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10.1016/j.cmi.2021.04.028

http://scihub22266oqcxt.onion/10.1016/j.cmi.2021.04.028
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33957273!8091803!33957273
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suck abstract from ncbi


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pmid33957273      Clin+Microbiol+Infect 2021 ; 27 (8): 1173.e1-1173.e4
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  • Antibody response to SARS-CoV-2 mRNA vaccine among kidney transplant recipients: a prospective cohort study #MMPMID33957273
  • Rozen-Zvi B; Yahav D; Agur T; Zingerman B; Ben-Zvi H; Atamna A; Tau N; Mashraki T; Nesher E; Rahamimov R
  • Clin Microbiol Infect 2021[Aug]; 27 (8): 1173.e1-1173.e4 PMID33957273show ga
  • OBJECTIVES: We aimed to evaluate the rates of antibody response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mRNA vaccine among kidney transplant recipients, and to identify factors associated with reduced immunogenicity. METHODS: This was a prospective cohort study including consecutive kidney transplant recipients in a single referral transplant centre. Participants were tested for anti-spike (anti-S) antibodies 2-4 weeks after a second vaccine dose. Primary outcome was rate of seropositivity. Univariate and multivariate analyses were conducted to identify factors associated with seropositivity. RESULTS: Of 308 kidney transplant recipients included, only 112 (36.4%) tested positive for anti-S antibodies 2-4 weeks after receiving the second dose of BNT162b2 vaccine. Median antibody titre was 15.5 AU/mL (interquartile range (IQR) 3.5-163.6). Factors associated with antibody response were higher estimated glomerular filtration rate (eGFR) (odds ratio (OR) 1.025 per mL/min/1.73 m(2), 95% confidence interval (CI) 1.014-1.037, p < 0.001), lower mycophenolic acid dose (OR 2.347 per 360 mg decrease, 95%CI 1.782-3.089, p < 0.001), younger age (OR 1.032 per year decrease, 95%CI 1.015-1.05, p < 0.001) and lower calcineurin inhibitor (CNI) blood level (OR 1.987, 95%CI 1.146-3.443, p 0.014). No serious adverse events resulting from the vaccine were reported. CONCLUSIONS: Kidney transplant recipients demonstrated an inadequate antibody response to SARS-CoV-2 mRNA vaccination. Immunosuppression level was a significant factor in this response. Strategies to improve immunogenicity should be examined in future studies.
  • |Adult[MESH]
  • |Aged[MESH]
  • |BNT162 Vaccine[MESH]
  • |COVID-19 Vaccines/genetics/*immunology[MESH]
  • |COVID-19/epidemiology/*prevention & control/virology[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunity[MESH]
  • |Immunogenicity, Vaccine/genetics/*immunology[MESH]
  • |Immunosuppression Therapy/adverse effects[MESH]
  • |Kidney Transplantation/*adverse effects[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]
  • |RNA, Messenger/genetics/*immunology[MESH]
  • |SARS-CoV-2/genetics/*immunology[MESH]


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