在患有天生的免疫错误的患者接种COVID-19疫苗后的抗体产生
Maryam Nourizadeh1,2, Elham Feizabadi1,2, Milad Mirmoghtadaei1,2
1Immunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Iranian journal of immunology : IJI
|October 22, 2023
概括
在患有天生的免疫错误 (IEI) 的患者中,COVID-19疫苗显示抗体产生和中和减少,特别是那些抗体缺乏的人. 这表明需要对IEI患者的免疫策略进行修订,以确保充分保护.
科学领域:
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
- 传染性疾病 传染性疾病
背景情况:
- 关于COVID-19疫苗在患有天生的免疫错误 (IEI) 的人群中的有效性数据有限.
- IEI涵盖了一系列影响免疫系统的疾病,包括抗体缺陷,细胞缺陷和补充缺陷.
研究的目的:
- 在IEI患者中评估COVID-19疫苗接种后的抗体产生和功能性抗体反应.
- 为了比较IEI患者的疫苗反应与健康对照者的疫苗反应.
主要方法:
- 在接种疫苗后,分析了41名IEI患者和32名健康对照者的血清样本.
- 使用EUROIMMUN和Chemobind套件测量了抗体水平 (IgG抗RBD) 和中和抗体活性 (cVNT).
- 统计分析比较了IEI子组和对照组之间的反应.
主要成果:
- 与对照组相比,Ab缺乏症患者的抗体度和中和能力明显较低.
- 几乎一半的补体和细胞缺陷患者也表现出病毒中和功能受损.
- 在EUROIMMUN和Chemobind试验结果之间观察到很强的相关性.
结论:
- 在许多IEI患者中,COVID-19疫苗接种引起了低于最佳的抗体反应,特别是那些抗体缺乏的人.
- 目前的疫苗策略可能需要对IEI种群进行修改,以实现有效的免疫力.
- 需要进一步的研究,以优化针对具有天生的免疫错误的个体的疫苗接种方案.
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