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10.1016/j.kint.2021.03.009

http://scihub22266oqcxt.onion/10.1016/j.kint.2021.03.009
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33774082!7992297!33774082
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suck abstract from ncbi


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pmid33774082      Kidney+Int 2021 ; 99 (6): 1470-1477
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  • Longevity of SARS-CoV-2 immune responses in hemodialysis patients and protection against reinfection #MMPMID33774082
  • Clarke CL; Prendecki M; Dhutia A; Gan J; Edwards C; Prout V; Lightstone L; Parker E; Marchesin F; Griffith M; Charif R; Pickard G; Cox A; McClure M; Tedder R; Randell P; Greathead L; Guckian M; McAdoo SP; Kelleher P; Willicombe M
  • Kidney Int 2021[Jun]; 99 (6): 1470-1477 PMID33774082show ga
  • Patients with end stage kidney disease receiving in-center hemodialysis (ICHD) have had high rates of SARS-CoV-2 infection. Following infection, patients receiving ICHD frequently develop circulating antibodies to SARS-CoV-2, even with asymptomatic infection. Here, we investigated the durability and functionality of the immune responses to SARS-CoV-2 infection in patients receiving ICHD. Three hundred and fifty-six such patients were longitudinally screened for SARS-CoV-2 antibodies and underwent routine PCR-testing for symptomatic and asymptomatic infection. Patients were regularly screened for nucleocapsid protein (anti-NP) and receptor binding domain (anti-RBD) antibodies, and those who became seronegative at six months were screened for SARS-CoV-2 specific T-cell responses. One hundred and twenty-nine (36.2%) patients had detectable antibody to anti-NP at time zero, of whom 127 also had detectable anti-RBD. Significantly, at six months, 71/111 (64.0%) and 99/116 (85.3%) remained anti-NP and anti-RBD seropositive, respectively. For patients who retained antibody, both anti-NP and anti-RBD levels were reduced significantly after six months. Eleven patients who were anti-NP seropositive at time zero, had no detectable antibody at six months; of whom eight were found to have SARS-CoV-2 antigen specific T cell responses. Independent of antibody status at six months, patients with baseline positive SARS-CoV-2 serology were significantly less likely to have PCR confirmed infection over the following six months. Thus, patients receiving ICHD mount durable immune responses six months post SARS-CoV-2 infection, with fewer than 3% of patients showing no evidence of humoral or cellular immunity.
  • |Antibodies, Viral/*analysis[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19/*immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunity[MESH]
  • |Kidney Failure, Chronic/*therapy[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Polymerase Chain Reaction[MESH]
  • |Reinfection[MESH]
  • |Renal Dialysis/*adverse effects[MESH]
  • |SARS-CoV-2/*immunology/isolation & purification[MESH]


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