免疫调节药物治疗多发性硬化症患者接种SARS-CoV-2疫苗后体液免疫和细胞免疫分析

Virginia Meca-Lallana , Laura Esparcia-Pinedo , Clara Aguirre , Carolina Díaz-Pérez , Ainhoa Gutierrez-Cobos , Mónica Sobrado , Estefanía Carabajal , Beatriz del Río , Noelia Ropero , Ramón Villagrasa , José Vivancos , Francisco Sanchez-Madrid , Arantzazu Alfranca
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引用次数: 1

摘要

我们通过测量接受不同疾病改良治疗的多发性硬化症患者对不同严重急性呼吸系统综合征冠状病毒2型肽的特异性IgG滴度和T细胞反应性,分析了对严重急性呼吸综合征冠状病毒二型疫苗接种的免疫反应。在包括在内的88名患者中,72人在接种疫苗后出现任何类型的免疫反应。尽管芬戈莫德和抗CD20+治疗等DMT阻止了患者对疫苗产生强大的体液反应,但他们中的大多数人仍然能够产生细胞反应,这可能对长期免疫至关重要。建议所有MS患者服用额外/加强剂量,以增加他们对严重急性呼吸系统综合征冠状病毒2型的体液和/或细胞免疫反应。
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Analysis of humoral and cellular immunity after SARS-CoV-2 vaccination in patients with multiple sclerosis treated with immunomodulatory drugs

We analyzed immune response to SARS-CoV-2 vaccination by measuring specific IgG titers and T-cell reactivity to different SARS-CoV-2 peptides in multiple sclerosis patients taking different disease-modifying treatments. Of the 88 patients included, 72 developed any kind of immune response after vaccination. Although DMTs such as fingolimod and anti-CD20+ treatments prevented patients from developing a robust humoral response to the vaccine, most of them were still able to develop a cellular response, which could be crucial for long-term immunity. It is probably advisable that all MS patients take additional/booster doses to increase their humoral and/or cellular immune response to SARS-CoV-2.

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