Current Pharmaceutical Design,
Год журнала:
2022,
Номер
28(39), С. 3225 - 3230
Опубликована: Окт. 21, 2022
Background:
Coronavirus
Disease-19
(COVID-19)
is
implicated
in
endotheliitis
which
adversely
affects
cardiovascular
events.
The
impact
of
vaccination
with
COVID-19
on
the
clinical
outcome
patients
documented.
Objective:
To
evaluate
severe
acute
respiratory
syndrome,
coronavirus-2
(SARS-CoV-2)
infection-related
endothelial
impairment.
Methods:
We
enrolled
45
hospitalized
for
(either
vaccinated
or
not
against
SARS-CoV-2).
Clinical
and
laboratory
data
were
collected,
brachial
artery
flow-mediated
dilation
(FMD)
was
evaluated.
Subjects
without
used
as
control
group.
Results:
There
no
difference
age
(64.7±7.5
years
vs.
61.2±11.1
62.4±9.5,
p=0.28)
male
sex
(49%
60%
52%,
p=0.71),
between
subjects,
vaccinated,
unvaccinated
subjects
respectively.
Of
COVID-19,
44%
SARS-CoV-2.
Unvaccinated
had
significantly
impaired
FMD
compared
to
Control
(2.05±2.41
%
7.24±2.52
7.36±2.94
%,
p<0.001).
Importantly,
post
hoc
tests
revealed
that
from
both
Vaccinated
(p<0.001)
form
(p<0.001).
group
(p=0.99).
Conclusion:
Hospitalized
present
dysfunction
phase
disease.
Endothelial
function
well
COVID-19.
do
show
dysfunction,
strengthening
protective
role
Scientific Reports,
Год журнала:
2022,
Номер
12(1)
Опубликована: Апрель 28, 2022
Cardiovascular
adverse
conditions
are
caused
by
coronavirus
disease
2019
(COVID-19)
infections
and
reported
as
side-effects
of
the
COVID-19
vaccines.
Enriching
current
vaccine
safety
surveillance
systems
with
additional
data
sources
may
improve
understanding
safety.
Using
a
unique
dataset
from
Israel
National
Emergency
Medical
Services
(EMS)
to
2021,
study
aims
evaluate
association
between
volume
cardiac
arrest
acute
coronary
syndrome
EMS
calls
in
16-39-year-old
population
potential
factors
including
infection
vaccination
rates.
An
increase
over
25%
was
detected
both
call
types
during
January-May
compared
years
2019-2020.
Negative
Binomial
regression
models,
weekly
emergency
counts
were
significantly
associated
rates
1st
2nd
doses
administered
this
age
group
but
not
While
establishing
causal
relationships,
findings
raise
concerns
regarding
vaccine-induced
undetected
severe
cardiovascular
underscore
already
established
relationship
vaccines
myocarditis,
frequent
cause
unexpected
young
individuals.
Surveillance
outcomes
should
incorporate
other
health
identify
public
trends
(e.g.,
increased
calls),
promptly
investigate
underlying
causes.
Journal of Stroke and Cerebrovascular Diseases,
Год журнала:
2022,
Номер
31(6), С. 106440 - 106440
Опубликована: Март 4, 2022
ObjectivesDevelopment
of
safe
and
effective
vaccines
against
coronavirus
disease
2019
(COVID-19)
remains
the
cornerstone
controlling
this
pandemic.
However,
there
are
increasing
reports
various
types
stroke
including
ischemic
stroke,
hemorrhagic
as
well
cerebral
venous
sinus
thrombosis
(CVST)
after
COVID-19
vaccination.
This
paper
aims
to
review
associated
with
provide
a
coherent
clinical
picture
condition.Materials
methodsA
literature
was
performed
focus
on
data
from
recent
studies.ResultsMost
such
patients
women
under
60
years
age
who
had
received
ChAdOx1
nCoV-19
vaccine.
Most
studies
reported
CVST
or
without
secondary
some
Vaccine-induced
Thrombotic
Thrombocytopenia
(VITT).
