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Title:
Preliminary evidence of blunted humoral response to SARS-CoV-2 mRNA vaccine in multiple sclerosis patients treated with ocrelizumab | Neurological Sciences
Description:
Objectives Several concerns regard the immunogenicity of SARS-CoV-2 vaccines in people with multiple sclerosis (pwMS), since the majority of them is treated with immunomodulating/immunosuppressive disease modifying therapies. Here we report the first data on the humoral response to mRNA SARS-CoV-2 vaccine in a case series of 4 pwMS treated with ocrelizumab (OCR) as compared to a group of healthy subjects (HS). Methods We collected serum samples at 0, 14, 21 days after the first dose and 7 days after the second dose of BNT162b2-mRNA-Covid-19 vaccine from 55 health-care workers and 4 relapsing pwMS on OCR, with no history of Covid-19 infection. Sera were tested using the LIAISON®SARS-CoV-2 TrimericS-IgG assay (DiaSorin-S.p.A.) for the detection of IgG antibodies to SARS-CoV-2 spike protein. The anti-spike IgGtiters were expressed in Binding Antibody Units (BAU), an international standard unit. Results At baseline all subjects were negative for anti-spike IgG. Seven days after the second dose of vaccine all HS mounted a significant humoral response (geometric mean 2010.4 BAU/mL C.I. 95% 1512.7-2672) while the 4 pwMS showed a lower response (range <4.81-175 BAU/mL). Discussion Humoral response to BNT162b2-mRNA-vaccine in pwMS treated with OCR was clearly blunted. Further data are urgently needed to confirm and expand these preliminary results and to develop strategies to optimize the response to SARSCoV-2 vaccines in pwMS on OCR.
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Keywords {š}
response, pwms, sarscov, vaccine, data, humoral, article, treated, ocr, igg, patients, covid, vaccines, pubmed, mrna, manuscript, andor, multiple, sclerosis, google, scholar, subjects, dose, antibodies, range, drafting, revising, ocrelizumab, days, results, analysis, preliminary, therapies, study, table, privacy, cookies, gallo, infection, anticd, italy, received, central, cas, consent, information, publish, search, published, antonio,
Topics {āļø}
liaison®sars-cov-2 trimerics-igg assay antigen-specific cytotoxic t-cells sars-cov-2 spike protein sars-cov-2 mrna vaccine mrna sars-cov-2 vaccine anti-sars-cov-2 immunoglobulin sars-cov-2 vaccine campaign igm-igg antibodies tests anti-tsp igg titers bnt162b2-mrna-covid-19 vaccine injection-site-related reactions sars-cov-2 vaccines sars-cov-2 vaccines anti-cd20 dmt compared circulating cd20 cells anti-tsp igg disease-modifying therapies anti-cd20 therapies anti-cd20 therapies anti-spike igg sars-cov-2 infection anti-cd20 drugs bnt162b2-mrna-vaccine bnt162b2 mrna vaccine sars-cov2 antibodies significant humoral response anti-spike iggtiters massimiliano galdiero privacy choices/manage cookies serum igg antibodies larger studies exploring gioacchino tedeschi attenuated humoral response weakened humoral response undetectable antibody titers high efficacy dmts signed informed consent article gallo binding antibody units low humoral response sars-cov-2 blunted humoral response covid-19 vaccine strategies ab received speaker gt received speaker european economic area collected serum samples antigenic nasopharyngeal swabs indirect chemiluminescence immunoassay systemic side effects
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headline:Preliminary evidence of blunted humoral response to SARS-CoV-2 mRNA vaccine in multiple sclerosis patients treated with ocrelizumab
description:Several concerns regard the immunogenicity of SARS-CoV-2 vaccines in people with multiple sclerosis (pwMS), since the majority of them is treated with immunomodulating/immunosuppressive disease modifying therapies. Here we report the first data on the humoral response to mRNA SARS-CoV-2 vaccine in a case series of 4 pwMS treated with ocrelizumab (OCR) as compared to a group of healthy subjects (HS). We collected serum samples at 0, 14, 21 days after the first dose and 7 days after the second dose of BNT162b2-mRNA-Covid-19 vaccine from 55 health-care workers and 4 relapsing pwMS on OCR, with no history of Covid-19 infection. Sera were tested using the LIAISON®SARS-CoV-2 TrimericS-IgG assay (DiaSorin-S.p.A.) for the detection of IgG antibodies to SARS-CoV-2 spike protein. The anti-spike IgGtiters were expressed in Binding Antibody Units (BAU), an international standard unit. At baseline all subjects were negative for anti-spike IgG. Seven days after the second dose of vaccine all HS mounted a significant humoral response (geometric mean 2010.4 BAU/mL C.I. 95% 1512.7-2672) while the 4 pwMS showed a lower response (range <4.81-175 BAU/mL). Humoral response to BNT162b2-mRNA-vaccine in pwMS treated with OCR was clearly blunted. Further data are urgently needed to confirm and expand these preliminary results and to develop strategies to optimize the response to SARSCoV-2 vaccines in pwMS on OCR.
datePublished:2021-06-15T00:00:00Z
dateModified:2021-06-15T00:00:00Z
pageStart:3523
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Multiple sclerosis
COVID-19
SARS-CoV-2 mRNA vaccine
Ocrelizumab
Humoral response
Neurology
Neuroradiology
Neurosurgery
Psychiatry
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headline:Preliminary evidence of blunted humoral response to SARS-CoV-2 mRNA vaccine in multiple sclerosis patients treated with ocrelizumab
description:Several concerns regard the immunogenicity of SARS-CoV-2 vaccines in people with multiple sclerosis (pwMS), since the majority of them is treated with immunomodulating/immunosuppressive disease modifying therapies. Here we report the first data on the humoral response to mRNA SARS-CoV-2 vaccine in a case series of 4 pwMS treated with ocrelizumab (OCR) as compared to a group of healthy subjects (HS). We collected serum samples at 0, 14, 21 days after the first dose and 7 days after the second dose of BNT162b2-mRNA-Covid-19 vaccine from 55 health-care workers and 4 relapsing pwMS on OCR, with no history of Covid-19 infection. Sera were tested using the LIAISON®SARS-CoV-2 TrimericS-IgG assay (DiaSorin-S.p.A.) for the detection of IgG antibodies to SARS-CoV-2 spike protein. The anti-spike IgGtiters were expressed in Binding Antibody Units (BAU), an international standard unit. At baseline all subjects were negative for anti-spike IgG. Seven days after the second dose of vaccine all HS mounted a significant humoral response (geometric mean 2010.4 BAU/mL C.I. 95% 1512.7-2672) while the 4 pwMS showed a lower response (range <4.81-175 BAU/mL). Humoral response to BNT162b2-mRNA-vaccine in pwMS treated with OCR was clearly blunted. Further data are urgently needed to confirm and expand these preliminary results and to develop strategies to optimize the response to SARSCoV-2 vaccines in pwMS on OCR.
datePublished:2021-06-15T00:00:00Z
dateModified:2021-06-15T00:00:00Z
pageStart:3523
pageEnd:3526
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keywords:
Multiple sclerosis
COVID-19
SARS-CoV-2 mRNA vaccine
Ocrelizumab
Humoral response
Neurology
Neuroradiology
Neurosurgery
Psychiatry
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