SARS-CoV-2 anti-spike antibodies after a fourth dose of COVID-19 vaccine in adult solid-organ transplant recipients.
Vaccine
; 40(44): 6404-6411, 2022 10 19.
Article
em En
| MEDLINE
| ID: mdl-36184404
ABSTRACT
BACKGROUND:
A fourth dose of SARS-CoV-2 vaccine is recommended in solid-organ transplant (SOT) recipients, but the immunogenicity is poorly known.METHODS:
We conducted a retrospective, observational, monocentric study between the 1st January 2021 and 31st March 2022 of the anti-Spike antibody titers after one to four doses of vaccine in SOT.RESULTS:
825 SOT were included. Median age at first vaccine injection was 61.2 (IQR 50.9-69.3) years; 66.7â¯% were male; 63.4â¯% had received four vaccine doses. The proportion of participants with a strong humoral response (>260 BAU/mL) increased with the number of vaccine doses 10.6â¯% after the 1st dose (D1), 35.1â¯% after the 2nd (D2), 48.5â¯% after the 3rd (D3), and 65.1â¯% after the 4th (D4) (pâ¯<â¯0.001). Among the tested patients, the proportion with a detectable humoral response was significantly higher after D4 than after D3 (47â¯% vs 22â¯%, pâ¯=â¯0.01). Liver transplant recipients had more frequently a strong humoral response after D2, D3 and D4 (ORâ¯=â¯5.3, 3.7 and 6.6 respectively when compared with other organ transplant recipients, pâ¯<â¯0.001). In kidney transplant recipients, belatacept-containing regimen was associated with a lower rate of detectable humoral (9â¯% vs 40â¯%, pâ¯=â¯0.025) after D3, but there was no statistical difference after D4.CONCLUSION:
A fourth dose should be proposed to SOT recipients who did not developed an immune response after 3 doses. Kidney transplant recipients receiving belatacept have a poorer, although frequently detectable response.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transplante de Órgãos
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COVID-19
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article