162b2 mRNA Covid-19 Vaccine in a Nationwide Mass Vaccination Setting. The New England journal of medicine, 384(15), 1412–1423. https://doi.org/10.1056/NEJMoa2101765

Emary, K. R. W., Golubchik, T., Aley, P. K., Ariani, C. V., Angus, B., Bibi, S., et al. (2021). Efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine against SARS-CoV-2 variant of concern 202012/01 (B.1.1.7): an exploratory analysis of a randomised controlled trial. Lancet, 397 (10282): 1351-62. https://doi.org/10.1016/S0140-6736(21)00628-0.

Folegatti, P. M., Ewer, K. J., Aley, P. K., Angus, B., Becker, S., Belij-Rammerstorfer, S., Bellamy, D., Bibi, S., Bittaye, M., Clutterbuck, E. A., Dold, C., Faust, S. N., Finn, A., Flaxman, A. L., Hallis, B., Heath, P., Jenkin, D., Lazarus, R., Makinson, R., Minassian, A. M., et al (Oxford COVID Vaccine Trial Group). (2020). Safety and immunogenicity of the ChAdOx1 nCoV-19 vaccine against SARS-CoV-2: a preliminary report of a phase 1/2, single-blind, randomised controlled trial. Lancet (London, England), 396 (10249), 467–478. https://doi.org/10.1016/S0140-6736(20)31604-4.

Gao, Q., Bao, L., Mao, H., Wang, L., Xu, K., Yang, M., Li, Y., Zhu, L., Wang, N., Lv, Z., Gao, H., Ge, X., Kan, B., Hu, Y., Liu, J., Cai, F., Jiang, D., Yin, Y., Qin, C., Li, J., et al. (2020). Development of an inactivated vaccine candidate for SARS-CoV-2. Science (New York, N.Y.), 369 (6499), 77–81. https://doi.org/10.1126/science.abc1932.

Glatman-Freedman, A., Hershkovitz, Y., Kaufman, Z., Dichtiar, R., Keinan-Boker, L., & Bromberg, M. (2021). Effectiveness of BNT162b2 Vaccine in Adolescents during Outbreak of SARS-CoV-2 Delta Variant Infection, Israel, 2021. Emerging infectious diseases, 27(11), 2919–2922. https://doi.org/10.3201/eid2711.211886

Grannis, S. J. (2021). Interim estimates of COVID-19 vaccine effectiveness against COVID-19eassociated emergency department or urgent care clinic encounters and hospitalizations among adults during SARS-CoV-2 B.1.617.2 (delta) variant predominance d nine states. MMWR Morb Mortal Wkly Rep., 70: 1291-3.

Guo, X., Deng, Y., Chen, H., Lan, J., Wang, W., Zou, X., Hung, T., Lu, Z., & Tan, W. (2015). Systemic and mucosal immunity in mice elicited by a single immunization with human adenovirus type 5 or 41 vector-based vaccines carrying the spike protein of Middle East respiratory syndrome coronavirus. Immunology, 145(4), 476–484. https://doi.org/10.1111/imm.12462

Jamilloux, Y., Henry, T., Belot, A., Viel, S., Fauter, M., El Jammal, T., Walzer, T., François, B., & Sève, P. (2020). Should we stimulate or suppress immune responses in COVID-19? Cytokine and anti-cytokine interventions. Autoimmunity reviews, 19(7), 102567. https://doi.org/10.1016/j.autrev.2020.102567.

Kang, M., Xin, H., Yuan, J., Ali, S. T., Liang, Z., Zhang, J., et al. (2021). Transmission dynamics and epidemiological characteristics of Delta variant infections in China. medRxiv, 8 (12), 21261991. https://doi.org/10.1101/2021.08.12.21261991

Li, X. N., Huang, Y., Wang, W., Jing, Q. L., Zhang, C. H., Qin, P. Z., Guan, W. J., Gan, L., Li, Y. L., Liu, W. H., Dong, H., Miao, Y. T., Fan, S. J., Zhang, Z. B., Zhang, D. M., & Zhong, N. S. (2021). Effectiveness of inactivated SARS-CoV-2 vaccines against the Delta variant infection in Guangzhou: a test-negative case-control real-world study. Emerging microbes & infections, 10(1), 1751–1759. https://doi.org/10.1080/22221751.2021.1969291

