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  1. Article ; Online: Metabolomic Signatures Differentiate Immune Responses in Avian Influenza Vaccine Recipients.

    Howard, Leigh M / Jensen, Travis L / Goll, Johannes B / Gelber, Casey E / Bradley, Matthew D / Sherrod, Stacy D / Hoek, Kristen L / Yoder, Sandra / Jimenez-Truque, Natalia / Edwards, Kathryn / Creech, C Buddy

    The Journal of infectious diseases

    2024  

    Abstract: Background: Avian influenza viruses pose significant risk to human health. Vaccines targeting the hemagglutinin of these viruses are poorly immunogenic without the use of adjuvants.: Methods: Twenty healthy men and women (18-49 years of age) were ... ...

    Abstract Background: Avian influenza viruses pose significant risk to human health. Vaccines targeting the hemagglutinin of these viruses are poorly immunogenic without the use of adjuvants.
    Methods: Twenty healthy men and women (18-49 years of age) were randomized to receive two doses of inactivated influenza A/H5N1 vaccine alone (IIV) or with AS03 adjuvant (IIV-AS03) one month apart. Urine and serum samples were collected on day 0 and on days 1, 3, and 7 following first vaccination and subjected to metabolomics analyses to identify metabolites, metabolic pathways, and metabolite clusters associated with immunization.
    Results: Seventy-three differentially abundant (DA) serum and 88 urine metabolites were identified for any post-vaccination day comparison. Pathway analysis revealed enrichment of tryptophan, tyrosine and nicotinate metabolism in urine and serum among IIV-AS03 recipients. Increased urine abundance of 4-vinylphenol sulfate on Day 1 was associated with serologic response based on hemagglutination inhibition responses. In addition, 9 DA urine metabolites were identified in participants with malaise compared to those without.
    Conclusions: Our findings suggest that tryptophan, tyrosine, and nicotinate metabolism are upregulated among IIV-AS03 recipients compared with IIV alone. Metabolites within these pathways may serve as measures of immunogenicity and may provide mechanistic insights for adjuvanted vaccines.
    Language English
    Publishing date 2024-01-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1093/infdis/jiad611
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  2. Article ; Online: Quantitative analysis of pertussis, tetanus, and diphtheria antibodies in sera and breast milk from Tdap vaccinated women using a qualified multiplex assay.

    Portillo, Susana / Oshinsky, Jennifer / Williams, Margaret / Yoder, Sandra / Liang, Yuanyuan / Campbell, James D / Laufer, Miriam K / Neuzil, Kathleen M / Edwards, Kathryn M / Pasetti, Marcela F

    mSphere

    2024  Volume 9, Issue 4, Page(s) e0052723

    Abstract: Pertussis (whooping cough) is a reemergent, highly contagious respiratory infection of public health concern. Infants prior to initiation of their primary vaccination series are the most vulnerable to severe infection, and even death. Vaccination during ... ...

