患有高血压的患者对非活化COVID-19疫苗的免疫反应较差
Lei Yang1, TingTing Zeng2, Yang Li1
1Department of Respiratory Medicine, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Frontiers in medicine
|May 17, 2024
概括
失活的COVID-19疫苗对高血压患者是安全的,但包括抗体水平在内的免疫反应降低了,特别是在心血管疾病患者中. 这些免疫反应也随着时间的推移而下降.
科学领域:
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
- 心血管医学 心血管医学
背景情况:
- 高血压 (HTN) 影响疫苗的有效性和安全性.
- 关于HTN患者的非活化SARS-CoV-2疫苗的数据有限.
研究的目的:
- 在患有高血压的成年人中评估无活化SARS-CoV-2疫苗的免疫性和安全性.
- 将HTN患者和健康对照者 (HCs) 之间的免疫反应进行比较.
主要方法:
- 在接种两剂疫苗后,对IgG受体结合域 (RBD),SARS-CoV-2中和抗体 (NAbs),RBD特异性B细胞和记忆B细胞 (MBCs) 的评估抗体 (Abs).
- 包括94名HTN患者和74名HC患者.
主要成果:
- 在HTN患者和HC患者的整体不良事件中没有显著差异.
- 与HC相比,HTN患者的RBD特异性B细胞记忆频率,血清阳性率和抗体标位较低 (p <0.05).
- 患有心血管和脑血管疾病 (CCVD) 的HTN患者的NAb标位低于HC;在HTN患者中,抗体标位随着时间的推移而下降.
结论:
- 失活的COVID-19疫苗对于高血压患者是安全的.
- 在HTN患者,尤其是CCVD患者中,幽默免疫力可能受到限制.
- 在高血压患者中,免疫反应随着时间的推移而减弱.
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