Humoral and cellular responses after COVID-19 booster vaccination in patients recently treated with anti-CD20 antibodies - Summary - MDSpire

Humoral and cellular responses after COVID-19 booster vaccination in patients recently treated with anti-CD20 antibodies

  • By

  • Masashi Nishikubo

  • Yoshimitsu Shimomura

  • Ryusuke Yamamoto

  • Satoshi Yoshioka

  • Hayato Maruoka

  • Seiko Nasu

  • Tomomi Nishioka

  • Kenji Sakizono

  • Satoshi Mitsuyuki

  • Tomoyo Kubo

  • Naoki Okada

  • Daishi Nakagawa

  • Kimimori Kamijo

  • Hiroharu Imoto

  • Yuya Nagai

  • Nobuhiro Hiramoto

  • Noboru Yonetani

  • Tadakazu Kondo

  • Chisato Miyakoshi

  • Asako Doi

  • Takayuki Ishikawa

  • January 23, 2023

  • 0 min

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Objective:

To investigate humoral and cellular responses among patients recently treated with anti-CD20 antibodies after a third dose of mRNA COVID-19 vaccines administered at longer intervals, emphasizing the potential for improved immune response.

Key Findings:
  • Humoral responses increased from 15% before to 42% after the third vaccination in patients, indicating a significant improvement.
  • T-cell responses were observed in 30% of patients before and 51% after the third vaccination, highlighting the enhanced immune activation.
  • Overall, 72% of patients exhibited either humoral or cellular responses after the third vaccination, demonstrating the effectiveness of the booster.
Interpretation:

The study suggests that a longer interval between anti-CD20 antibody treatment and booster vaccination may enhance immune responses in patients with hematologic diseases, potentially informing future vaccination strategies.

Limitations:
  • Small sample size may limit generalizability, suggesting the need for larger studies to confirm findings.
  • Exclusion of patients with undocumented COVID-19 infection may affect results, as this could overlook potential confounding factors.
Conclusion:

The third dose of mRNA COVID-19 vaccines significantly improved humoral and cellular immune responses in patients treated with anti-CD20 antibodies, indicating the potential benefit of extended intervals between treatments and vaccinations, which could inform clinical practice.

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