Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, 4-6-1, Shirokanedai, Minato-ku, Tokyo, Japan.
Department of Laboratory Medicine, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
Int J Hematol. 2024 Aug;120(2):229-240. doi: 10.1007/s12185-024-03802-3. Epub 2024 Jun 6.
We conducted a cross-sectional study to evaluate cellular and humoral immunogenicity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination or infection and examine how lymphocyte subpopulations in peripheral blood correlate with cellular and humoral immunogenicity in adult allogeneic hematopoietic cell transplantation (HCT) recipients. The median period from SARS-CoV-2 vaccination or infection to sample collection was 110.5 days (range, 6-345 days). The median SARS-CoV-2 spike-specific antibody level was 1761 binding antibody units (BAU)/ml (range, 0 to > 11,360 BAU/ml). Enzyme-linked immunosorbent spot (ELISpot) assay of T cells stimulated with SARS-CoV-2 spike antigens showed that interferon-gamma (IFN-γ)-, interleukin-2 (IL-2)-, and IFN-γ + IL-2-producing T cells were present in 68.9%, 62.0%, and 56.8% of patients, respectively. The antibody level was significantly correlated with frequency of IL-2-producing T cells (P = 0.001) and IFN-γ + IL-2-producing T cells (P = 0.006) but not IFN-γ-producing T cells (P = 0.970). Absolute counts of CD8+ and CD4+ central memory T cells were higher in both IL-2- and IFN-γ + IL-2-producing cellular responders compared with non-responders. These data suggest that cellular and humoral immunogenicity against SARS-CoV-2 vaccination or infection is associated with the memory phenotype of T cells and B cells in adult allogeneic HCT recipients.
我们进行了一项横断面研究,评估了针对严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)接种或感染的细胞和体液免疫原性,并研究了外周血中淋巴细胞亚群与成人异基因造血细胞移植(HCT)受者的细胞和体液免疫原性之间的相关性。从 SARS-CoV-2 接种或感染到采集样本的中位时间为 110.5 天(范围,6-345 天)。SARS-CoV-2 刺突特异性抗体水平的中位数为 1761 个结合抗体单位(BAU)/ml(范围,0 至>11360 BAU/ml)。用 SARS-CoV-2 刺突抗原刺激 T 细胞的酶联免疫斑点(ELISpot)检测显示,干扰素-γ(IFN-γ)、白细胞介素-2(IL-2)和 IFN-γ+IL-2 产生的 T 细胞分别存在于 68.9%、62.0%和 56.8%的患者中。抗体水平与 IL-2 产生 T 细胞的频率显著相关(P=0.001)和 IFN-γ+IL-2 产生 T 细胞(P=0.006),但与 IFN-γ 产生 T 细胞无关(P=0.970)。IL-2 和 IFN-γ+IL-2 产生的细胞应答者的 CD8+和 CD4+中央记忆 T 细胞的绝对计数高于非应答者。这些数据表明,成人异基因 HCT 受者中针对 SARS-CoV-2 接种或感染的细胞和体液免疫原性与 T 细胞和 B 细胞的记忆表型相关。