Multiple sclerosis patients under treatment with interferon β1-a or ocrelizumab exhibit different T and B cell responses to SARS-CoV-2 vaccine - Scorecard - MDSpire

Multiple sclerosis patients under treatment with interferon β1-a or ocrelizumab exhibit different T and B cell responses to SARS-CoV-2 vaccine

  • By

  • Antonietta Liotti

  • Giorgia Teresa Maniscalco

  • Anne Lise Ferrara

  • Valeria Mazzone

  • Maedeh Dehbozorgi

  • Annamária Szabó

  • Martina Belardo

  • Daria Marcogiuseppe

  • Antonio De Martino

  • Maria Elena Di Battista

  • Giovanna Servillo

  • Ornella Moreggia

  • Daniele Di Giulio Cesare

  • Vincenzo Andreone

  • Gilda Varricchi

  • Veronica De Rosa

  • June 16, 2026

  • 0 min

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Clinical Scorecard: Differential T and B Cell Responses to SARS-CoV-2 Vaccination in Multiple Sclerosis Patients Treated with Interferon β1-a or Ocrelizumab

At a Glance

CategoryDetail
Condition
Key MechanismsImmunomodulatory effects of Disease-Modifying Therapies (DMTs) on immune response to SARS-CoV-2 vaccination.
Target Population
Care Setting

Key Highlights

  • CD20+ B-cells decreased in OCRE-treated pwMS compared to IFN-treated pwMS.
  • Comparable CD8+ and CD4+ T cell responses between both treatment groups.
  • Th17 cells increased post-vaccination only in OCRE-treated group.
  • Robust spike-specific T cell response observed in both groups.
  • Significant decrease of Treg frequency in both pwMS groups post-vaccination.

Guideline-Based Recommendations

Diagnosis

  • Evaluate immunosuppressive effects of specific DMTs during vaccination.

Management

  • Monitor immune responses in pwMS receiving DMTs during SARS-CoV-2 vaccination.

Monitoring & Follow-up

  • Assess T and B cell subsets and their responses before and after vaccination.

Risks

  • Increased susceptibility to infections and reduced vaccine efficacy in pwMS on DMTs.

Patient & Prescribing Data

Patients aged 18-65 diagnosed with MS and treated with DMTs for at least 6 months.

Clinical Best Practices

  • Conduct longitudinal studies to evaluate vaccine-induced immune responses in pwMS.

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