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Coordinated cellular and humoral immune responses after two‐dose SARS‐CoV2 mRNA vaccination in liver transplant recipients

Limited data are available on risks and benefits of anti‐SARS‐CoV2 vaccination in solid organ transplant recipients, and weaker responses have been described. At the Italian National Institute for Infectious Diseases, 61 liver transplant recipients underwent testing to describe the dynamics of humor...

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Published in:Liver international 2022-01, Vol.42 (1), p.180-186
Main Authors: D’Offizi, Gianpiero, Agrati, Chiara, Visco‐Comandini, Ubaldo, Castilletti, Concetta, Puro, Vincenzo, Piccolo, Paola, Montalbano, Marzia, Meschi, Silvia, Tartaglia, Eleonora, Sorace, Chiara, Leone, Sara, Lapa, Daniele, Grassi, Germana, Goletti, Delia, Ippolito, Giuseppe, Vaia, Francesco, Ettorre, Giuseppe Maria, Lionetti, Raffaella
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cited_by cdi_FETCH-LOGICAL-c5379-edc7fedc4e8b070f39d4d6dc5dbffb0b722e1b64412526fe6ec3485328d0fca3
cites cdi_FETCH-LOGICAL-c5379-edc7fedc4e8b070f39d4d6dc5dbffb0b722e1b64412526fe6ec3485328d0fca3
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container_title Liver international
container_volume 42
creator D’Offizi, Gianpiero
Agrati, Chiara
Visco‐Comandini, Ubaldo
Castilletti, Concetta
Puro, Vincenzo
Piccolo, Paola
Montalbano, Marzia
Meschi, Silvia
Tartaglia, Eleonora
Sorace, Chiara
Leone, Sara
Lapa, Daniele
Grassi, Germana
Goletti, Delia
Ippolito, Giuseppe
Vaia, Francesco
Ettorre, Giuseppe Maria
Lionetti, Raffaella
description Limited data are available on risks and benefits of anti‐SARS‐CoV2 vaccination in solid organ transplant recipients, and weaker responses have been described. At the Italian National Institute for Infectious Diseases, 61 liver transplant recipients underwent testing to describe the dynamics of humoral and cell‐mediated immune response after two doses of anti‐SARS‐CoV2 mRNA vaccines and compared with 51 healthy controls. Humoral response was measured by quantifying both anti‐spike and neutralizing antibodies; cell‐mediated response was measured by PBMC proliferation assay with IFN‐γ and IL‐2 production. Liver transplant recipients showed lower response rates compared with controls in both humoral and cellular arms; shorter time since transplantation and multi‐drug immunosuppressive regimen containing mycophenolate mofetil were predictive of reduced response to vaccination. Specific antibody and cytokine production, though reduced, were highly correlated in transplant recipients.
doi_str_mv 10.1111/liv.15089
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At the Italian National Institute for Infectious Diseases, 61 liver transplant recipients underwent testing to describe the dynamics of humoral and cell‐mediated immune response after two doses of anti‐SARS‐CoV2 mRNA vaccines and compared with 51 healthy controls. Humoral response was measured by quantifying both anti‐spike and neutralizing antibodies; cell‐mediated response was measured by PBMC proliferation assay with IFN‐γ and IL‐2 production. Liver transplant recipients showed lower response rates compared with controls in both humoral and cellular arms; shorter time since transplantation and multi‐drug immunosuppressive regimen containing mycophenolate mofetil were predictive of reduced response to vaccination. 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source Wiley-Blackwell Read & Publish Collection
subjects Antibodies
Antibodies, Viral
anti‐spike titre
Brief Definitive Report
Cirrhosis, Liver Failure and Transplantation
COVID-19 - prevention & control
COVID-19 Vaccines
Cytokines
Humans
Immune response
Immune response (humoral)
Immune system
Immunity, Humoral
Immunosuppressive agents
Infectious diseases
Interferon
Leukocytes, Mononuclear
Liver
Liver diseases
liver transplant
Liver Transplantation
Liver transplants
mRNA
Mycophenolate mofetil
Mycophenolic acid
Peripheral blood mononuclear cells
RNA, Messenger
RNA, Viral
SARS-CoV-2
SARS‐CoV2 vaccination
Severe acute respiratory syndrome
Transplant Recipients
Transplantation
T‐cell immune response
Vaccination
Vaccines
title Coordinated cellular and humoral immune responses after two‐dose SARS‐CoV2 mRNA vaccination in liver transplant recipients
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