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10.1111/ajt.16814

http://scihub22266oqcxt.onion/10.1111/ajt.16814
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34431207!9906354!34431207
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suck abstract from ncbi


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pmid34431207      Am+J+Transplant 2021 ; 21 (12): 4043-4051
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  • Weak antibody response to three doses of mRNA vaccine in kidney transplant recipients treated with belatacept #MMPMID34431207
  • Chavarot N; Morel A; Leruez-Ville M; Vilain E; Divard G; Burger C; Serris A; Sberro-Soussan R; Martinez F; Amrouche L; Bererhi L; Lanternier F; Legendre C; Zuber J; Anglicheau D; Scemla A
  • Am J Transplant 2021[Dec]; 21 (12): 4043-4051 PMID34431207show ga
  • Poor responses to mRNA COVID-19 vaccine have been reported after 2 vaccine injections in kidney transplant recipients (KTRs) treated with belatacept. We analyzed the humoral response in belatacept-treated KTRs without a history of SARS-CoV-2 infection who received three injections of BNT162b2-mRNA COVID-19 vaccine. We also investigated vaccine immunogenicity in belatacept-treated KTRs with prior COVID-19 and characterized symptomatic COVID-19 infections after the vaccine in belatacept-treated KTRs. Among the 62 belatacept-treated KTRs (36 [58%] males), the median age (63.5 years IQR [51-72]), without COVID-19 history, only four patients (6.4%) developed anti-SARS-CoV-2 IgG with low antibody titers (median 209, IQR [20-409] AU/ml). 71% were treated with mycophenolic acid and 100% with steroids in association with belatacept. In contrast, in all the 5 KTRs with prior COVID-19 history, mRNA vaccine induced a strong antibody response with high antibody titers (median 10 769 AU/ml, IQR [6410-20 069]) after two injections. Seroprevalence after three-vaccine doses in 35 non-belatacept-treated KTRs was 37.1%. Twelve KTRs developed symptomatic COVID-19 after vaccination, including severe forms (50% of mortality). Breakthrough COVID-19 occurred in 5% of fully vaccinated patients. Administration of a third dose of BNT162b2 mRNA COVID-19 vaccine did not improve immunogenicity in KTRs treated with belatacept without prior COVID-19. Other strategies aiming to improve patient protection are needed.
  • |*COVID-19[MESH]
  • |*Kidney Transplantation/adverse effects[MESH]
  • |Abatacept/therapeutic use[MESH]
  • |Aged[MESH]
  • |Antibody Formation[MESH]
  • |COVID-19 Vaccines[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |SARS-CoV-2[MESH]
  • |Seroepidemiologic Studies[MESH]
  • |Vaccines, Synthetic[MESH]


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