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Comprehensive investigations revealed consistent pathophysiological alterations after vaccination with COVID-19 vaccines #MMPMID34697287
Liu J; Wang J; Xu J; Xia H; Wang Y; Zhang C; Chen W; Zhang H; Liu Q; Zhu R; Shi Y; Shen Z; Xing Z; Gao W; Zhou L; Shao J; Shi J; Yang X; Deng Y; Wu L; Lin Q; Zheng C; Zhu W; Wang C; Sun YE; Liu Z
Cell Discov 2021[Oct]; 7 (1): 99 PMID34697287show ga
Large-scale COVID-19 vaccinations are currently underway in many countries in response to the COVID-19 pandemic. Here, we report, besides generation of neutralizing antibodies, consistent alterations in hemoglobin A1c, serum sodium and potassium levels, coagulation profiles, and renal functions in healthy volunteers after vaccination with an inactivated SARS-CoV-2 vaccine. Similar changes had also been reported in COVID-19 patients, suggesting that vaccination mimicked an infection. Single-cell mRNA sequencing (scRNA-seq) of peripheral blood mononuclear cells (PBMCs) before and 28 days after the first inoculation also revealed consistent alterations in gene expression of many different immune cell types. Reduction of CD8(+) T cells and increase in classic monocyte contents were exemplary. Moreover, scRNA-seq revealed increased NF-kappaB signaling and reduced type I interferon responses, which were confirmed by biological assays and also had been reported to occur after SARS-CoV-2 infection with aggravating symptoms. Altogether, our study recommends additional caution when vaccinating people with pre-existing clinical conditions, including diabetes, electrolyte imbalances, renal dysfunction, and coagulation disorders.