Serum biomarker profile orchestrating the seroconversion status of patients with autoimmune diseases upon planned primary 17DD Yellow fever vaccination

Autor: Vanessa Peruhype-Magalhães, Licia Maria Henrique da Mota, Valquiria Garcia Dinis, Ana Paula Espíndula Gianordoli, Gisela Freitas Trindade, Francieli Fontana Sutile Tardetti Fantinato, Ana Carolina Campi-Azevedo, Andréa Teixeira-Carvalho, Lídia Balarini da Silva, Ana Paula Neves Burian, Érica Vieira Serrano, Ruben Horst Duque, Maria da Penha Gomes Gouvea, Olindo Assis Martins-Filho, Sávio Carvalho Deotti, Priscila Costa Martins Rocha, Ismael Artur da Costa-Rocha, Maria de Fatima Bissoli, Emily Hime Miranda, Gecilmara Salviato Pileggi, Sonia Alves Gouvea, Maria Bernadete Renoldi de Oliveira Gavi, Lauro Ferreira da Silva Pinto-Neto, Valeria Valim, Sheila Maria Barbosa de Lima, Ketty Lysie Libardi Lira Machado, Samira Tatiyama Miyamoto, Thays Zanon Casagrande, Rafaela Villa Real Barbosa
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Scientific Reports
Scientific Reports, Vol 11, Iss 1, Pp 1-14 (2021)
ISSN: 2045-2322
Popis: The present study aimed to investigate whether the serum biomarkers of immune response orchestrate the seroconversion status in patients with autoimmune diseases (AID) upon planned primary 17DD-YF vaccination. For this purpose a total of 161 individuals were enrolled in a prospective study, including patients with Rheumatoid Arthritis (RA = 38), Spondyloarthritis (SpA = 51), Systemic Lupus Erythematosus (SLE = 21) and Sjögren’s Syndrome (SS = 30) along with a group of healthy controls (HC = 21). Analysis of plaque reduction neutralization test (PRNT) titers and seropositivity rates along with the 17DD-YF viremia and serum biomarkers were carried out at distinct time points (D0/D3–4/D5–6/D7/D14–28). The results demonstrated an overall lower PRNT titer and seropositivity rate (170 vs. 448; 77 vs. 95%) in AID as compared to HC, especially in SpA and SLE subgroups. No significant differences were observed in the viremia levels amongst groups. In general, a more prominent serum biomarker response was observed in AID as compared to HC, throughout the timeline kinetics. Remarkably, AID/PRNT(−) exhibited higher levels of several biomarkers at baseline as compared to AID/PRNT+. Moreover, while AID/PRNT(+) exhibited earlier increase in serum biomarkers at D3–4/D5–6, the AID/PRNT(−) displayed higher response at later time points (D7/D14–D28). Of note, a synchronic increase of IFN-γ at the peak of viremia (D5–6) was observed in HC and AID/PRNT(+) groups, whereas a later asynchronous IFN-γ response was reported for AID/PRNT(−) at D7. The biomarker profile tends to deflate at post-vaccination timeline, highlighting a putative immunomodulatory effect of live attenuated 17DD-YF vaccine in AID/PRNT(+), but not in AID/PRNT(−). Altogether these data suggested that inflammatory status prior vaccination, low IFN-γ at viremia peak and the occurrence of asynchronous biomarker storm after 17DD-YF vaccination may orchestrate the lack of neutralizing antibody response γ.
Databáze: OpenAIRE