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10.1111/ajt.16348

http://scihub22266oqcxt.onion/10.1111/ajt.16348
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suck abstract from ncbi


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pmid33047493      Am+J+Transplant 2021 ; 21 (2): 854-863
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  • T cell and antibody responses to SARS-CoV-2: Experience from a French transplantation and hemodialysis center during the COVID-19 pandemic #MMPMID33047493
  • Candon S; Guerrot D; Drouot L; Lemoine M; Lebourg L; Hanoy M; Boyer O; Bertrand D
  • Am J Transplant 2021[Feb]; 21 (2): 854-863 PMID33047493show ga
  • Immunosuppressed organ-transplanted patients are considered at risk for severe forms of COVID-19. Moreover, exaggerated innate and adaptive immune responses might be involved in severe progression of the disease. However, no data on the immune response to SARS-CoV-2 in transplanted patients are currently available. Here, we report the first assessment of antibody and T cell responses to SARS-CoV-2 in 11 kidney-transplanted patients recovered from RT-PCR-confirmed (n = 5) or initially suspected (n = 6) COVID-19. After reduction of immunosuppressive therapy, RT-PCR-confirmed COVID-19 transplant patients were able to mount vigorous antiviral T cell and antibody responses, as efficiently as two nontherapeutically immunosuppressed COVID-19 patients on hemodialysis. By contrast, six RT-PCR-negative patients displayed no antibody response. Among them, three showed very low numbers of SARS-CoV-2-reactive T cells, whereas no T cell response was detected in the other three, potentially ruling out COVID-19 diagnosis. Low levels of T cell reactivity to SARS-CoV-2 were also detected in seronegative healthy controls without known exposure to the virus. These results suggest that during COVID-19, monitoring both T cell and serological immunity might be helpful for the differential diagnosis of COVID-19 but are also needed to evaluate a potential role of antiviral T cells in the development of severe forms of the disease.
  • |*Antibody Formation[MESH]
  • |*Immunocompromised Host[MESH]
  • |*Kidney Transplantation[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Antibodies, Viral/*immunology/metabolism[MESH]
  • |Antigens, Viral/immunology[MESH]
  • |Biomarkers/metabolism[MESH]
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19/diagnosis/epidemiology/etiology/*immunology[MESH]
  • |Case-Control Studies[MESH]
  • |Enzyme-Linked Immunospot Assay[MESH]
  • |Female[MESH]
  • |France/epidemiology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Postoperative Complications/diagnosis/epidemiology/*immunology[MESH]
  • |Renal Dialysis[MESH]


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