Preserved SARS-CoV-2 Vaccine Cell-Mediated Immunogenicity in Patients With Inflammatory Bowel Disease on Immune-Modulating Therapies.

Preserved SARS-CoV-2 Vaccine Cell-Mediated Immunogenicity in Patients With Inflammatory Bowel Disease on Immune-Modulating Therapies.
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DOI:
10.14309/ctg.0000000000000484
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发表时间:
2022-04-01
影响因子:
3.6
通讯作者:
--
中科院分区:
医学3区
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--
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炎症性肠病(IBDs)的免疫调节药物与次优疫苗反应有关。关于SARS-CoV-2疫苗接种的数据存在矛盾。因此,我们对29名IBD患者与12名正常健康供者进行了第二次mRNA疫苗接种后2周的SARS-CoV-2疫苗免疫原性评估。我们观察到使用英夫利昔单抗的IBD患者体液免疫功能降低。然而,我们观察到与正常健康供者相比,使用英夫利昔单抗联合硫嘌呤或维多单抗的IBD患者的体液和细胞介导免疫没有差异。这是首个证明在接受不同免疫调节药物治疗的IBD患者中,细胞介导免疫与接种SARS-CoV-2疫苗具有可比性的研究。
Immune-modulating medications for inflammatory bowel diseases (IBDs) have been associated with suboptimal vaccine responses. There are conflicting data with SARS-CoV-2 vaccination. We therefore assessed SARS-CoV-2 vaccine immunogenicity at 2 weeks after second mRNA vaccination in 29 patients with IBD compared with 12 normal healthy donors. We observed reduced humoral immunity in patients with IBD on infliximab. However, we observed no difference in humoral and cell-mediated immunity in patients with IBD on infliximab with a thiopurine or vedolizumab compared with normal healthy donors. This is the first study to demonstrate comparable cell-mediated immunity with SARS-CoV-2 vaccination in patients with IBD treated with different immune-modulating medications.
DOI: 10.1016/j.cell.2021.01.007
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