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两名接受奥瑞珠单抗治疗的多发性硬化症患者感染 COVID-19 后 SARS-CoV-2 抗体检测呈阴性。

Negative SARS-CoV-2 antibody testing following COVID-19 infection in Two MS patients treated with ocrelizumab.

机构信息

Department of Neurology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, New York, USA; Department of Neurology, North Shore University Hospital, Manhasset, NY, USA.

Department of Neurology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, New York, USA; Department of Neurology, North Shore University Hospital, Manhasset, NY, USA; Department of Neurology, Lenox Hill Hospital, New York, NY, USA.

出版信息

Mult Scler Relat Disord. 2020 Sep;44:102341. doi: 10.1016/j.msard.2020.102341. Epub 2020 Jun 26.

DOI:10.1016/j.msard.2020.102341
PMID:32622338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7318946/
Abstract

BACKGROUND

It is unknown whether MS disease modifying therapies impact ability to mount an antibody response to SARS-CoV-2.

METHODS

Case series and literature review. We report a series of two MS patients who developed COVID-19 while on Ocrelizumab therapy and subsequently exhibited negative SARS-CoV-2 serology.

RESULTS

A 42-year-old man and 39-year-old woman with MS developed COVID-19 while on Ocrelizumab therapy. Neither patient required hospitalization. The man exhibited negative serology at 7- and 9-weeks post-infection. The woman exhibited negative serology at 6- and 12-weeks post-infection.

CONCLUSIONS

Large studies are essential to determine whether certain DMTs may blunt SARS-CoV-2 antibody production.

摘要

背景

目前尚不清楚多发性硬化症的疾病修正治疗是否会影响机体对 SARS-CoV-2 产生抗体的能力。

方法

病例系列和文献回顾。我们报告了两例多发性硬化症患者在接受奥瑞珠单抗治疗时发生 COVID-19,随后 SARS-CoV-2 血清学检测结果为阴性。

结果

一名 42 岁男性和一名 39 岁女性在接受奥瑞珠单抗治疗时发生 COVID-19。两名患者均无需住院治疗。该男性在感染后 7 周和 9 周时血清学检测结果为阴性。该女性在感染后 6 周和 12 周时血清学检测结果为阴性。

结论

需要开展大型研究来确定某些 DMT 是否可能削弱 SARS-CoV-2 抗体的产生。

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B-cell depleting therapies may affect susceptibility to acute respiratory illness among patients with multiple sclerosis during the early COVID-19 epidemic in Iran.B 细胞耗竭疗法可能会影响伊朗 COVID-19 疫情早期多发性硬化症患者急性呼吸道疾病的易感性。
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