SARS-CoV-2 vaccine-induced humoral and cellular immunity in patients with hematologic malignancies

被引:8
作者
Haggenburg, Sabine [1 ,2 ,8 ]
Hofsink, Quincy [1 ,2 ]
Rutten, Caroline E. [1 ]
Nijhof, Inger S. [3 ,4 ,5 ]
Hazenberg, Mette D. [1 ,2 ,5 ,6 ]
Goorhuis, Abraham [7 ]
机构
[1] Amsterdam UMC locat Univ Amsterdam, Dept Hematol, Amsterdam, Netherlands
[2] Amsterdam Inst Infect & Immun, Amsterdam UMC, Amsterdam, Netherlands
[3] Amsterdam UMC locat Vrije Univ, Dept Hematol, Amsterdam, Netherlands
[4] St Antonius Hosp, Dept Internal Med Hematol, Nieuwegein, Netherlands
[5] Amsterdam UMC, Canc Ctr Amsterdam, Amsterdam, Netherlands
[6] Sanquin Res, Dept Hematopoiesis, Amsterdam, Netherlands
[7] Amsterdam UMC locat Univ Amsterdam, Ctr Trop Med & Travel Med, Dept Infect Dis, Amsterdam, Netherlands
[8] Amster dam UMC locat Univ Amsterdam, Dept Hematol, Meibergdreef 9, NL-1105 Amsterdam, Netherlands
关键词
COVID-19; SARS-CoV-2; Vaccination; Immunocompromised; Hematologic malignancies; Hematology; RNA COVID-19 VACCINATION; ANTIBODY-RESPONSES; T-CELL;
D O I
10.1053/j.seminhematol.2022.11.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with hematologic conditions have a higher risk of severe COVID-19 and COVID-19-related death. This is related to immune deficiencies induced by hematologic conditions and/or the treatment thereof. Prospective vaccine immunogenicity studies have demonstrated that in the majority of patients, a 3 -dose COVID-19 vaccination schedule leads to antibody concentrations comparable to levels obtained in healthy adults after a 2-dose schedule. In B cell depleted patients, humoral responses are poor, however vaccination did induce potent cellular immune responses. The effect of 3-dose vaccination schedules and COVID-19 booster vaccinations on the protection of patients with hematologic malignancies against se -vere COVID-19 and COVID-19 related death remains to be confirmed by population-based vaccine effec-tiveness studies. (c) 2022 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ )
引用
收藏
页码:192 / 197
页数:6
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