Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Сен. 14, 2023
Abstract
Immunocompromised
individuals
face
increased
risks
of
severe
COVID-19
outcomes,
underscoring
the
importance
receiving
vaccination.
However,
there's
a
lack
comprehensive
real-world
data
on
their
vaccine
uptake,
effectiveness,
and
safety
profile.
We
analysed
in
QResearch
UK
database
from
01/12/2020
to
11/04/2022.
included
12,274,948
people
aged
≥
12
years
our
analysis,
whom
583,541
(4.8%)
were
immunocompromised,
defined
as
immune-modifying
drugs,
chemotherapy,
organ
transplants,
or
dialysis.
Overall,
93.7%
immunocompromised
patients
received
at
least
one
dose.
Uptake
reduced
with
increasing
deprivation
(Hazard
Ratio
[HR]
0.78
[95%
CI
0.77–0.79]
most
deprived
quintile
compared
for
first
dose).
Using
nested
case-control
design,
estimated
effectiveness
against
hospitalisation
2–6
weeks
after
second
third
doses
unvaccinated
was
78%
(95%CI
72–83)
91%
88–93)
versus
85%
83–86)
86%
85–89)
respectively
general
population.
vaccines
protective
intensive
care
unit
admission
death
both
groups.
There
no
differing
adverse
events
during
28
days
each
dose
between
two
populations.
These
findings
underscore
ongoing
vaccination
prioritisation
maximise
protection
COVID-19-related
outcomes.
Cell Host & Microbe,
Год журнала:
2024,
Номер
32(2), С. 156 - 161.e3
Опубликована: Янв. 10, 2024
T
cells
are
critical
in
mediating
the
early
control
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
breakthrough
infection.
However,
it
remains
unknown
whether
memory
can
effectively
cross-recognize
new
SARS-CoV-2
variants
with
a
broad
array
mutations,
such
as
emergent
hypermutated
BA.2.86
variant.
Here,
we
report
two
separate
cohorts,
including
healthy
controls
and
individuals
chronic
lymphocytic
leukemia,
that
spike-specific
CD4
Nature Communications,
Год журнала:
2025,
Номер
16(1)
Опубликована: Янв. 10, 2025
Abstract
Coronavirus
disease
2019
(COVID-19)
poses
significant
risks
for
solid
organ
transplant
recipients,
who
have
atypical
but
poorly
characterized
immune
responses
to
infection.
We
aim
understand
the
host
immunologic
and
microbial
features
of
COVID-19
in
recipients
by
leveraging
a
prospective
multicenter
cohort
86
age-
sex-matched
with
172
non-transplant
controls.
find
that
higher
nasal
SARS-CoV-2
viral
abundance
impaired
clearance,
lower
anti-spike
IgG
levels.
In
addition,
exhibit
decreased
plasmablasts
transitional
B
cells,
increased
senescent
T
cells.
Blood
transcriptional
profiling
demonstrate
unexpected
upregulation
innate
signaling
pathways
levels
several
proinflammatory
serum
chemokines.
Severe
however,
is
less
robust
induction
pro-inflammatory
genes
Together,
our
study
reveals
distinct
altered
dynamics
recipients.
Activation-induced
marker
(AIM)
assays
identify
antigen
(Ag)–specific
T
cells,
but
recent
studies
revealed
AIM
+
helper
cell
17
(T
H
17)–like
(CCR6
)
and
circulating
follicular
cells
(cTfh)
were
not
associated
with
peptide/HLA
tetramer
staining.
We
show
that
CD39
regulatory
reg
)–like
CD26
hi
22–like
undergo
receptor
(TCR)–independent
activation
by
cytokines
during
Ag
stimulation,
leading
to
nonspecific
up-regulation
of
readouts.
Transcriptional
analysis
enabled
discrimination
bona
fide
Ag-specific
from
cytokine-activated
22
cells.
CXCR4
down-regulation
emerged
as
a
hallmark
clonotypic
expansion
TCR-dependent
in
memory
CD4
cTfh.
By
tracking
tetramer-binding
upon
restimulation,
we
demonstrated
CXCR4−CD137
provided
more
accurate
measure
Ag-specificity
than
standard
This
modified
assay
excluded
the
predominantly
CCR6
contributed
an
average
12-fold
overestimation
population.
Our
findings
provide
approach
characterize
genuine
European Journal of Immunology,
Год журнала:
2024,
Номер
54(7)
Опубликована: Апрель 16, 2024
Abstract
Objectives
In
the
post‐SARS‐CoV‐2
pandemic
era,
“breakthrough
infections”
are
still
documented,
due
to
variants
of
concerns
(VoCs)
emergence
and
waning
humoral
immunity.
Despite
widespread
utilization,
definition
anti‐Spike
(S)
immunoglobulin‐G
(IgG)
threshold
define
protection
has
unveiled
several
limitations.
Here,
we
explore
advantages
incorporating
T‐cell
response
assessment
enhance
immune
memory
profile.
Methods
SARS‐CoV‐2
interferon‐gamma
release
assay
test
(IGRA)
was
performed
on
samples
collected
longitudinally
from
immunocompetent
healthcare
workers
throughout
their
immunization
by
infection
and/or
vaccination,
anti‐receptor‐binding
domain
IgG
levels
were
assessed
in
parallel.
The
risk
symptomatic
according
cellular/humoral
capacities
during
Omicron
BA.1
wave
then
estimated.
Results
Close
40%
our
exclusively
IGRA‐positive,
largely
time
elapsed
since
last
immunization.
