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10.1182/blood.2021012217

http://scihub22266oqcxt.onion/10.1182/blood.2021012217
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33988688!8129797!33988688
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suck abstract from ncbi


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pmid33988688      Blood 2021 ; 138 (4): 299-303
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  • Frequency of positive anti-PF4/polyanion antibody tests after COVID-19 vaccination with ChAdOx1 nCoV-19 and BNT162b2 #MMPMID33988688
  • Thiele T; Ulm L; Holtfreter S; Schonborn L; Kuhn SO; Scheer C; Warkentin TE; Broker BM; Becker K; Aurich K; Selleng K; Hubner NO; Greinacher A
  • Blood 2021[Jul]; 138 (4): 299-303 PMID33988688show ga
  • Vaccination using the adenoviral vector COVID-19 vaccine ChAdOx1 nCoV-19 (AstraZeneca) has been associated with rare vaccine-induced immune thrombotic thrombocytopenia (VITT). Affected patients test strongly positive in platelet factor 4 (PF4)/polyanion enzyme immunoassays (EIAs), and serum-induced platelet activation is maximal in the presence of PF4. We determined the frequency of anti-PF4/polyanion antibodies in healthy vaccinees and assessed whether PF4/polyanion EIA+ sera exhibit platelet-activating properties after vaccination with ChAdOx1 nCoV-19 (n = 138) or BNT162b2 (BioNTech/Pfizer; n = 143). In total, 19 of 281 participants tested positive for anti-PF4/polyanion antibodies postvaccination (All: 6.8% [95% confidence interval (CI), 4.4-10.3]; BNT162b2: 5.6% [95% CI, 2.9-10.7]; ChAdOx1 nCoV-19: 8.0% [95% CI, 4.5% to 13.7%]). Optical densities were mostly low (between 0.5 and 1.0 units; reference range, <0.50), and none of the PF4/polyanion EIA+ samples induced platelet activation in the presence of PF4. We conclude that positive PF4/polyanion EIAs can occur after severe acute respiratory syndrome coronavirus 2 vaccination with both messenger RNA- and adenoviral vector-based vaccines, but many of these antibodies likely have minor (if any) clinical relevance. Accordingly, low-titer positive PF4/polyanion EIA results should be interpreted with caution when screening asymptomatic individuals after vaccination against COVID-19. Pathogenic platelet-activating antibodies that cause VITT do not occur commonly following vaccination.
  • |*Polyelectrolytes[MESH]
  • |Adult[MESH]
  • |Asymptomatic Diseases[MESH]
  • |Autoantibodies/blood/*immunology[MESH]
  • |BNT162 Vaccine[MESH]
  • |COVID-19 Vaccines/*adverse effects[MESH]
  • |COVID-19/*prevention & control[MESH]
  • |ChAdOx1 nCoV-19[MESH]
  • |Female[MESH]
  • |Health Personnel[MESH]
  • |Humans[MESH]
  • |Immunoenzyme Techniques[MESH]
  • |Immunoglobulin G/blood/immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Platelet Activation[MESH]
  • |Platelet Factor 4/*immunology[MESH]
  • |Purpura, Thrombotic Thrombocytopenic/*etiology/immunology[MESH]
  • |Seroconversion[MESH]
  • |Thrombophilia/etiology[MESH]


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