The
most
common
symptom
seen
vaccination
headache.
course
may
be
more
severe
than
not
COVID
Management
following
is
challenging
differ
standard
treatment
CVST.
Low
molecular
weight
heparin
commonly
used
in
CVST;
however,
it
worsen
outcomes
VITT.
Furthermore,
administration
intravenous
immunoglobulin
high-dose
glucocorticoids
have
been
recommended
success
rates.ConclusionThese
contradictory
observations
source
confusion
decision-making
warrant
further
study
development
guidelines.
Clinicians
should
aware
presentation,
diagnosis,
management
Vaccines,
Год журнала:
2022,
Номер
10(2), С. 232 - 232
Опубликована: Фев. 3, 2022
To
date,
billions
of
vaccine
doses
have
been
administered
to
restrain
the
current
COVID-19
pandemic
worldwide.
Rare
side
effects,
including
intravascular
blood
clots,
were
reported
in
general
population
after
vaccination.
Among
these,
cerebral
venous
sinus
thrombosis
(CVST)
has
considered
most
serious
one.
shed
further
light
on
such
an
event,
we
conducted
a
literature
search
for
case
descriptions
CVST
vaccinated
people.
Findings
analyzed
with
emphasis
demographic
characteristics,
type
vaccine,
site
thrombosis,
clinical
and
histopathological
findings.
From
258
potential
articles
published
till
September
2021,
41
studies
retrieved
total
552
patients.
Of
492
patients
(89.1%)
had
received
AZD1222/Vaxzevria,
45
(8.2%)
BNT162b2/CX-024414
Spikevax,
15
(2.7%)
JNJ-78436735,
2
(0.3%)
Covishield
vaccine.
occurred
382
women
170
men
(mean
aged
44
years),
median
timing
from
shot
was
9
days
(range
2-45).
Thrombi
predominantly
seen
transverse
(84%),
sigmoid
(66%),
and/or
superior
sagittal
(56%)
sinuses.
Brain
injury
(chiefly
intracranial
bleeding)
32%
cases.
426
detailed
course,
63%
discharged
good
conditions,
at
times
variable
neurological
sequelae,
whereas
37%
deceased,
largely
due
brain
injury.
This
narrative
review
confirmed
as
rare
event
(adenoviral
vector)
vaccination,
women/men
rate
ratio
2.25.
Though
pathogenesis
is
still
under
discussion,
currently
available
findings
likely
indicate
underlying
immune
vasculitis.
Clinical and Applied Thrombosis/Hemostasis,
Год журнала:
2022,
Номер
28
Опубликована: Янв. 1, 2022
The
progress
in
the
development
of
various
vaccine
platforms
against
SARS-CoV-2
have
been
rather
remarkable
owing
to
advancement
molecular
and
biologic
sciences.
Most
current
vaccines
those
focus
on
targeting
viral
spike
proteins
by
generating
antibodies
varying
spectrum.
These
represent
a
variety
including
whole
virus
vaccines,
vector
nucleic
acid
representing
RNA,
DNA,
their
hybrid
forms.The
therapeutic
efficacy
these
varies
pharmacodynamic
individualities.
COVID-19
variants
are
capable
inducing
different
pathologic
responses
some
which
may
be
resistant
generated
vaccines.
clinical
use
has
through
emergency
authorization
until
recently.
Moreover,
safety
tested
substantial
numbers
individuals
but
studies
special
populations
that
better
reflect
global
population
pending
results.
specialized
include
young
children,
immunocompromised
patients,
pregnant
individuals,
other
groups.
Combination
approaches,
molecularly
modified
vaccination
conferring
longer
periods
immunity
being
currently
investigated,
as
well
pharmacovigilance
studies.The
continual
transformation
its
concern
along
with
breakthrough
infections.
considerations
pose
new
challenges
for
platforms.
For
this
purpose,
booster
doses,
combination
modalities
discussed.
This
review
provides
an
updated
account
available
advanced
reference
composition
mechanisms
action.A
discussion
women
also
included.
