ABO blood group associated with cerebral venous thrombosis after Oxford-AstraZeneca COVID-19 vaccination: a

Gie Ken-Dror1, Pankaj Sharma1,2,

  • 1Institute of Cardiovascular Research Royal Holloway, University of London (ICR2UL), London TW20 0EX, UK.

Insights

Individuals with blood group O have a higher risk of developing vaccine-induced thrombotic thrombocytopenia (VITT-CVT) after the AstraZeneca COVID-19 vaccine. This finding suggests blood type may influence vaccine safety for cerebral venous thrombosis (CVT).

Area of Science:

  • Immunology
  • Hematology
  • Vaccinology

Background:

  • Cerebral venous thrombosis (CVT) is a rare but serious condition.
  • The AstraZeneca ChAdOx1-S vaccine has been associated with vaccine-induced thrombotic thrombocytopenia (VITT).
  • The role of blood group in VITT-CVT development requires further investigation.

Purpose of the Study:

  • To investigate the association between ABO blood groups and the risk of developing CVT after the AstraZeneca COVID-19 vaccination.
  • To determine if blood type is an independent risk factor for VITT-CVT.

Main Methods:

  • A case-control study was conducted.
  • Logistic regression analysis was used to compare blood group frequencies between vaccinated and unvaccinated CVT patients.
  • Patients were matched for age and sex.

Main Results:

  • Blood group O was significantly more prevalent in patients who developed VITT-CVT after ChAdOx1-S vaccination compared to unvaccinated controls (43% vs. 17%).
  • Blood group A was less prevalent in the vaccinated group compared to unvaccinated controls (47% vs. 71%).
  • No significant blood group differences were found in non-ChAdOx1-S vaccine VITT-CVT or pre-COVID-19 CVT groups.

Conclusions:

  • Blood group O is associated with an increased risk of VITT-CVT following ChAdOx1-S vaccination, independent of other risk factors.
  • Further research with larger datasets is needed to assess the safety of ChAdOx1-S vaccination for individuals with blood groups B and AB.
Abstract

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