Antibody response to SARS-CoV-2 vaccine in patients with asthma.

IF 1.3 4区 医学 Q3 ALLERGY Journal of Asthma Pub Date : 2025-06-01 Epub Date: 2025-02-13 DOI:10.1080/02770903.2025.2458523
Xiaoqin Zhang, Yifei Tao, Zhu Song, Lina Sun, Yongchang Sun, Rong Jin, Chun Chang
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Abstract

Background: Viral infections constitute a primary trigger for asthma exacerbations. While vaccines protect against viral infections by eliciting a Th1 immune response, the impact of the asthmatic immune milieu which is characterized by Th2 cytokine dominance and elevated IgE levels on post-vaccination antibody production remains elusive. Therefore, vaccination protocols tailored to asthma patients need to be formulated.

Methods: The levels of IgG specific for SARS-CoV-2 S protein were measured in the sera of vaccinated and unvaccinated individuals by ELISA. The differences in antibody titers between asthma patients and healthy controls, as well as among distinct asthma subgroups were analyzed.

Results: The vaccinated individuals had significantly elevated serum antibody levels compared to their unvaccinated counterparts. There were no significant differences in the antibody titers of asthma patients and healthy controls after completion of the three-dose vaccination regimen. Furthermore, no discernible variations in antibody titers were detected among the asthma subgroups.

Conclusion: Asthma patients can safely adhere to the same vaccination strategies as the general healthy population, negating the need for any specialized vaccination protocols based solely on the asthmatic immune landscape.

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哮喘患者对SARS-CoV-2疫苗的抗体反应
背景:病毒感染是哮喘发作的主要诱因。虽然疫苗通过引发Th1免疫应答来保护免受病毒感染,但哮喘免疫环境(以Th2细胞因子优势和IgE水平升高为特征)对疫苗接种后抗体产生的影响仍然难以捉摸。因此,需要制定适合哮喘患者的疫苗接种方案。方法:采用ELISA法检测接种者和未接种者血清中sars - cov - 2s蛋白特异性IgG水平。分析了哮喘患者与健康对照者之间以及不同哮喘亚组之间抗体滴度的差异。结果:与未接种疫苗的个体相比,接种疫苗的个体血清抗体水平显著升高。在完成三剂疫苗接种方案后,哮喘患者和健康对照者的抗体滴度无显著差异。此外,在哮喘亚组中没有检测到抗体滴度的明显变化。结论:哮喘患者可以安全地遵循与一般健康人群相同的疫苗接种策略,不需要任何仅基于哮喘免疫景观的专门疫苗接种方案。
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来源期刊
Journal of Asthma
Journal of Asthma 医学-过敏
CiteScore
4.00
自引率
5.30%
发文量
158
审稿时长
3-8 weeks
期刊介绍: Providing an authoritative open forum on asthma and related conditions, Journal of Asthma publishes clinical research around such topics as asthma management, critical and long-term care, preventative measures, environmental counselling, and patient education.
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