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两剂初次免疫后肾移植受者队列中对严重急性呼吸综合征冠状病毒2刺突蛋白的抗体反应——以一个加勒比国家为例

Antibody responses to SARS-CoV-2 spike protein in a cohort of renal transplant recipients following two-dose primary immunization - A Caribbean country's perspective.

作者信息

Roberts Lesley, Alexander Carla-Maria, Monteil Michele, Manjunath Madhura, Mohammed Emile, Wilson Valerie, Wilson Stefan

机构信息

Nephrology and Internal Medicine, Trinidad and Tobago.

Faculty of Medical Sciences, The University of The West Indies, St. Augustine, Trinidad and Tobago.

出版信息

Vaccine X. 2024 Apr 20;18:100487. doi: 10.1016/j.jvacx.2024.100487. eCollection 2024 Jun.

DOI:10.1016/j.jvacx.2024.100487
PMID:38707481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11066511/
Abstract

This study compares the humoral immune response of a cohort of renal transplant recipients (RTRs), in Trinidad & Tobago following two-dose primary immunization with non-mRNA vaccines amidst the COVID-19 pandemic. RTRs along with healthy, age-and gender-matched controls received either the adenoviral vector vaccine, AstraZeneca-Vaxzevria (AZ) or the inactivated vaccine, Beijing CNBG-BBIBP- CorV/Sinopharm (SP). Samples were taken after completion of a two-dose primary immunization during the period November 2021 to December 2021, at a mean interval of 138 days following immunization. 38/72 RTRs (53 %) failed to generate any protective antibody responses, compared with 7/73 participants, approximately 10 % in the healthy, age and gender-matched control group. In the RTRs, there was no significant correlation of their antibody concentration with either the timing of sample collection or the interval since transplantation. The study provides necessary information about the humoral response after two- doses of non-mRNA vaccines in a group of transplant recipients.

摘要

本研究比较了特立尼达和多巴哥一群肾移植受者(RTR)在新冠疫情期间接种两剂非mRNA疫苗进行初次免疫后的体液免疫反应。RTR与年龄和性别匹配的健康对照者分别接种腺病毒载体疫苗阿斯利康-瓦克泽维里亚(AZ)或灭活疫苗北京科兴中维-克尔来福/国药集团(SP)。在2021年11月至2021年12月期间完成两剂初次免疫后采集样本,免疫后平均间隔138天。38/72名RTR(53%)未能产生任何保护性抗体反应,而在年龄和性别匹配的健康对照组中,7/73名参与者(约10%)未产生反应。在RTR中,其抗体浓度与样本采集时间或移植后的间隔时间均无显著相关性。该研究提供了一组移植受者接种两剂非mRNA疫苗后体液反应的必要信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/f4619ca7dcbe/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/008dda0dcb63/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/5fae3de94cff/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/96a45c136608/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/f4619ca7dcbe/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/008dda0dcb63/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/5fae3de94cff/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/96a45c136608/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc46/11066511/f4619ca7dcbe/gr4.jpg

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本文引用的文献

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Viruses. 2022 Oct 19;14(10):2299. doi: 10.3390/v14102299.
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Immune responses following 3rd and 4th doses of heterologous and homologous COVID-19 vaccines in kidney transplant recipients.肾移植受者接种第三剂和第四剂异源和同源新冠疫苗后的免疫反应。
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Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised Individuals.
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Front Immunol. 2022 May 26;13:880784. doi: 10.3389/fimmu.2022.880784. eCollection 2022.
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Safety, immunogenicity, and reactogenicity of BNT162b2 and mRNA-1273 COVID-19 vaccines given as fourth-dose boosters following two doses of ChAdOx1 nCoV-19 or BNT162b2 and a third dose of BNT162b2 (COV-BOOST): a multicentre, blinded, phase 2, randomised trial.BNT162b2 和 mRNA-1273 新冠疫苗作为两剂 ChAdOx1 nCoV-19 或 BNT162b2 疫苗后的第四剂加强针,以及一剂 BNT162b2 疫苗后的第三剂加强针的安全性、免疫原性和反应原性:一项多中心、盲法、2 期、随机试验。
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