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奥法妥木单抗治疗复发性多发性硬化症患者中 SARS-CoV-2 免疫球蛋白 M 和 G 抗体的产生。

Development of SARS-CoV-2 IgM and IgG antibodies in a relapsing multiple sclerosis patient on ofatumumab.

机构信息

Department of Neurology, MS Division, University of Miami Miller School of Medicine, 1120 NW 14 Street, Suite 1323, Miami, FL, 33136, USA.

Department of Neurology, MS Division, University of Miami Miller School of Medicine, 1120 NW 14 Street, Suite 1323, Miami, FL, 33136, USA.

出版信息

Mult Scler Relat Disord. 2021 Apr;49:102777. doi: 10.1016/j.msard.2021.102777. Epub 2021 Jan 19.

Abstract

We report the case of a MS patient on subcutaneous ofatumumab who became infected with SARS-CoV-2 and remained asymptomatic while developing antiviral IgM and IgG antibodies. The patient was B-cell depleted with normal serum immunoglobulin levels. Anti-SARS-CoV-2 IgG antibodies remained positive three months after the initial infection. These findings suggest that a MS patient treated with ofatumumab may be able to mount an effective humoral response to SARS-CoV-2 infection and probably to COVID-19 vaccines as well. Further research will be necessary to evaluate the humoral response of MS patients on ofatumumab to SARS-CoV-2 infection and COVID-19 vaccines.

摘要

我们报告了一例接受皮下奥法妥木单抗治疗的多发性硬化症患者感染 SARS-CoV-2 后无症状的病例,同时产生了抗病毒 IgM 和 IgG 抗体。该患者的 B 细胞被耗尽,但血清免疫球蛋白水平正常。初次感染后三个月,抗 SARS-CoV-2 IgG 抗体仍呈阳性。这些发现表明,接受奥法妥木单抗治疗的多发性硬化症患者可能能够对 SARS-CoV-2 感染产生有效的体液免疫反应,并且可能对 COVID-19 疫苗也有反应。需要进一步研究来评估接受奥法妥木单抗治疗的多发性硬化症患者对 SARS-CoV-2 感染和 COVID-19 疫苗的体液免疫反应。

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