Logunov, D. Y., Dolzhikova, I. V., Shcheblyakov, D. V., Tukhvatulin, A. I., Zubkova, O. V., Dzharullaeva, A. S., Kovyrshina, A. V., Lubenets, N. L., Grousova, D. M., Erokhova, A. S., Botikov, A. G., Izhaeva, F. M., Popova, O., Ozharovskaya, T. A., Esmagambetov, I. B., Favorskaya, I. A., Zrelkin, D. I., Voronina, D. V., Shcherbinin, D. N., Semikhin, A. S., … Gam-COVID-Vac Vaccine Trial Group (2021). Safety and efficacy of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine: an interim analysis of a randomised controlled phase 3 trial in Russia. Lancet (London, England), 397(10275), 671–681. https://doi.org/10.1016/S0140-6736(21)00234-8

Nasreen, S., He, S.,, Chung, H., Brown, K. A., Gubbay, J. B., Buchan, S. A., et al. (2021). Effectiveness of COVID-19 vaccines against variants of concern. medRxiv, 6 (28): 21259420. https://doi.org/10.1101/2021.06.28.21259420

Pegu, A., O'Connell, S. E., Schmidt, S. D., O'Dell, S., Talana, C. A., Lai, L., Albert, J., Anderson, E., Bennett, H., Corbett, K. S., Flach, B., Jackson, L., Leav, B., Ledgerwood, J. E., Luke, C. J., Makowski, M., Nason, M. C., Roberts, P. C., Roederer, M., Rebolledo, P. A., … Shi, P. Y. (2021). Durability of mRNA-1273 vaccine-induced antibodies against SARS-CoV-2 variants. Science (New York, N.Y.), 373(6561), 1372–1377. https://doi.org/10.1126/science.abj4176

Polinski, J. M., Weckstein, A. R., Batech, M., Kabelac, C., Kamath, T., Harvey, R., et al. (2021). Effectiveness of the single-dose Ad26 COV2.S COVID Vaccine. medRxiv, 09 (10), 21263385. https://doi.org/10.1101/2021.09.10.21263385

Salazar, P., Link, N., Lamarca, K., & Santillana, M. (2021). High coverage COVID-19 mRNA vaccination rapidly controls SARS-CoV-2 transmission in Long-Term Care Facilities. Research square, rs.3.rs-355257. https://doi.org/10.21203/rs.3.rs-355257/v1

Self, W.H. (2021). Comparative effectiveness of Moderna, Pfizer-BioNTech, and Janssen (Johnson & Johnson) vaccines in preventing COVID-19 hospitalizations among adults without immunocompromising conditions d United States, MarcheAugust 2021. MMWR Morb Mortal Wkly Rep., 70: 1337-43.

Shah, A., Gribben, C., Bishop, J., Hanlon, P., Caldwell, D., Wood, R., Reid, M., McMenamin, J., Goldberg, D., Stockton, D., Hutchinson, S., Robertson, C., McKeigue, P. M., Colhoun, H. M., & McAllister, D. A. (2021). Effect of Vaccination on Transmission of SARS-CoV-2. The New England journal of medicine, 385(18), 1718–1720. https://doi.org/10.1056/NEJMc2106757

Shimabukuro, T. T., Kim, S. Y., Myers, T. R., Moro, P. L., Oduyebo, T., Panagiotakopoulos, L., Marquez, P. L., Olson, C. K., Liu, R., Chang, K. T., Ellington, S. R., Burkel, V. K., Smoots, A. N., Green, C. J., Licata, C., Zhang, B. C., Alimchandani, M., Mba-Jonas, A., Martin, S. W., Gee, J. M., … CDC v-safe COVID-19 Pregnancy Registry Team (2021). Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons. The New England journal of medicine, 384(24), 2273–2282. https://doi.org/10.1056/NEJMoa2104983