    Abstract Pertussis (whooping cough) is a reemergent, highly contagious respiratory infection of public health concern. Infants prior to initiation of their primary vaccination series are the most vulnerable to severe infection, and even death. Vaccination during pregnancy is an efficacious means of reducing infection in infants. This approach relies on boosting maternal immunity and passive transfer of antibodies to the infant via placenta and breast milk. Similarly, maternal vaccination post-partum can enhance maternal-infant immunity. To support the analysis of pertussis immunity in the context of maternal-infant immunization, we developed a high throughput multiplex assay for simultaneous quantification of serum IgG antibodies against pertussis vaccine antigens: pertussis toxin (PT), filamentous hemagglutinin (FHA), pertactin (PRN), and fimbriae (FIM2/3), and against tetanus (TT) and diphtheria toxoids (DT), using the Meso Scale Discovery (MSD) platform. The assay was qualified, and specificity, sensitivity, accuracy, precision, linearity, and robustness were demonstrated. The assay was subsequently adapted for quantification of IgG and IgA in breast milk. Applied to a serological survey of pregnant women living in the United States and sub-Saharan Africa, this method revealed differences in magnitude and breadth of antibody profile, consistent with history of vaccination. A longitudinal analysis of Tdap responses in women vaccinated post-partum demonstrated a rapid increase in serum IgG that remained elevated for up to 24 months. Likewise, high levels of vaccine-specific IgA and IgG antibodies were present in breast milk, although they exhibited faster decay. This multiplex MSD assay is a reliable and practical tool for quantification of pertussis, tetanus, and diphtheria antibodies in serum and breast milk in serosurveys or vaccine studies.
    Importance: Pertussis (whooping cough) has reemerged in recent years. Vaccination during pregnancy is an effective approach to prevent illness during the first months of life. We developed a multiplex assay for quantification of pertussis, tetanus, and diphtheria serum antibodies using the Meso Scale Discovery (MSD) platform; the method was qualified, and specificity, precision, accuracy, linearity, and limits of quantification were defined. It was also adapted for quantification of antibodies in breast milk. We successfully determined serostatus in women from different regions and with different vaccination histories, as well as responses to Tdap in blood and breast milk post-partum. This is the first description of a multiplex assay for the quantification of pertussis, tetanus, and diphtheria antibodies in breast milk.
    MeSH term(s) Humans ; Female ; Antibodies, Bacterial/blood ; Antibodies, Bacterial/immunology ; Milk, Human/immunology ; Whooping Cough/prevention & control ; Whooping Cough/immunology ; Immunoglobulin G/blood ; Diphtheria-Tetanus-acellular Pertussis Vaccines/immunology ; Pregnancy ; Adult ; Diphtheria/prevention & control ; Diphtheria/immunology ; Tetanus/prevention & control ; Tetanus/immunology ; Young Adult ; Vaccination ; Immunity, Maternally-Acquired/immunology
    Chemical Substances Antibodies, Bacterial ; Immunoglobulin G ; Diphtheria-Tetanus-acellular Pertussis Vaccines
    Language English
    Publishing date 2024-03-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2379-5042
    ISSN (online) 2379-5042
    DOI 10.1128/msphere.00527-23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Development of a Kinetic ELISA and Reactive B Cell Frequency Assay to Detect Respiratory Syncytial Virus Pre-Fusion F Protein-Specific Immune Responses in Infants.

    Rolsma, Stephanie L / Yoder, Sandra M / Nargi, Rachel S / Brady, Eric / Jimenez-Truque, Natalia / Thomsen, Isaac / Kontos, Marissa / Carnahan, Robert H / Sutton, Rachel E / Armstrong, Erica / Dally, Len / Crowe, James E / Edwards, Kathryn M / Creech, C Buddy

    Journal of the Pediatric Infectious Diseases Society

    2023  Volume 12, Issue 5, Page(s) 298–305

    Abstract: Background: Respiratory syncytial virus (RSV) is a major cause of respiratory disease in infants, making vaccination an attractive preventive strategy. Due to earlier reports of vaccine-enhanced disease in RSV-naive children, assessing prior RSV ... ...

    Abstract Background: Respiratory syncytial virus (RSV) is a major cause of respiratory disease in infants, making vaccination an attractive preventive strategy. Due to earlier reports of vaccine-enhanced disease in RSV-naive children, assessing prior RSV infection is critical for determining eligibility for future infant vaccine trials. However, this is complicated by the presence of maternally transferred maternal antibodies. We sought to develop assays that measure immune responses to RSV pre-fusion (F) protein that discriminates between maternal and infant responses.
    Methods: We measured RSV-specific responses in two groups of children <3 years of age; those with laboratory-confirmed RSV (RSV-infected) and those enrolled prior to their first RSV season (RSV-uninfected). Serial blood samples were obtained and recent infections with RSV and other respiratory viruses were assessed during follow-up. An RSV pre-F-specific kinetic enzyme-linked immunosorbent assay (kELISA) and an F-specific reactive B cell frequency (RBF) assay were developed.
    Results: One hundred two young children were enrolled between July 2015 and April 2017; 74 were in the RSV-uninfected group and 28 were in the RSV-infected group. Participants were asked to provide sequential blood samples over time, but only 53 participants in the RSV-uninfected group and 22 participants in the RSV-infected groups provided multiple samples. In the RSV-infected group, most had positive kELISA and RBF during the study. In the RSV-uninfected group, two patterns emerged: declining kELISA values without reactive B cells, due to maternal transplacental antibody transfer, and persistently positive kELISA with reactive B cells, due to asymptomatic undiagnosed RSV infection.
    Conclusions: A kELISA targeting RSV pre-F epitopes and an RBF assay targeting RSV F-specific B cells generally allow discrimination between maternally and infant-derived antibodies.
    MeSH term(s) Child ; Infant ; Humans ; Child, Preschool ; Antibodies, Neutralizing ; Antibodies, Viral ; Viral Fusion Proteins ; Respiratory Syncytial Virus, Human ; Respiratory Syncytial Virus Infections ; Immunity ; Enzyme-Linked Immunosorbent Assay
    Chemical Substances Antibodies, Neutralizing ; Antibodies, Viral ; Viral Fusion Proteins
    Language English
    Publishing date 2023-04-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2668791-4
    ISSN 2048-7207 ; 2048-7193
    ISSN (online) 2048-7207
    ISSN 2048-7193
    DOI 10.1093/jpids/piad019
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  4. Article ; Online: Safety and immunogenicity of live, attenuated intranasal Bordetella pertussis vaccine (BPZE1) in healthy adults.

