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10.1097/TP.0000000000003922

http://scihub22266oqcxt.onion/10.1097/TP.0000000000003922
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34381004!8549126!34381004
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suck abstract from ncbi


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pmid34381004      Transplantation 2021 ; 105 (11): e226-e233
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  • Serological Response to the BNT162b2 COVID-19 mRNA Vaccine in Adolescent and Young Adult Kidney Transplant Recipients #MMPMID34381004
  • Haskin O; Ashkenazi-Hoffnung L; Ziv N; Borovitz Y; Dagan A; Levi S; Koren G; Hamdani G; Levi-Erez D; Landau D; Alfandary H
  • Transplantation 2021[Nov]; 105 (11): e226-e233 PMID34381004show ga
  • BACKGROUND: Initial reports in adult kidney transplant recipients (KTR) indicate low immunogenicity after 2 doses of the BNT162b2 COVID-19 mRNA vaccine. We describe the immunogenicity of this vaccine compared to the serologic response in naturally infected COVID-19 positive adolescent and young adult KTR. METHODS: For this prospective observational study, the study group included 38 KTR who received 2 doses of the tested vaccine, and the control group included 14 KTR who had a previous polymerase chain reaction-confirmed COVID-19 infection. RESULTS: The mean age was 18 +/- 3 y. Positive serologic responses were observed in 63% and 100% of the study and control groups, respectively (P = 0.01). Antibody titers were almost 30-fold higher in the control than the study group (median [interquartile range (IQR)]: 2782 [1908-11 000] versus 100.3 [4.7-1744] AU/mL, P < 0.001), despite the longer time from the COVID-19 infection to serologic testing compared to time from vaccination (median [IQR]: 157.5 [60-216] versus 37 [20.5-53] d, P = 0.011). Among vaccinated patients, higher proportions of those seronegative than seropositive were previously treated with rituximab (50% versus 8%, P = 0.01). Time from the second vaccine dose to serologic testing was longer in seropositive than seronegative patients (median [IQR]: 24.5 [15-40] versus 46 [27-56] d, P = 0.05). No patient developed symptomatic COVID-19 disease postvaccination. CONCLUSIONS: The BNT162b2 COVID-19 mRNA vaccine yielded higher positive antibody response in adolescent and young adult KTR than previously reported for adult KTR. Antibody titers after vaccination were significantly lower than following COVID-19 infection. Longer time may be required to mount appropriate humoral immunity to vaccination in KTR.
  • |*Immunocompromised Host[MESH]
  • |Adolescent[MESH]
  • |Antibodies, Viral/blood/immunology[MESH]
  • |BNT162 Vaccine[MESH]
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19 Vaccines/administration & dosage/*immunology[MESH]
  • |COVID-19/blood/diagnosis/immunology/*prevention & control[MESH]
  • |Case-Control Studies[MESH]
  • |Child[MESH]
  • |Female[MESH]
  • |Graft Rejection/immunology/prevention & control[MESH]
  • |Humans[MESH]
  • |Immunogenicity, Vaccine/drug effects[MESH]
  • |Immunosuppressive Agents/administration & dosage/adverse effects[MESH]
  • |Kidney Transplantation/*adverse effects[MESH]
  • |Male[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2/*immunology/isolation & purification[MESH]
  • |Transplant Recipients/statistics & numerical data[MESH]


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