Serological response to vaccination in post-acute sequelae of COVID

Autor: Sandy Joung, Brittany Weber, Min Wu, Yunxian Liu, Amber B. Tang, Matthew Driver, Sarah Sternbach, Timothy Wynter, Amy Hoang, Denisse Barajas, Yu Hung Kao, Briana Khuu, Michelle Bravo, Hibah Masoom, Teresa Tran, Nancy Sun, Patrick G. Botting, Brian L. Claggett, John C. Prostko, Edwin C. Frias, James L. Stewart, Jackie Robertson, Alan C. Kwan, Mariam Torossian, Isabel Pedraza, Carina Sterling, Caroline Goldzweig, Jillian Oft, Rachel Zabner, Justyna Fert-Bober, Joseph E. Ebinger, Kimia Sobhani, Susan Cheng, Catherine N. Le
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Infectious Diseases, Vol 23, Iss 1, Pp 1-9 (2023)
Druh dokumentu: article
ISSN: 1471-2334
DOI: 10.1186/s12879-023-08060-y
Popis: Abstract Background Individuals with post-acute sequelae of COVID (PASC) may have a persistence in immune activation that differentiates them from individuals who have recovered from COVID without clinical sequelae. To investigate how humoral immune activation may vary in this regard, we compared patterns of vaccine-provoked serological response in patients with PASC compared to individuals recovered from prior COVID without PASC. Methods We prospectively studied 245 adults clinically diagnosed with PASC and 86 adults successfully recovered from prior COVID. All participants had measures of humoral immunity to SARS-CoV-2 assayed before or after receiving their first-ever administration of COVID vaccination (either single-dose or two-dose regimen), including anti-spike (IgG-S and IgM-S) and anti-nucleocapsid (IgG-N) antibodies as well as IgG-S angiotensin-converting enzyme 2 (ACE2) binding levels. We used unadjusted and multivariable-adjusted regression analyses to examine the association of PASC compared to COVID-recovered status with post-vaccination measures of humoral immunity. Results Individuals with PASC mounted consistently higher post-vaccination IgG-S antibody levels when compared to COVID-recovered (median log IgG-S 3.98 versus 3.74, P
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