Annals of Translational Medicine,
Год журнала:
2021,
Номер
9(20), С. 1605 - 1605
Опубликована: Сен. 1, 2021
Severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
has
caused
a
worldwide
pandemic
of
the
multisystem
disease
disease-2019
(COVID-19).
Since
development
COVID-19
vaccines,
there
been
extensive
monitoring
for
potential
serious
side
effects.
We
report
an
unusual
presentation
deep
vein
thrombosis
(DVT)
in
right
upper
extremity
27-year-old
Caucasian
female,
3
days
after
receipt
her
second
dose
Moderna
vaccine.
Her
relevant
thrombophilia
workup
was
negative
on
initial
presentation.
She
treated
with
rivaroxaban
months
and
symptoms
swelling,
pain
improved.
Considering
our
case
did
not
have
any
evidence
thrombocytopenia,
we
discuss
possible
pathophysiology
DVT
following
vaccine
contrast
to
adenoviral
vector
vaccines
(ChAdOx1
nCoV-19
Ad26.COV2.S),
including
mRNA
binding
pattern
recognition
receptors
(PRR)
endosomes
cytosol
leading
pro
inflammatory
cascade
coagulopathy.
highlight
importance
post
vaccination,
that
should
include
complete
blood
count
(CBC)
platelet
count,
international
normalized
ratio
(INR),
prothrombin
time
(PTT),
D-dimer
levels,
fibrinogen
factor
4
(PF4)/heparin
enzyme-linked
immunosorbent
assays
(ELISA)
followed
by
confirmatory
PF4
activation
assay
such
as
serotonin
release
assay,
P-selectin
expression
or
heparin
induced
aggregation
(HIPA)
imaging
thrombosis.
Annals of Thoracic Medicine,
Год журнала:
2022,
Номер
17(1), С. 1 - 13
Опубликована: Янв. 1, 2022
Severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
is
a
highly
transmissible
and
pathogenic
responsible
for
the
pandemic
disease
19
(COVID-19).
It
has
significant
impact
on
human
health
public
safety
along
with
negative
social
economic
consequences.
Vaccination
against
SARS-CoV-2
likely
most
effective
approach
to
sustainably
control
global
COVID-19
pandemic.
in
reducing
risk
of
severe
disease.
Mass-scale
vaccination
will
help
us
attaining
herd
immunity
lessen
health,
conditions.
The
present
stimulated
development
several
vaccines
based
different
platforms.
Although
vaccine
safe
efficacious,
rare
cases
thrombosis
thrombocytopenia
following
use
ChAdOx1
CoV-19
(AstraZeneca,
University
Oxford,
Serum
Institute
India)
or
Ad26.COV2.S
(Janssen/Johnson
&
Johnson)
have
been
reported
globally.
This
review
focussed
definition,
epidemiology,
pathogenesis,
clinical
features,
diagnosis,
management
associated
thrombosis.
Frontiers in Immunology,
Год журнала:
2021,
Номер
12
Опубликована: Дек. 7, 2021
Facing
the
imminent
need
for
vaccine
candidates
with
cross-protection
against
globally
circulating
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
mutants,
we
present
a
conserved
antigenic
peptide
RBD9.1
both
T-cell
and
B-cell
epitopes.
can
be
recognized
by
disease
2019
(COVID-19)
convalescent
serum,
particularly
those
high
neutralizing
potency.
Immunization
successfully
induce
production
of
receptor-binding
domain
(RBD)-specific
antibodies
in
Balb/c
mice.
Importantly,
immunized
sera
exhibit
sustained
efficacy
multiple
dominant
SARS-CoV-2
variant
strains,
including
B.1.617.2
that
carries
point
mutation
(S
L452R
)
within
sequence
RBD9.1.
Specifically,
S
Y451
Y454
are
identified
as
key
amino
acids
binding
induced
RBD-specific
to
Furthermore,
have
confirmed
448-456
(NYNYLYRLF)-specific
CD8
+
response.
Both
RBD9.1-specific
B
cells
-specific
T
still
activated
more
than
3
months
post
last
immunization.
This
study
provides
potential
candidate
generate
long-term
protective
over
variants,
unique
functional
mechanism
activating
humoral
cellular
immunity.