Non-Invasive Monitoring for Rejection in Kidney Transplant Recipients After SARS-CoV-2 mRNA Vaccination.


Journal

Frontiers in immunology
ISSN: 1664-3224
Titre abrégé: Front Immunol
Pays: Switzerland
ID NLM: 101560960

Informations de publication

Date de publication:
2022
Historique:
received: 19 12 2021
accepted: 08 02 2022
entrez: 14 3 2022
pubmed: 15 3 2022
medline: 22 3 2022
Statut: epublish

Résumé

Studies have shown reduced antiviral responses in kidney transplant recipients (KTRs) following SARS-CoV-2 mRNA vaccination, but data on post-vaccination alloimmune responses and antiviral responses against the Delta (B.1.617.2) variant are limited. To address this issue, we conducted a prospective, multi-center study of 58 adult KTRs receiving mRNA-BNT162b2 or mRNA-1273 vaccines. We used multiple complementary non-invasive biomarkers for rejection monitoring including serum creatinine, proteinuria, donor-derived cell-free DNA, peripheral blood gene expression profile (PBGEP), urinary At a median of 85 days, no KTRs developed SARS-CoV-2 mRNA vaccination in KTRs did not elicit a significant alloimmune response. About half of KTRs who develop anti-wild-type spike antibodies after two mRNA vaccine doses have neutralizing responses against the Delta variant. There was no association between anti-viral humoral and cellular responses.

Identifiants

pubmed: 35281011
doi: 10.3389/fimmu.2022.838985
pmc: PMC8913529
doi:

Substances chimiques

Antibodies, Viral 0
Isoantibodies 0
2019-nCoV Vaccine mRNA-1273 EPK39PL4R4
BNT162 Vaccine N38TVC63NU

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

838985

Informations de copyright

Copyright © 2022 Al Jurdi, Gassen, Borges, Solhjou, Hullekes, Lape, Efe, Alghamdi, Patel, Choi, Mohammed, Bohan, Pattanayak, Rosales, Cravedi, Kotton, Azzi and Riella.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Ayman Al Jurdi (A)

Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, United States.

Rodrigo B Gassen (RB)

Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, United States.

Thiago J Borges (TJ)

Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, United States.

Zhabiz Solhjou (Z)

Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Boston, MA, United States.

Frank E Hullekes (FE)

Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, United States.

Isadora T Lape (IT)

Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, United States.

Orhan Efe (O)

Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, United States.

Areej Alghamdi (A)

Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Boston, MA, United States.

Poojan Patel (P)

Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Boston, MA, United States.

John Y Choi (JY)

Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Boston, MA, United States.

Mostafa T Mohammed (MT)

Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Boston, MA, United States.
Clinical Pathology Department, Minia University, Minya, Egypt.

Brigid Bohan (B)

Histocompatibility Laboratory, Massachusetts General Hospital, Boston, MA, United States.

Vikram Pattanayak (V)

Department of Pathology, Massachusetts General Hospital, Boston, MA, United States.

Ivy Rosales (I)

Department of Pathology, Massachusetts General Hospital, Boston, MA, United States.

Paolo Cravedi (P)

Renal Division, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Camille N Kotton (CN)

Transplant and Immunocompromised Host Infectious Diseases Infectious Diseases Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.

Jamil R Azzi (JR)

Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Boston, MA, United States.

Leonardo V Riella (LV)

Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, United States.

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