Academic Journal

SARS-CoV-2 Specific Antibody Response and T Cell-Immunity in Immunocompromised Patients up to Six Months Post COVID: A Pilot Study

التفاصيل البيبلوغرافية
العنوان: SARS-CoV-2 Specific Antibody Response and T Cell-Immunity in Immunocompromised Patients up to Six Months Post COVID: A Pilot Study
المؤلفون: Johanna Sjöwall, Maria Hjorth, Annette Gustafsson, Robin Göransson, Marie Larsson, Hjalmar Waller, Johan Nordgren, Åsa Nilsdotter-Augustinsson, Sofia Nyström
المصدر: Journal of Clinical Medicine; Volume 11; Issue 12; Pages: 3535
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2022
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: COVID-19, immunocompromised, SARS-CoV-2 specific T cell responses, SARS-CoV-2 IgG, viral load, immunity
الوصف: COVID-19 generates SARS-CoV-2-specific antibodies in immunocompetent individuals. However, in immunocompromised patients, the humoral immunity following infection may be impaired or absent. Recently, the assessment of cellular immunity to SARS-CoV-2, both following natural infection and vaccination, has contributed new knowledge regarding patients with low or no antibody responses. As part of a prospective cohort study which included hospitalized patients with COVID-19, we identified immunocompromised patients and compared them with age- and sex-matched immunocompetent patients regarding co-morbidities, biomarkers of COVID-19 and baseline viral load by real-time PCR in nasopharyngeal swabs. Spike and nucleocapsid antibody responses were analyzed at inclusion and after two weeks, six weeks and six months. Plasma immunoglobulin G (IgG) levels were quantified, lymphocyte phenotyping was performed, and SARS-CoV-2 specific CD4 and CD8 T cell responses after in vitro antigen stimulation were assessed at six months post infection. All patients showed IgG levels above or within reference limits. At six months, all patients had detectable SARS-CoV-2 anti-spike antibody levels. SARS-CoV-2 specific T cell responses were detected in 12 of 12 immunocompetent patients and in four of six immunocompromised patients. The magnitude of long-lived SARS-CoV-2 specific T cell responses were significantly correlated with the number of CD4 T cells and NK cells. Determining the durability of the humoral and cellular immune response against SARS-CoV-2 in immunocompromised individuals could be of importance by providing insights into the risk of re-infection and the need for vaccine boosters.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
Relation: Infectious Diseases; https://dx.doi.org/10.3390/jcm11123535
DOI: 10.3390/jcm11123535
الاتاحة: https://doi.org/10.3390/jcm11123535
Rights: https://creativecommons.org/licenses/by/4.0/
رقم الانضمام: edsbas.C6E1F370
قاعدة البيانات: BASE