Chronic heart failure and hypoalbuminemia are risk factors of poorer mRNA SARS-CoV-2 vaccine response in maintenance Hemodialysis patients (the COVaccinDia study).

Publication date: Jun 23, 2025

Chronic kidney disease represents an immunocompromising condition and a cause of a lower vaccine efficacy, even in patients undergoing maintenance dialysis. Recent SARS-CoV-2 outbreaks have prompted clinicians to better understand the underlying mechanisms and establish more suitable vaccination schedules. In a single-center, retrospective, observational study of patients undergoing maintenance dialysis in France, we studied the factors associated with the intensity of the humoral response to a SARS-CoV-2 vaccine in this population, including specific dialysis-related variables. After having received three doses of SARS-CoV-2 mRNA vaccine, a cohort of 80 patients was divided into low-responders (28 patients with an anti-SARS-CoV-2 antibody level of 50-1830 AU/mL) and responders (52 patients with an antibody level > 1830 AU/mL). We found that chronic heart failure (p 

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Concepts Keywords
Immunocompromising Aged
Kidney Antibodies, Viral
Mrna Antibodies, Viral
Poorer BNT162 Vaccine
BNT162 Vaccine
COVID-19
COVID-19
COVID-19 Vaccines
COVID-19 Vaccines
Female
France
Heart Failure
Hemodialysis
Humans
Humoral response
Hypoalbuminemia
Male
Middle Aged
Renal Dialysis
Renal Insufficiency, Chronic
Retrospective Studies
Risk Factors
SARS-CoV-2
SARS-CoV-2
Vaccine Efficacy
Vaccines

Semantics

Type Source Name
disease MESH heart failure
disease MESH hypoalbuminemia
disease MESH Chronic kidney disease
drug DRUGBANK Tropicamide
pathway REACTOME Reproduction
disease MESH COVID-19

Original Article

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