    Buddy Creech, C / Jimenez-Truque, Natalia / Kown, Naomi / Sokolow, Katherine / Brady, Eric J / Yoder, Sandra / Solovay, Ken / Rubin, Keith / Noviello, Stephanie / Hensel, Elizabeth / Selamawi, Semhal / Bakare, Adetunji / Makowski, Mat / Lu, Kristina

    Vaccine

    2022  Volume 40, Issue 47, Page(s) 6740–6746

    Abstract: Background: BPZE1 is a live, attenuated pertussis vaccine derived from B. pertussis strain Tohama I modified by genetic removal or inactivation of 3 B. pertussis toxins: pertussis toxin, dermonecrotic toxin, and tracheal cytotoxin. This Phase 2a study ... ...

    Abstract Background: BPZE1 is a live, attenuated pertussis vaccine derived from B. pertussis strain Tohama I modified by genetic removal or inactivation of 3 B. pertussis toxins: pertussis toxin, dermonecrotic toxin, and tracheal cytotoxin. This Phase 2a study evaluated the safety and immunogenicity of liquid or lyophilized BPZE1 vaccine administered intranasally by needleless tuberculin syringe or mucosal atomization device (VaxINator
    Methods: Fifty healthy male and non-pregnant female participants 18-49 years of age were enrolled. Participants were randomized 3:3:3:1 to a single lyophilized dose of 10
    Results: Across all groups, 35/50 (70 %) experienced at least one local adverse event (AE) and 31/50 (62 %) experienced at least one systemic AE, with similar AE frequencies observed between the highest 10
    Discussion: Lyophilized BPZE1 vaccine was well tolerated and immunogenic at the highest dose (10
    MeSH term(s) Adult ; Male ; Female ; Humans ; Pertussis Vaccine/adverse effects ; Bordetella pertussis ; Whooping Cough/prevention & control ; Tuberculin ; Administration, Intranasal ; Vaccines, Attenuated ; Immunogenicity, Vaccine
    Chemical Substances Pertussis Vaccine ; Tuberculin ; Vaccines, Attenuated
    Language English
    Publishing date 2022-10-08
    Publishing country Netherlands
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2022.09.075
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  5. Article: Balanced Cellular and Humoral Immune Responses Targeting Multiple Antigens in Adults Receiving a Quadrivalent Inactivated Influenza Vaccine.

    Yu, Esther Dawen / Grifoni, Alba / Sutherland, Aaron / Voic, Hannah / Wang, Eric / Frazier, April / Jimenez-Truque, Natalia / Yoder, Sandra / Welsh, Sabrina / Wooden, Stacey / Koff, Wayne / Creech, Buddy / Sette, Alessandro / da Silva Antunes, Ricardo

    Vaccines

    2021  Volume 9, Issue 5

    Abstract: The role of T cell immunity has been acknowledged in recent vaccine development and evaluation. We tested the humoral and cellular immune responses to ... ...

    Abstract The role of T cell immunity has been acknowledged in recent vaccine development and evaluation. We tested the humoral and cellular immune responses to Flucelvax
    Language English
    Publishing date 2021-04-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines9050426
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  6. Article ; Online: A high-throughput liquid bead array assay confirms strong correlation between SARS-CoV-2 antibody level and COVID-19 severity.