This
suggests
that
individuals
have
sustained
long‐lasting
cellular
immunity,
while
they
would
been
classified
as
lacking
protective
immunity
based
solely
threshold.
Moreover,
Cox
regression
model
highlighted
circulation
raises
increased
IGRA
tended
reduce
it.
Conclusion
discrepancy
between
responses
highlights
significance
assessing
overall
adaptive
response.
integrated
approach
allows
identification
vulnerable
subjects
can
be
interest
guide
antiviral
prophylaxis
at
an
individual
level.
Journal of Clinical Immunology,
Год журнала:
2024,
Номер
44(5)
Опубликована: Апрель 27, 2024
Abstract
Purpose
A
patient
with
X-linked
agammaglobulinemia
(XLA)
and
severe
tick-borne
encephalitis
(TBE)
was
treated
TBE
virus
(TBEV)
IgG
positive
plasma.
The
patient’s
clinical
response,
humoral
cellular
immune
responses
were
characterized
pre-
post-infection.
Methods
ELISA
neutralisation
assays
performed
on
sera
TBEV
PCR
assay
cerebrospinal
fluid.
T
cell
conducted
peripheral
blood
the
five
healthy
vaccinated
controls.
Results
admitted
to
hospital
headache
fever.
He
not
against
but
receiving
subcutaneous
IgG-replacement
therapy
(IGRT).
antibodies
low-level
(due
scIGRT),
IgM
tests
negative.
During
hospitalisation
his
condition
deteriorated
(Glasgow
coma
scale
3/15)
he
in
ICU
corticosteroids
external
ventricular
drainage.
then
plasma
containing
without
apparent
side
effects.
His
symptoms
improved
within
a
few
days
test
converted
positive.
Robust
CD8
+
observed
at
three
18-months
post-infection,
absence
of
B
cells.
This
confirmed
by
tetramers
specific
for
TBEV.
Conclusion
IgG-positive
given
an
XLA
evident
adverse
reactions
may
have
contributed
outcome.
Similar
approaches
could
offer
promising
foundation
researching
therapeutic
options
patients
immunodeficiencies.
Importantly,
robust
response
after
infection
despite
lack
cells
indicates
that
these
can
clear
acute
viral
infections
benefit
from
future
vaccination
programs.
EBioMedicine,
Год журнала:
2024,
Номер
105, С. 105203 - 105203
Опубликована: Июнь 18, 2024
Hybrid
immunity
to
SARS-CoV-2,
resulting
from
both
vaccination
and
natural
infection,
remains
insufficiently
understood
in
paediatric
populations,
despite
increasing
rates
of
breakthrough
infections
among
vaccinated
children.
Leukemia,
Год журнала:
2024,
Номер
38(9), С. 1985 - 1991
Опубликована: Июль 23, 2024
Abstract
COVID-19
has
been
associated
with
high
mortality
in
patients
treated
Chimeric
Antigen
Receptor
(CAR)
T-cell
therapy
for
hematologic
malignancies.
Here,
we
investigated
whether
the
outcome
improved
over
time
primary
objective
of
assessing
COVID-19-attributable
Omicron
period
2022
compared
to
previous
years.
Data
this
multicenter
study
were
collected
using
MED-A
and
report
forms
developed
by
EBMT.
One-hundred-eighty
included
analysis,
39
diagnosed
2020,
35
2021
106
2022.
The
median
age
was
58.9
years
(min-max:
5.2–78.4).
There
a
successive
decrease
COVID-19-related
(2020:
43.6%,
2021:
22.9%,
2022:
7.5%)
multivariate
analysis
year
infection
strongest
predictor
survival
(
p
=
0.0001).
Comparing
2020–2021,
significantly
fewer
had
lower
respiratory
symptoms
(21.7%
vs
37.8%,
0.01),
needed
oxygen
support
(25.5%
43.2%,
or
admitted
ICU
(5.7%
33.8%,
Although
decreased
time,
CAR
recipients
remain
at
higher
risk
complications
than
general
population.
Consequently,
vigilant
monitoring
undergoing
B-cell-targeting
treatment
is
continuously
recommended
ensuring
optimal
prevention
advanced
state-of-the
art
when
needed.
European Journal of Cancer,
Год журнала:
2024,
Номер
201, С. 113603 - 113603
Опубликована: Фев. 5, 2024
Background
People
with
blood
cancer
have
increased
risk
of
severe
COVID-19
outcomes
and
poor
response
to
vaccination.
We
assessed
the
safety
effectiveness
vaccines
in
this
vulnerable
group
compared
general
population.
Methods
Individuals
aged
≥12
years
as
1st
December
2020
QResearch
primary
care
database
were
included.
adjusted
vaccine
(aVE)
against
COVID-19-related
hospitalisation
death
people
using
a
nested
matched
case-control
study.
Using
self-controlled
case
series
methodology,
we
56
pre-specified
adverse
events
within
1-28
days
first,
second
or
third
dose
without
cancer.
Findings
The
cohort
comprised
12,274,948
individuals,
whom
81,793
had
protective
cancer,
although
they
less
effective,
particularly
hospitalisation,
In
population,
aVE
was
64%
(95%
confidence
interval
[CI]
48%-75%)
14-41
after
dose,
80%
CI
78%-81%)
Against
mortality,
>80%
dose.
found
no
significant
difference
any
between
Interpretation
Our
study
provides
robust
evidence
which
supports
use
vaccinations
for