Humoral Response and SARS-CoV-2 Infection Risk following the Third and Fourth Doses of the BNT162b2 Vaccine in Dialysis Patients.


Journal

American journal of nephrology
ISSN: 1421-9670
Titre abrégé: Am J Nephrol
Pays: Switzerland
ID NLM: 8109361

Informations de publication

Date de publication:
2022
Historique:
received: 18 04 2022
accepted: 12 05 2022
pubmed: 20 7 2022
medline: 20 8 2022
entrez: 19 7 2022
Statut: ppublish

Résumé

The optimal SARS-CoV-2 vaccination schedule in dialysis patients and the potential need for a fourth vaccine dose are debatable. We prospectively assessed the humoral responses to three and four doses of BNT162b2 among dialysis patients. The study included 106 dialysis patients; 60 (56.6%) and 46 (43.4%) received 3 and 4 vaccine doses, respectively. Anti-spike (anti-S) antibody titers significantly increased after the third vaccine dose, followed by a decline, yet still remained higher than all previous measurements. The fourth vaccine dose led to another profound rise in anti-S titers. The absolute increase following the fourth dose correlated with response to the third dose. Infection risk however was similar between patients vaccinated with three or four doses.

Identifiants

pubmed: 35850101
pii: 000525309
doi: 10.1159/000525309
pmc: PMC9501772
doi:

Substances chimiques

Antibodies, Viral 0
COVID-19 Vaccines 0
Viral Vaccines 0
BNT162 Vaccine N38TVC63NU

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

586-590

Informations de copyright

© 2022 The Author(s). Published by S. Karger AG, Basel.

Références

J Am Soc Nephrol. 2022 Apr;33(4):677-686
pubmed: 35110363
Clin Kidney J. 2021 Aug 13;14(11):2349-2355
pubmed: 34754430
Am J Nephrol. 2022;53(2-3):207-214
pubmed: 35172312
N Engl J Med. 2022 May 5;386(18):1712-1720
pubmed: 35381126
Lancet Healthy Longev. 2022 Jan;3(1):e13-e21
pubmed: 34935001
Am J Kidney Dis. 2022 Feb;79(2):185-192.e1
pubmed: 34508833
N Engl J Med. 2021 Oct 7;385(15):1393-1400
pubmed: 34525275
N Engl J Med. 2021 Aug 12;385(7):585-594
pubmed: 34289274
J Am Soc Nephrol. 2021 Sep 29;:
pubmed: 34588184

Auteurs

Yael Einbinder (Y)

Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Jeffrey Perl (J)

Division of Nephrology, St. Michael's Hospital and the Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

Naomi Nacasch (N)

Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Alon Bnaya (A)

Institute of Nephrology, Shaare Zedek Medical Center, Jerusalem, Israel.
Hebrew University of Jerusalem, Jerusalem, Israel.

Linda Shavit (L)

Institute of Nephrology, Shaare Zedek Medical Center, Jerusalem, Israel.
Hebrew University of Jerusalem, Jerusalem, Israel.

Daniel Erez (D)

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Internal Medicine D, Meir Medical Center, Kfar Saba, Israel.

Moshe Shashar (M)

Department of Nephrology and Hypertension, Laniado Hospital, Netanya, Israel.

Tamar Halperin (T)

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Laboratory for HIV Diagnosis, The HIV Center, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Ayelet Grupper (A)

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Nephrology and Hypertension, Tel Aviv Sourasky Medical Center Tel Aviv, Tel Aviv, Israel.

Sydney Benchetrit (S)

Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Ori Wand (O)

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Pulmonary Division, Barzilai Medical Center, Ashkelon, Israel.
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Keren Cohen-Hagai (K)

Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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Classifications MeSH