    Bennett, Monique / Yoder, Sandra / Brady, Eric / Pulley, Jill M / Rhoads, Jillian P / Stewart, Thomas G / Bernard, Gordon R / Creech, C Buddy / Wheeler, Allison P / Thomsen, Isaac

    iScience

    2021  Volume 24, Issue 2, Page(s) 102052

    Abstract: A detailed understanding of the adaptive host response to SARS-CoV-2 infection in humans is urgently needed. We developed a sensitive, high-throughput, and efficient assay using liquid bead array technology. We observed advantages over traditional ELISA ... ...

    Abstract A detailed understanding of the adaptive host response to SARS-CoV-2 infection in humans is urgently needed. We developed a sensitive, high-throughput, and efficient assay using liquid bead array technology. We observed advantages over traditional ELISA for the detection and quantification of binding IgG against the receptor binding domain (RBD) of SARS-CoV-2. To determine whether COVID-19 symptom severity correlates with SARS-CoV-2 IgG, we measured anti-RBD IgG levels from 67 subjects recovered from PCR-confirmed COVID-19. We found that COVID-19 symptom severity strongly correlated with RBD IgG level (p < 0.001). These findings have substantial implications for public policy surrounding assessments of antibody responses and possible immunity, as not all cases of COVID-19 can be assumed to generate a protective antibody response, and mild disease in particular is capable of generating very low-level anti-RBD IgG levels. These findings also have important implications for the selection of donors for convalescent plasma to be used therapeutically.
    Language English
    Publishing date 2021-01-09
    Publishing country United States
    Document type Journal Article
    ISSN 2589-0042
    ISSN (online) 2589-0042
    DOI 10.1016/j.isci.2021.102052
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  7. Article ; Online: A randomized, placebo-controlled phase I trial of live, attenuated herpes zoster vaccine in subjects with end-stage renal disease immunized prior to renal transplantation.

    Miller, Geraldine / Schaefer, Heidi / Yoder, Sandra / Miller, Rachel / Winokur, Patricia / Kotloff, Karen / Klassen, David / Wierzbicki, Michael / Amegashie, Cyrille / Edwards, Kathryn

    Transplant infectious disease : an official journal of the Transplantation Society

    2018  Volume 20, Issue 3, Page(s) e12874

    Abstract: Background: Solid organ transplant recipients are at increased risk for reactivation of herpes zoster, or shingles, and have a higher frequency of serious complications including post-herpetic neuralgia. A live, attenuated shingles vaccine is effective ... ...

    Abstract Background: Solid organ transplant recipients are at increased risk for reactivation of herpes zoster, or shingles, and have a higher frequency of serious complications including post-herpetic neuralgia. A live, attenuated shingles vaccine is effective and approved for individuals 50 years and older. The vaccine is contraindicated following transplantation, but may be used in patients with renal failure. Utilization of the vaccine has been poor in patients with end-stage renal disease, including those awaiting transplant, owing to concerns for safety, efficacy, and potential sensitization prior to transplant.
    Methods: We conducted a phase I, randomized, placebo-controlled study of the safety and immunogenicity of live, attenuated Oka strain shingles vaccine in subjects prior to or awaiting renal transplant at 3 US centers. Subjects received vaccine a minimum of 4 weeks prior to transplant.
    Results: The vaccine was safe and well-tolerated. There were no cases of herpes zoster or rash illness. There was no change in donor-specific antibody or calculated panel reactive antibody after vaccination during the follow-up period. There were no rejection episodes. There was a significant 2.1-fold rise in geometric mean titer of anti-VZV antibody at 5 weeks post-vaccine.
    Conclusions: The data suggest that the shingles vaccine is safe in subjects with ESRD awaiting transplant. Antibody responses were similar to those seen previously in adults >50 years of age and are consistent with a protective response.
    MeSH term(s) Adult ; Aged ; Antibodies, Viral/blood ; Double-Blind Method ; Drug-Related Side Effects and Adverse Reactions ; Exanthema ; Female ; Herpes Zoster/immunology ; Herpes Zoster/prevention & control ; Herpes Zoster Vaccine/administration & dosage ; Herpes Zoster Vaccine/adverse effects ; Herpes Zoster Vaccine/immunology ; Herpesvirus 3, Human/immunology ; Humans ; Kidney Failure, Chronic/immunology ; Kidney Transplantation/adverse effects ; Male ; Middle Aged ; Neuralgia, Postherpetic ; Vaccination/adverse effects ; Vaccination/methods ; Vaccines, Attenuated/administration & dosage ; Vaccines, Attenuated/adverse effects ; Vaccines, Attenuated/immunology
    Chemical Substances Antibodies, Viral ; Herpes Zoster Vaccine ; Vaccines, Attenuated
    Language English
    Publishing date 2018-03-25
    Publishing country Denmark
    Document type Clinical Trial, Phase I ; Journal Article ; Randomized Controlled Trial
    ZDB-ID 1476094-0
    ISSN 1399-3062 ; 1398-2273
    ISSN (online) 1399-3062
    ISSN 1398-2273
    DOI 10.1111/tid.12874
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  8. Article ; Online: Greater activation of peripheral T follicular helper cells following high dose influenza vaccine in older adults forecasts seroconversion.

