Serum levels of anti-PF4 IgG after AZD1222 (ChAdOx1 nCoV-19) vaccination

被引:5
作者
Cohen, Taylor S. [1 ]
Kelly, Elizabeth J. [2 ]
Nylander, Sven [3 ]
Bansal, Himanshu [4 ]
Jepson, Brett M. [4 ]
Bhuyan, Prakash [5 ]
Sobieszczyk, Magdalena E. [6 ]
Falsey, Ann R. [7 ]
机构
[1] Astrazeneca, Microbiome Discovery Vaccines & Immune Therapies, BioPharmaceut R&D, Gaithersburg, MD 20878 USA
[2] AstraZeneca, Translat Med Vaccines & Immune Therapies, BioPharmaceut R&D, Gaithersburg, MD USA
[3] AstraZeneca, Biopharmaceut R&D, Clin Dev Vaccines & Immune Therapies, Gothenburg, Sweden
[4] AstraZeneca, BioPharmaceut R&D, Biometr Vaccines & Immune Therapies, Gaithersburg, MD USA
[5] AstraZeneca, BioPharmaceut R&D, Vaccines & Immune Therapies, Gaithersburg, MD USA
[6] Columbia Univ, Dept Med, Div Infect Dis, Irving Med Ctr & New York Presbyter, New York, NY USA
[7] Univ Rochester, Med Ctr, Rochester, NY 14642 USA
关键词
FACTOR 4/HEPARIN ANTIBODIES; THROMBOCYTOPENIA; DIAGNOSIS;
D O I
10.1038/s41598-022-11623-9
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Rare cases of thrombosis with thrombocytopenia syndrome (TTS) have been reported after AZD1222. Anti-platelet factor-4 (PF4) antibodies were observed in patients following presentation of TTS, however it is unclear if AZD1222 was responsible for inducing production of anti-PF4. Paired samples (baseline and day-15) from a phase 3 trial of AZD1222 vs placebo were analyzed for anti-PF4 levels; 19/1727 (1.1%, AZD1222) vs 7/857 (0.8%, placebo) participants were anti-PF4-IgG-negative at baseline but had moderate Day-15 levels (P = 0.676) and 0/35 and 1/20 (5.0%) had moderate levels at baseline but high Day-15 levels. These data indicate that AZD1222 does not induce a clinically relevant general increase in anti-PF4 IgG.
引用
收藏
页数:5
相关论文
共 15 条
[1]   Platelet factor 4/heparin antibody (IgG/M/A) in healthy subjects: a literature analysis of commercial immunoassay results [J].
Arepally, Gowthami M. ;
Hursting, Marcie J. .
JOURNAL OF THROMBOSIS AND THROMBOLYSIS, 2008, 26 (01) :55-61
[2]   Heparin-induced thrombocytopenia [J].
Arepally, Gowthami M. .
BLOOD, 2017, 129 (21) :2864-2872
[3]   Very rare thrombosis with thrombocytopenia after second AZD1222 dose: a global safety database analysis [J].
Bhuyan, Prakash ;
Medin, Jennie ;
da Silva, Hugo Gomes ;
Yadavalli, Madhavi ;
Shankar, Nirmal Kumar ;
Mullerova, Hana ;
Arnold, Matthew ;
Nord, Magnus .
LANCET, 2021, 398 (10300) :577-578
[4]  
Bussel JM, THROMBOSIS THROMBOCY
[5]   Phase 3 Safety and Efficacy of AZD1222 (ChAdOx1 nCoV-19) Covid-19 Vaccine [J].
Falsey, Ann R. ;
Sobieszczyk, Magdalena E. ;
Hirsch, Ian ;
Sproule, Stephanie ;
Robb, Merlin L. ;
Corey, Lawrence ;
Neuzil, Kathleen M. ;
Hahn, William ;
Hunt, Julie ;
Mulligan, Mark J. ;
McEvoy, Charlene ;
DeJesus, Edwin ;
Hassman, Michael ;
Little, Susan J. ;
Pahud, Barbara A. ;
Durbin, Anna ;
Pickrell, Paul ;
Daar, Eric S. ;
Bush, Larry ;
Solis, Joel ;
Carr, Quito Osuna ;
Oyedele, Temitope ;
Buchbinder, Susan ;
Cowden, Jessica ;
Vargas, Sergio L. ;
Benavides, Alfredo Guerreros ;
Call, Robert ;
Keefer, Michael C. ;
Kirkpatrick, Beth D. ;
Pullman, John ;
Tong, Tina ;
Isaacs, Margaret Brewinski ;
Benkeser, David ;
Janes, Holly E. ;
Nason, Martha C. ;
Green, Justin A. ;
Kelly, Elizabeth J. ;
Maaske, Jill ;
Mueller, Nancy ;
Shoemaker, Kathryn ;
Takas, Therese ;
Marshall, Richard P. ;
Pangalos, Menelas N. ;
Villafana, Tonya ;
Gonzalez-Lopez, Antonio .
NEW ENGLAND JOURNAL OF MEDICINE, 2021, 385 (25) :2348-2360
[6]   Thrombotic Thrombocytopenia after ChAdOx1 nCov-19 Vaccination [J].
Greinacher, Andreas ;
Thiele, Thomas ;
Warkentin, Theodore E. ;
Weisser, Karin ;
Kyrle, Paul A. ;
Eichinger, Sabine .
NEW ENGLAND JOURNAL OF MEDICINE, 2021, 384 (22) :2092-2101
[7]   Association of natural anti-platelet factor 4/heparin antibodies with periodontal disease [J].
Greinacher, Andreas ;
Holtfreter, Birte ;
Krauel, Krystin ;
Gaetke, Daniela ;
Weber, Claudia ;
Ittermann, Till ;
Hammerschmidt, Sven ;
Kocher, Thomas .
BLOOD, 2011, 118 (05) :1395-1401
[8]   Platelet Factor 4/Heparin Antibodies in Blood Bank Donors [J].
Hursting, Marcie J. ;
Pai, Poulomi J. ;
McCracken, Julianna E. ;
Hwang, Fred ;
Suvarna, Shayela ;
Lokhnygina, Yuliya ;
Bandarenko, Nicholas ;
Arepally, Gowthami M. .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 2010, 134 (05) :774-780
[9]   Prevalence of anti-platelet factor 4/polyanionic antibodies after COVID-19 vaccination with ChAdOx1 nCoV-19 and CoronaVac in Thais [J].
Noikongdee, Phichchapha ;
Police, Pornnapa ;
Phojanasenee, Tichayapa ;
Chantrathammachart, Pichika ;
Niparuck, Pimjai ;
Puavilai, Teeraya ;
Phuphuakrat, Angsana ;
Angchaisuksiri, Pantep ;
Boonyawat, Kochawan .
RESEARCH AND PRACTICE IN THROMBOSIS AND HAEMOSTASIS, 2021, 5 (07)
[10]   Clinical Features of Vaccine-Induced Immune Thrombocytopenia and Thrombosis [J].
Pavord, Sue ;
Scully, Marie ;
Hunt, Beverley J. ;
Lester, William ;
Bagot, Catherine ;
Craven, Brian ;
Rampotas, Alex ;
Ambler, Gareth ;
Makris, Mike .
NEW ENGLAND JOURNAL OF MEDICINE, 2021, 385 (18) :1680-1689