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COVID-19 疫苗接种可增强从分离的 PBMCs 体外释放的 IL-6。

COVID-19 vaccination exacerbates ex vivo IL-6 release from isolated PBMCs.

机构信息

Laboratory for Molecular Psychosomatics, Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, 89081, Ulm, Germany.

Department of Psychology, Chair of Health Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91052, Erlangen, Germany.

出版信息

Sci Rep. 2023 Jun 12;13(1):9496. doi: 10.1038/s41598-023-35731-2.

Abstract

Ex vivo culturing of isolated PBMCs from individuals vaccinated with the coronavirus disease 2019 (COVID-19) vaccine BNT162b1 revealed a pronounced T cell response in the presence of the receptor binding domain (RBD) of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein. The latter was 10-fold more pronounced than the ex vivo response of PBMCs from the same individuals to other common pathogen T cell epitope pools, suggesting COVID-19 vaccination to induce RBD-specific T cell responses and not to facilitate T cell (re)activity in general. In the current study we investigated whether COVID-19 vaccination long-lastingly affects plasma interleukin (IL)-6 concentrations, complete blood counts, ex vivo IL-6 and IL-10 secretion of PBMCs cultured under basal conditions or in the presence of concanavalin (Con) A and lipopolysaccharide (LPS), salivary cortisol and α-amylase, mean arterial pressure (MAP), heart rate (HR) as well as mental and physical health status. The study was initially designed to investigate whether the presence vs. absence of own pets during urban upbringing has protective effects against psychosocial stress-induced immune activation during adulthood. However, as COVID-19 vaccines were approved while the study was ongoing and as, therefore, both vaccinated and non-vaccinated individuals have been recruited, we were able to stratify our data set with respect to the COVID-19 vaccination status and to assess the long-lasting effects of COVID-19 vaccination on physiological immunological, cardiovascular and psychosomatic health parameters. This data is presented in the current study. We show that isolated PBMCs from individuals vaccinated against COVID-19 show a ~ 600-fold increase in basal and a ~ 6000-fold increase in ConA-induced proinflammatory IL-6 secretion, and a ~ 2-fold increase in basal and ConA-induced antiinflammatory IL-10 secretion, both in comparison with non-vaccinated individuals. In contrast, LPS-induced ex vivo IL-6 and IL-10 secretions were not affected by vaccination status, as were plasma IL-6 concentrations, complete blood counts, salivary cortisol and α-amylase, cardiovascular measures and psychosomatic health. In summary, our findings are of relevance for many clinical studies ran before/during the pandemic, clearly indicating that consideration of participants' vaccination status is critical, at least when assessing ex vivo PBMC functionality.

摘要

从接种了 2019 年冠状病毒病(COVID-19)疫苗 BNT162b1 的个体中分离的外周血单核细胞(PBMCs)进行的离体培养显示,在严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)刺突蛋白的受体结合域(RBD)存在下,T 细胞反应明显。与来自同一个体的 PBMCs 对其他常见病原体 T 细胞表位池的离体反应相比,后者高出 10 倍,这表明 COVID-19 疫苗接种可诱导 RBD 特异性 T 细胞反应,而不是普遍促进 T 细胞(再)活性。在目前的研究中,我们研究了 COVID-19 疫苗接种是否会长期影响血浆白细胞介素(IL)-6 浓度、全血细胞计数、在基础条件下或在伴刀豆球蛋白(Con)A 和脂多糖(LPS)存在下培养的 PBMCs 中 IL-6 和 IL-10 的离体分泌、唾液皮质醇和α-淀粉酶、平均动脉压(MAP)、心率(HR)以及心理健康和身体健康状况。该研究最初旨在调查在城市成长过程中是否存在自己的宠物会对成年期心理社会应激诱导的免疫激活产生保护作用。然而,由于 COVID-19 疫苗在研究进行期间获得批准,并且因此招募了接种疫苗和未接种疫苗的个体,我们能够根据 COVID-19 疫苗接种状况对我们的数据集进行分层,并评估 COVID-19 疫苗接种对生理免疫、心血管和身心健康参数的长期影响。本数据在本研究中呈现。我们表明,接种 COVID-19 疫苗的个体分离的 PBMCs 与未接种疫苗的个体相比,基础状态下的促炎细胞因子 IL-6 分泌增加了约 600 倍,ConA 诱导的 IL-6 分泌增加了约 6000 倍,而基础状态下和 ConA 诱导的抗炎细胞因子 IL-10 分泌增加了约 2 倍。相比之下,LPS 诱导的离体 IL-6 和 IL-10 分泌不受疫苗接种状态的影响,血浆 IL-6 浓度、全血细胞计数、唾液皮质醇和α-淀粉酶、心血管测量和身心健康也不受影响。总之,我们的发现与大流行前/期间进行的许多临床研究有关,清楚地表明,考虑参与者的疫苗接种状况至关重要,至少在评估 PBMC 离体功能时是如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f16/10261110/94dcfd33b252/41598_2023_35731_Fig1_HTML.jpg

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