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10.1097/TP.0000000000003824

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34028386!8380692!34028386
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suck abstract from ncbi


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pmid34028386      Transplantation 2021 ; 105 (9): 2119-2123
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  • Immunogenicity and Reactogenicity After SARS-CoV-2 mRNA Vaccination in Kidney Transplant Recipients Taking Belatacept #MMPMID34028386
  • Ou MT; Boyarsky BJ; Chiang TPY; Bae S; Werbel WA; Avery RK; Tobian AAR; Massie AB; Segev DL; Garonzik-Wang JM
  • Transplantation 2021[Sep]; 105 (9): 2119-2123 PMID34028386show ga
  • BACKGROUND: Belatacept may impair humoral immunity, impacting the effectiveness of SARS-CoV-2 mRNA vaccines in transplant recipients. We investigated immunogenicity after SARS-CoV-2 mRNA vaccines in kidney transplant recipients who are and are not taking belatacept. METHODS: Participants were recruited between December 9, 2020, and April 1, 2021. Blood samples were collected after dose 1 and dose 2 (D1, D2) and analyzed using either an anti-SARS-CoV-2 enzyme immunoassay against the S1 domain of the SARS-CoV-2 spike protein or immunoassay against the receptor-binding domain of the SARS-CoV-2 spike protein. Stabilized inverse probability of treatment weights was used to compare immunogenicity, and a weighted logistics regression was used to calculate fold change of positive response. RESULTS: Among the 609 participants studied, 24 (4%) were taking belatacept. After dose 1, 0/24 (0%) belatacept patients had detectable antibodies, compared with 77 of 568 (14%) among the equivalent nonbelatacept population (P = 0.06). After dose 2, 1/19 (5%) belatacept patients had detectable antibodies, compared with 190/381 (50%) among the equivalent nonbelatacept population (P < 0.001). Belatacept use was associated with 16.7-fold lower odds of having a positive post-D2 titer result (P < 0.01). CONCLUSIONS: Additional measures need to be explored to protect kidney transplant recipients taking belatacept. Best safety practices should be continued despite vaccination among this population.
  • |*Immunity, Humoral[MESH]
  • |Abatacept/*pharmacology[MESH]
  • |Aged[MESH]
  • |Antibodies, Viral/blood[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Comorbidity[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Graft Rejection/drug therapy/*immunology[MESH]
  • |Humans[MESH]
  • |Immunosuppressive Agents/pharmacology[MESH]
  • |Kidney Transplantation/*adverse effects[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |RNA, Viral/*analysis[MESH]
  • |Renal Insufficiency/epidemiology/*surgery[MESH]
  • |Retrospective Studies[MESH]


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