Shinde, V., Bhikha, S., Hoosain, Z., Archary, M., Bhorat, Q., Fairlie, L., Lalloo, U., Masilela, M., Moodley, D., Hanley, S., Fouche, L., Louw, C., Tameris, M., Singh, N., Goga, A., Dheda, K., Grobbelaar, C., Kruger, G., Carrim-Ganey, N., Baillie, V., … 2019nCoV-501 Study Group (2021). Efficacy of NVX-CoV2373 Covid-19 Vaccine against the B.1.351 Variant. The New England journal of medicine, 384(20), 1899–1909. https://doi.org/10.1056/NEJMoa2103055

Spychalski, P., Błażyńska-Spychalska, A., & Kobiela, J. (2020). Estimating case fatality rates of COVID-19. The Lancet. Infectious diseases, 20(7), 774–775. https://doi.org/10.1016/S1473-3099(20)30246-2

Tada, T., Dcosta, B. M., Samanovic-Golden, M., Herati, R. S., Cornelius, A., Mulligan, M. J., & Landau, N. R. (2021). Neutralization of viruses with European, South African, and United States SARS-CoV-2 variant spike proteins by convalescent sera and BNT162b2 mRNA vaccine-elicited antibodies. bioRxiv : the preprint server for biology, 2021.02.05.430003. https://doi.org/10.1101/2021.02.05.430003

Tada, T., Zhou, H., Dcosta, B. M., Samanovic, M. I., Mulligan, M. J., Landau, N. R. (2021). SARS-CoV-2 Lambda variant remains susceptible to neutralization by RNA vaccine-elicited antibodies and convalescent serum. bioRxiv : the preprint server for biology, 2021. 07.02.450959v1. https://doi.org/10.1101/2021.07.02.450959

Tanriover, M. D., Do ganay, H. L., Akova, M., Güner, H. R., Azap, A., Akhan, S., et al. (2021). Efficacy and safety of an inactivated whole-virion SARS-CoV-2 vaccine (CoronaVac): interim results of a double-blind, randomised, placebo-controlled, phase 3 trial in Turkey. Lancet, 398 (10296) : 213-22.

Thompson, M. G., Burgess, J. L., Naleway, A. L., Tyner, H., Yoon, S. K., Meece, J., Olsho, L., Caban-Martinez, A. J., Fowlkes, A. L., Lutrick, K., Groom, H. C., Dunnigan, K., Odean, M. J., Hegmann, K., Stefanski, E., Edwards, L. J., Schaefer-Solle, N., Grant, L., Ellingson, K., Kuntz, J. L., … Gaglani, M. (2021). Prevention and Attenuation of Covid-19 with the BNT162b2 and mRNA-1273 Vaccines. The New England journal of medicine, 385(4), 320–329. https://doi.org/10.1056/NEJMoa2107058

US FDA. (2020). Janssen Ad26.COV2.S (COVID-19. Vaccine VRBPAC briefing document. 2020. [Online] Diakses pada 13 Maret 2022. Tersedia di: https://www.fda.gov/media/146217/download.

World Health Organization. (2020). WHO Director-General’s opening remarks at the media briefing on COVID-19. [Online] Diakses 19 Januari 2022. Tersedia di: https://www.who.int/dg/speeches/detail/ who-director-general-s-opening-remarks-at-themedia-briefing-on-covid-19---24-february-2020.

World Health Organization. (2020). Coronavirus disease (COVID-19) Situation Report 22 May 2020. [Online] Diakses 17 Januari 2022. Tersedia di: https://www.who.int/docs/defaultsource/coronaviruse/ situationreports/20200522- covid-19-sitrep-123.pdf?sfvrsn=5ad1bc3_4.

World Health Organization. Draft landscape and tracker of COVID-19 candidate vaccines [Online]. [cite 30 mai 2021], https://www.who.int/publications/m/item/draft-landscape-of-covid-19-candidate-vaccines

Zhang, C., Maruggi, G., Shan, H., & Li, J. (2019). Advances in mRNA Vaccines for Infectious Diseases. Frontiers in immunology, 10, 594. https://doi.org/10.3389/fimmu.2019.00594

Published
2022-04-08
How to Cite
Harahap, A. (2022). Efektivitas Vaksin Covid-19 dalam Kinerjanya untuk Memodulasi Imunitas Tubuh Melawan Infeksi SARS-COV-2. Indonesian Journal of Nursing and Health Sciences, 3(1), 1-10. https://doi.org/10.37287/ijnhs.v3i1.906