Mado Hubert, Kubicka-Bączyk Katarzyna, Adamczyk-Sowa Monika
Department of Neurology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland.
J Int Med Res. 2021 Sep;49(9):3000605211044378. doi: 10.1177/03000605211044378.
Patients with multiple sclerosis (MS) repeatedly receive therapies that cause B-lymphocyte depletion. This may lead to abnormal immune responses following coronavirus disease 2019 (COVID-19) vaccination, as has been suggested previously. We therefore evaluated post-vaccination immune responses in a patient with MS treated with ocrelizumab. The intervals between ocrelizumab infusions and vaccination were as recommended by the Section of Multiple Sclerosis and Neuroimmunology of the Polish Neurological Society. A reactive immune response was observed in this patient following vaccination. This suggests that appropriate intervals between ocrelizumab infusions and COVID-19 vaccinations may permit the generation of efficacious immune responses in patients receiving B-lymphocyte depleting therapies.
多发性硬化症(MS)患者反复接受导致B淋巴细胞耗竭的治疗。如先前所述,这可能会导致2019冠状病毒病(COVID-19)疫苗接种后出现异常免疫反应。因此,我们评估了一名接受奥瑞珠单抗治疗的MS患者接种疫苗后的免疫反应。奥瑞珠单抗输注与疫苗接种之间的间隔时间按照波兰神经病学学会多发性硬化症和神经免疫学分会的建议执行。该患者接种疫苗后观察到有反应性免疫反应。这表明,在接受B淋巴细胞耗竭疗法的患者中,奥瑞珠单抗输注与COVID-19疫苗接种之间的适当间隔可能允许产生有效的免疫反应。