肾移植受者对Covishield和Covaxin的抗体反应。

IF 0.8 Q4 UROLOGY & NEPHROLOGY
Indian Journal of Nephrology Pub Date : 2025-03-01 Epub Date: 2024-08-01 DOI:10.25259/ijn_549_23
Neha Manhas, Shyam Bihari Bansal, Amit Kumar Mahapatra, Abhyudaysingh Rana, Sidharth Kumar Sethi, Manish Jain, Dinesh Kumar Yadav
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引用次数: 0

摘要

背景:COVID-19大流行对实体器官移植受者产生了重大影响。COVID-19疫苗接种在大流行管理中发挥着关键作用。关于肾移植受者(KTRs)中复制缺陷病毒载体[ChAdOx1-nCOV (COVISHIELDTM)]和全灭活BBV-152 (COVAXINTM)的数据有限。本研究旨在评估这些疫苗在KTRs第一次和第二次接种后的体液免疫反应和不良反应。材料与方法:285例KTRs受者在接种COVISHIELD (n = 232)和COVAXIN (n = 55)疫苗前、第一次接种后3周±3天、第二次接种后3周±3天检测抗sars - cov -2抗刺突抗体滴度。采用化学发光免疫分析法测定抗刺突抗体。主要终点是接种两剂COVAXIN和COVISHIELD后的血清转化,次要终点是接种后一周内COVID-19疫苗不良事件的发生率。结果:基线时,分别有25例(39.7%)和67例(30.2%)KTRs在接受COVAXINTM和COVISHIELDTM治疗前血清阳性。第一次接种后血清阳性46例(73.0%)、158例(71.2%),第二次接种后血清阳性51例(81.0%)、177例(79.7%)。常见的不良反应为发热、寒战、肌痛和头痛,这些不良反应在1-2天内消退。没有被拒绝的插曲。结论:ChAdOx1-nCOV和BBV-152在印度人群的KTRs中均具有良好的耐受性,并诱导了强大的抗体形成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antibody Response to Covishield and Covaxin in Kidney Transplant Recipients.

Background: The COVID-19 pandemic had a major impact on solid organ transplant recipients. COVID-19 vaccination plays a crucial role in pandemic management.There is limited data on replication-defective viral vectors [ChAdOx1-nCOV (COVISHIELDTM)] and whole inactivated one BBV-152 (COVAXINTM) in kidney transplant recipients (KTRs). This study aims to assess the humoral immune response and adverse effects of these vaccines in KTRs after the first and second doses of vaccination.

Materials and methods: Anti-SARS-CoV-2 anti-spike antibody titers were measured in 285 KTRs recipients prior to vaccination, 3 weeks ± 3 days after first dose and 3 weeks ± 3 days after second dose of the COVISHIELD (n = 232) and COVAXIN (n = 55) vaccines. Anti-spike antibodies were measured by the chemiluminescence immunoassay method. The primary outcome was seroconversion after two doses of COVAXIN and COVISHIELD and secondary outcome was the incidence of adverse events to COVID-19 vaccines within one week of vaccination.

Results: At baseline, 25 (39.7%) and 67 (30.2%) of KTRs were found to be seropositive before receiving COVAXINTM and COVISHIELDTM, respectively. After first dose of vaccination, 46 (73.0%) and 158 (71.2%) were seropositive and after second dose, 51 (81.0%) and 177 (79.7%) were seropositive, respectively. Common adverse effects were fever, chills, myalgia, and headache which settled in 1-2 days. There was no episode of rejection.

Conclusion: Both ChAdOx1-nCOV and BBV-152 were well tolerated and induced robust antibody formation in KTRs in the Indian population.

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来源期刊
Indian Journal of Nephrology
Indian Journal of Nephrology UROLOGY & NEPHROLOGY-
CiteScore
1.40
自引率
0.00%
发文量
128
审稿时长
24 weeks
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