临床干预对肺癌患者SARS-CoV-2免疫力的时间依赖性影响
Philip C Mack1, Chih-Yuan Hsu2, Ananda M Rodilla1
1Center for Thoracic Oncology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Vaccines
|July 27, 2024
概括
在肺癌患者中,SARS-CoV-2抗体水平受到感染,疫苗接种和治疗的影响. 虽然疫苗和感染会增加抗体标位,但化疗和类固醇使用会降低抗体标位,而吸烟会对女性产生负面影响.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 了解肺癌 (LC) 患者的抗峰抗体 (SAb) 动态对于不断发展的治疗方法和感染至关重要.
- 在LC患者中随着时间的推移影响SAb标位的因素仍然难以阐明.
研究的目的:
- 开发一个时间依赖的SAb水平在LC患者的回归模型.
- 为了确定临床因素对SAb标位动态的个人贡献.
主要方法:
- 对296名LC患者进行了前性,纵向性,多机构的队列研究.
- 每季度采集的血液样本,通过ELISA测量SAb水平.
- 使用了与一般化估计方程 (GEE) 相关的时间依赖线性回归模型.
主要成果:
- 之前的SARS-CoV-2感染和疫苗接种/助推剂显著增加了SAb标位 (p < 0.001).
- 类固醇使用 (p = 0.043) 和化疗 (p = 0.033) 降低了标位.
- 在女性中,流感疫苗接种 (p < 0.001) 和先前吸烟 (p = 0.001) 显示出显著的关联.
结论:
- 一个GEE模型揭示了对LC患者SAb水平的微妙影响.
- 化疗和类固醇使用负面影响的标位,而疫苗和感染提高了它们.
- 接种流感疫苗显示出与SAb水平具有惊人的积极关联.
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