Correspondence on 'SARS-CoV-2 vaccination in rituximab-treated patients: evidence for impaired humoral but inducible cellular immune response' by Bonelli et al

Autor: Susan L. Fink, Andrew Bryan, Habib Rahbar, Nandita S Mani, Alison M. Bays, Anu Chaudhary, Chihiro Morishima, Mark H. Wener, Seth M. Cohen, Gregory C. Gardner, Sarah H. Chung
Rok vydání: 2021
Předmět:
Zdroj: Annals of the Rheumatic Diseases. 80:e165-e165
ISSN: 1468-2060
0003-4967
Popis: Bonelli et al recently reported reduced humoral responses to the BNT162b2 mRNA vaccine in five patients on rituximab therapy; in two patients with repopulated B cells, a low-level Spike protein antibody response occurred, but three patients with no detectable B-cells had no measurable antibody response to the vaccine.1 Of great interest, they reported that interferon-γ T-cell responses to SARS-CoV-2 Spike peptides were present in all five patients, irrespective of the antibody response to the vaccine. It has been reported that patients on B-cell depleting therapy are at increased risk for hospitalisation and death from SARS-CoV-2 infection.2 In February 2021, the American College of Rheumatology (ACR) COVID-19 Taskforce published consensus guidelines regarding vaccine timing in immunosuppressed patients, despite the paucity of data available at that time on vaccine efficacy in patients on targeted B cell therapy.3 Moreover, the guidelines specifically …
Databáze: OpenAIRE