    Pilkinton, Mark A / Nicholas, Katherine J / Warren, Christian M / Smith, Rita M / Yoder, Sandra M / Talbot, H Keipp / Kalams, Spyros A

    Vaccine

    2016  Volume 35, Issue 2, Page(s) 329–336

    Abstract: Background: Influenza related morbidity and mortality disproportionately impacts older adults. The serologic response to vaccine is diminished in older adults; however, high dose inactivated influenza vaccine (HD IIV) has shown improved rates of ... ...

    Abstract Background: Influenza related morbidity and mortality disproportionately impacts older adults. The serologic response to vaccine is diminished in older adults; however, high dose inactivated influenza vaccine (HD IIV) has shown improved rates of seroconversion compared to standard dose (SD IIV). We hypothesize this may be due to the superior ability of high dose vaccine to activate T follicular helper (Tfh) cells and provide B cell dependent T cell help.
    Methods: We measured peripheral Tfh (pTfh) activation in 50 community dwelling adults 65years or older who were randomly assigned to receive either the HD IIV or SD IIV.
    Results: The HD vaccination elicited significantly higher levels of ICOS expression on pTfh cells, at day 7 compared to SD vaccination (p=0.02). The magnitude of the increase in ICOS+ pTfh cells from baseline to day 7 was predictive of seroconversion for both influenza A and B vaccination.
    Conclusion: Strong Tfh activation in response to influenza vaccination forecasts successful seroconversion in older adults, and HD IIV elicits greater Tfh activation than SD IIV. Future vaccine studies should focus on ways to further optimize the Tfh response.
    MeSH term(s) Aged ; Aged, 80 and over ; Female ; Humans ; Influenza Vaccines/administration & dosage ; Influenza Vaccines/immunology ; Male ; Seroconversion ; T-Lymphocytes, Helper-Inducer/immunology
    Chemical Substances Influenza Vaccines
    Language English
    Publishing date 2016-12-03
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2016.11.059
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  9. Article ; Online: Standardized two-step testing of antibody activity in COVID-19 convalescent plasma.

    Gilchuk, Pavlo / Thomsen, Isaac / Yoder, Sandra / Brady, Eric / Chappell, James D / Stevens, Laura J / Denison, Mark R / Sutton, Rachel E / Chen, Rita E / VanBlargan, Laura A / Suryadevara, Naveenchandra / Zost, Seth J / Schmitz, Jonathan / Pulley, Jill M / Diamond, Michael S / Rhoads, Jillian P / Bernard, Gordon R / Self, Wesley H / Rice, Todd W /
    Wheeler, Allison P / Crowe, James E / Carnahan, Robert H

    iScience

    2021  Volume 25, Issue 1, Page(s) 103602

    Abstract: The COVID-19 pandemic revealed an urgent need for rapid profiling of neutralizing antibody responses and development of antibody therapeutics. The current Food and Drug Administration-approved serological tests do not measure antibody-mediated viral ... ...

