Humoral and T-cell response 12 months after the first BNT162b2 vaccination in solid organ transplant recipients and controls: Kinetics, associated factors, and role of SARS-CoV-2 infection.
Front Immunol
; 13: 1075423, 2022.
Article
in English
| MEDLINE | ID: covidwho-2234854
ABSTRACT
Introduction:
We investigated humoral and T-cell responses within 12 months after first BNT162b2 vaccine in solid organ transplant (SOT) recipients and controls who had received at least three vaccine doses. Furthermore, we compared the immune response in participants with and without previous SARS-CoV-2 infection.Methods:
We included adult liver, lung, and kidney transplant recipients, and controls were selected from a parallel cohort of healthcare workers.Results:
At 12th-month, the IgG geometric mean concentrations (GMCs) (P<0.001), IgA GMCs (P=0.003), and median IFN-γ (P<0.001) were lower in SOT recipients than in controls. However, in SOT recipients and controls with previous infection, the neutralizing index was 99%, and the IgG, and IgA responses were comparable. After adjustment, female-sex (aOR 3.6, P<0.009), kidney (aOR 7.0, P= 0.008) or lung transplantation (aOR 7.5, P= 0.014), and use of mycophenolate (aOR 5.2, P=0.03) were associated with low IgG non response. Age (OR1.4, P=0.038), time from transplantation to first vaccine (OR 0.45, P<0.035), and previous SARS-CoV-2 infection (OR 0.14, P<0.001), were associated with low IgA non response. Diabetes (OR2.4, P=0.044) was associated with T-cell non response.Conclusion:
In conclusion, humoral and T-cell responses were inferior in SOT recipients without previous SARS-CoV-2 infection but comparable to controls in SOT recipients with previous infection.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Kidney Transplantation
/
Lung Transplantation
/
COVID-19
/
BNT162 Vaccine
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Topics:
Vaccines
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Front Immunol
Year:
2022
Document Type:
Article
Affiliation country:
Fimmu.2022.1075423
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