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10.7150/jca.53863

http://scihub22266oqcxt.onion/10.7150/jca.53863
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33758621!7974873!33758621
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suck abstract from ncbi


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pmid33758621      J+Cancer 2021 ; 12 (8): 2450-2455
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  • Impact of chemotherapy on lymphocytes and serological memory in recovered COVID-19 patients with acute leukemia #MMPMID33758621
  • Liu W; Li Z; He W; Yu D; Wang P; Cai L; Yang P; Chen X; Zhang X; Zhou H
  • J Cancer 2021[]; 12 (8): 2450-2455 PMID33758621show ga
  • Chemotherapy is the major method of treatment for acute leukemia to date, while intensive chemotherapy may impair immunity. We previously reported that leukemia patients were more susceptible to COVID-19 than the overall population. However, for COVID-19 recovered patients with leukemia, the impacts of intensive chemotherapy on the immune memory of COVID-19 are unknown. This study characterized the changes in immune cells and SARS-CoV-2 antibodies in acute leukemia patients, who underwent chemotherapy after recovering from COVID-19. The study enrolled three groups of individuals. One group was a total of three acute leukemia patients, who recovered well from COVID-19 before the last cycle of chemotherapy. The other two groups were six COVID-19 recovered healthy people, and six normal uninfected healthy people, respectively. Levels of B cells, T cells, and NK cells in peripheral blood were analyzed by multiparameter flow cytometry. Besides, the SARS-CoV-2 antibodies were monitored. The results showed that B cells were severely decreased after chemotherapy, especially memory B cells. Most of the T cells and NK cells showed only minor changes after chemotherapy, except for gammadelta T cells. The serum levels of SARS-CoV-2 antibodies were not significantly affected after chemotherapy in two leukemia patients. However, interestingly, one leukemia patient's SARS-CoV-2 IgM showed dramatically increase, suggesting possible loss of serological memory after chemotherapy. These findings raised the concern for the stability of immune memory against SARS-CoV-2 during chemotherapy and the choice of anti-leukemia treatment in the COVID-19 pandemic.
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