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羟氯喹与原发性干燥综合征患者初次接种 17DD-黄热病疫苗后血清转化率降低相关。

Hydroxychloroquine is associated with lower seroconversion upon 17DD-Yellow fever primovaccination in patients with primary Sjögren's syndrome.

机构信息

Programa de Pós-Graduação em Saúde Coletiva (PPGSC) and Hospital Universitário Cassiano Antônio Moraes da Universidade Federal do Espírito Santo (HUCAM-UFES/EBSERH).

Grupo Integrado de Pesquisas em Biomarcadores, Instituto René Rachou, Fundação Oswaldo Cruz (FIOCRUZ-Minas), Belo Horizonte, Brazil.

出版信息

Hum Vaccin Immunother. 2024 Dec 31;20(1):2318814. doi: 10.1080/21645515.2024.2318814. Epub 2024 Jul 3.

Abstract

The present study aimed at investigating whether the hydroxychloroquine (HCQ) treatment would impact the neutralizing antibody production, viremia levels and the kinetics of serum soluble mediators upon planned 17DD-Yellow Fever (YF) primovaccination (Bio-Manguinhos-FIOCRUZ) of primary Sjögren's syndrome (pSS). A total of 34 pSS patients and 23 healthy controls (HC) were enrolled. The pSS group was further categorized according to the use of HCQ (HCQ and Non-HCQ). The YF-plaque reduction neutralization test (PRNT ≥1:50), YF viremia (RNAnemia) and serum biomarkers analyses were performed at baseline and subsequent time-points (Day0/Day3-4/Day5-6/Day7/Day14-D28). The pSS group showed PRNT titers and seropositivity rates similar to those observed for HC (GeoMean = 238 440,  = .11; 82% 96%,  = .13). However, the HCQ subgroup exhibited lower seroconversion rates as compared to HC (GeoMean = 161 440,  = .04; 69% 96%,  = .02) and Non-HQC (GeoMean = 161 337,  = .582; 69% 94%,  = .049). No differences in YF viremia were observed amongst subgroups. Serum biomarkers analyses demonstrated that HCQ subgroup exhibited increased levels of CCL2, CXL10, IL-6, IFN-γ, IL1-Ra, IL-9, IL-10, and IL-2 at baseline and displayed a consistent increase of several biomarkers along the kinetics timeline up to D14-28. These results indicated that HCQ subgroup exhibited a deficiency in assembling YF-specific immune response elicited by 17DD-YF primovaccination as compared to Non-HCQ subgroup. Our findings suggested that hydroxychloroquine is associated with a decrease in the humoral immune response after 17DD-YF primovaccination.

摘要

本研究旨在探讨羟氯喹(HCQ)治疗是否会影响原发性干燥综合征(pSS)患者计划接种 17DD-黄热病(YF)疫苗(Bio-Manguinhos-FIOCRUZ)后的中和抗体产生、病毒血症水平和血清可溶性介质的动力学。共纳入 34 例 pSS 患者和 23 例健康对照者(HC)。pSS 组根据是否使用 HCQ(HCQ 和非 HCQ)进一步分类。在基线和随后的时间点(第 0 天/第 3-4 天/第 5-6 天/第 7 天/第 14-28 天)进行 YF 噬斑减少中和试验(PRNT≥1:50)、YF 病毒血症(RNA 血症)和血清生物标志物分析。pSS 组的 PRNT 滴度和血清阳性率与 HC 相似(几何均数=238 440,=0.11;82%96%,=0.13)。然而,与 HC 相比,HCQ 亚组的血清转化率较低(几何均数=161 440,=0.04;69%96%,=0.02)和非 HCQ 亚组(几何均数=161 337,=0.582;69%94%,=0.049)。亚组之间的 YF 病毒血症无差异。血清生物标志物分析表明,HCQ 亚组在基线时显示 CCL2、CXL10、IL-6、IFN-γ、IL1-Ra、IL-9、IL-10 和 IL-2 水平升高,并在整个动力学时间线上持续升高至 D14-28。这些结果表明,与非 HCQ 亚组相比,HCQ 亚组在 17DD-YF 疫苗初次接种后,YF 特异性免疫反应的组装能力存在缺陷。我们的研究结果表明,羟氯喹与 17DD-YF 初次接种后的体液免疫反应下降有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2661/11225917/0c12931db925/KHVI_A_2318814_UF0001_OC.jpg

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