Publication date: Dec 01, 2024
The mRNA vaccines have proven to be very effective in preventing severe disease and death from SARS-CoV-2 in the general population. However, in patients with chronic kidney disease (CKD) in dialysis or with kidney transplants (KT) the vaccine responses vary, with severe breakthrough infections as a consequence. In this intervention study we investigated the magnitude and quality of the responses to mRNA vaccination administered prior to kidney replacement therapy (KRT). Twenty patients with CKD G4/5 and nine healthy controls were followed for 12 months after receiving two doses of BNT162b2 four weeks apart and a booster dose after 3-6 months. Induction of anti-Spike and anti-RBD IgG in plasma followed the same kinetics in CKD patients and controls, with a trend towards higher titers in controls. In accordance, there was no differences in the establishment of Spike-specific memory B-cells between groups. In contrast, the CKD patients showed lower levels of anti-Spike IgG in saliva and Spike-specific CD8 T-cells in blood, possibly influencing the capacity of viral clearance which can contribute to an elevated risk of severe breakthrough infections. In conclusion, we found that CKD patients, despite having a reduced mucosal and cytotoxic immunity to BNT162b2, demonstrated a serological response in plasma similar to healthy controls. This suggests that immunization prior to RRT is efficient and motivated. (EudraCT-nr 2021-000988-68).
Concepts | Keywords |
---|---|
Efficient | Chronic kidney disease |
Kidney | COVID-19 |
Vaccination | Kidney failure |
SARS-CoV-2 | |
Vaccine |
Semantics
Type | Source | Name |
---|---|---|
disease | MESH | Chronic Kidney Disease |
disease | MESH | death |
disease | MESH | breakthrough infections |
disease | IDO | intervention |
disease | IDO | quality |
disease | IDO | blood |
disease | MESH | COVID-19 |
disease | MESH | Kidney failure |