    Abstract The COVID-19 pandemic revealed an urgent need for rapid profiling of neutralizing antibody responses and development of antibody therapeutics. The current Food and Drug Administration-approved serological tests do not measure antibody-mediated viral neutralization, and there is a need for standardized quantitative neutralization assays. We report a high-throughput two-step profiling approach for identifying neutralizing convalescent plasma. Screening and downselection for serum antibody binding to the receptor-binding domain are followed by quantitative neutralization testing using a chimeric vesicular stomatitis virus expressing spike protein of SARS-CoV-2 in a real-time cell analysis assay. This approach enables a predictive screening process for identifying plasma units that neutralize SARS-CoV-2. To calibrate antibody neutralizing activity in serum from convalescent plasma donors, we introduce a neutralizing antibody standard reagent composed of two human antibodies that neutralize SARS-CoV strains, including SARS-CoV-2 variants of concern. Our results provide a framework for establishing a standardized assessment of antibody-based interventions against COVID-19.
    Language English
    Publishing date 2021-12-08
    Publishing country United States
    Document type Journal Article
    ISSN 2589-0042
    ISSN (online) 2589-0042
    DOI 10.1016/j.isci.2021.103602
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  10. Article ; Online: Humoral and cellular immune responses to the SARS-CoV-2 BNT162b2 vaccine among a cohort of solid organ transplant recipients and healthy controls.

    Yanis, Ahmad / Haddadin, Zaid / Spieker, Andrew J / Waqfi, Danya / Rankin, Danielle A / Talj, Rana / Thomas, Lora / Birdwell, Kelly A / Ezzell, Lauren / Blair, Marcia / Eason, Joan / Varjabedian, Rebekkah / Warren, Christian M / Nochowicz, Cynthia H / Olson, Eric C / Simmons, Joshua D / Yoder, Sandra / Guy, Madeline / Thomsen, Isaac /
    Chappell, James D / Kalams, Spyros A / Halasa, Natasha B

    Transplant infectious disease : an official journal of the Transplantation Society

    2021  Volume 24, Issue 1, Page(s) e13772

    Abstract: Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is associated with increased morbidity and mortality in solid organ transplant (SOT) recipients. Despite exclusion from SARS-CoV-2 vaccine clinical trials, these ... ...

    Abstract Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is associated with increased morbidity and mortality in solid organ transplant (SOT) recipients. Despite exclusion from SARS-CoV-2 vaccine clinical trials, these individuals were identified as high-risk and prioritized for vaccination in public health guidelines.
    Methods: We prospectively evaluated humoral and cellular immune responses to two doses of the SARS-CoV-2 mRNA vaccine, BNT162b2, in 56 SOT recipients and 26 healthy controls (HCs). Blood specimens collected from participants prior to each dose and following the second dose were tested for SARS-CoV-2-specific antibodies, as well as CD4+ and CD8+ T-cell responses.
    Results: SOT recipients demonstrated lower mean anti-SARS-CoV-2 antibody levels compared to HCs after each dose, and only 21.6% achieved an antibody response after the second dose within the range of HC responses. Similarly, the percentage of responsive CD4+ and CD8+ T cells in SOT recipients was lower than in HCs. While most HCs showed notable humoral and cellular responses, responses were less concordant in SOT recipients, with some showing evidence of either humoral or cellular response, but not both.
    Conclusion: Humoral and cellular immune responses to the BNT162b2 vaccine are markedly reduced in SOT recipients as compared to HCs, suggesting that SOT recipients may benefit from more tailored regimens such as higher dose and/or additional vaccinations.
    MeSH term(s) Antibodies, Viral ; BNT162 Vaccine ; COVID-19 ; COVID-19 Vaccines ; Humans ; Immunity, Cellular ; Organ Transplantation ; SARS-CoV-2 ; Transplant Recipients ; Vaccines, Synthetic ; mRNA Vaccines
    Chemical Substances Antibodies, Viral ; COVID-19 Vaccines ; Vaccines, Synthetic ; mRNA Vaccines ; BNT162 Vaccine (N38TVC63NU)
    Language English
    Publishing date 2021-12-21
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1476094-0
    ISSN 1399-3062 ; 1398-2273
    ISSN (online) 1399-3062
    ISSN 1398-2273
    DOI 10.1111/tid.13772
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