Decreased Antibody Response After Severe Acute Respiratory Syndrome Coronavirus 2 Vaccination in Patients With Down Syndrome

被引:3
作者
Streng, Bianca M. M. [1 ]
Bont, Marin [1 ]
Delemarre, Eveline M. [1 ,2 ]
Binnendijk, Rob S. [3 ]
Smit, Gaby [3 ]
den Hartog, Gerco [3 ]
Coppus, Antonia M. W. [4 ]
de Vries, Esther [5 ,6 ]
Weijerman, Michel E. [7 ]
Lamberts, Regina [7 ]
de Graaf, Gert [8 ]
van der Klis, Fiona R. [3 ]
Vidarsson, Gestur [9 ,10 ,11 ]
Rave, Neele [1 ]
Bont, Louis J. [1 ]
Wildenbeest, Joanne G. [1 ]
机构
[1] Univ Med Ctr Utrecht, Wilhelmina Childrens Hosp, Dept Paediat Infect Dis & Immunol, POB 85090, NL-3508 AB Utrecht, Netherlands
[2] Univ Med Ctr Utrecht, Ctr Translat Immunol, Utrecht, Netherlands
[3] Natl Inst Publ Hlth & Environm, Lab Vaccine Preventable Dis, Bilthoven, Netherlands
[4] Radboud Univ Nijmegen, Med Ctr, Dept Primary & Community Care, Nijmegen, Netherlands
[5] Tilburg Univ, Tilburg Sch Social & Behav Sci, Tranzo, Tilburg, Netherlands
[6] Jeroen Bosch Hosp, Jeroen Bosch Acad Res, Shertogenbosch, Netherlands
[7] Alrijne Hosp, Dept Pediat, Leiderdorp, Netherlands
[8] Fdn Stichting Down Syndroom, Meppel, Netherlands
[9] Univ Amsterdam, Amsterdam Univ Med Ctr, Sanquin Res & Landsteiner Lab, Amsterdam, Netherlands
[10] Univ Utrecht, Utrecht Inst Pharmaceut Sci, Dept Biomol Mass Spectrometry & Prote, Utrecht, Netherlands
[11] Univ Utrecht, Bijvoet Ctr Biomol Res, Utrecht, Netherlands
关键词
Down syndrome; antibody response; COVID-19; vaccination; SARS-CoV-2; CHILDREN;
D O I
10.1093/infdis/jiac235
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The risk of a severe course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in adults with Down syndrome is increased, resulting in an up to 10-fold increase in mortality, in particular in those >40 years of age. After primary SARS-CoV-2 vaccination, the higher risks remain. In this prospective observational cohort study, SARS-CoV-2 spike S1-specific antibody responses after routine SARS-CoV-2 vaccination (BNT162b2, messenger RNA [mRNA]-1273, or ChAdOx1) in adults with Down syndrome and healthy controls were compared. Adults with Down syndrome showed lower antibody concentrations after 2 mRNA vaccinations or after 2 ChAdOx1 vaccinations. After 2 mRNA vaccinations, lower antibody concentrations were seen with increasing age. In this prospective cohort study that included 222 adults with Down syndrome, a significantly lower antibody response was found after SARS-CoV-2 mRNA or vector vaccination compared to healthy controls. After mRNA vaccination, lower antibodies were found with increasing age.
引用
收藏
页码:673 / 677
页数:5
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