在接种mrna疫苗的年轻人中循环细胞因子谱的改变:一项为期一年的随访研究

IF 3.1 4区 医学 Q3 IMMUNOLOGY
Amani Alghamdi, Syed Danish Hussain, Kaiser Wani, Shaun Sabico, Abdullah M. Alnaami, Osama Emam Amer, Nasser M. Al-Daghri
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引用次数: 0

摘要

目的 本纵向研究旨在评估接种 COVID-19 疫苗对细胞因子谱的影响。 方法 共有 84 名沙特受试者(57.1% 为女性)参加了这项纵向研究,平均年龄为 27.2 ± 12.3 岁。从接种第一剂疫苗开始计算,青少年的平均随访时间为(14.1 ± 3.6)个月,成人的平均随访时间为(13.3 ± 3.0)个月。细胞因子谱的评估采用市场上可买到的检测方法进行。 结果 随访后发现,体重和体重指数总体上有明显增加(分别为 p = 0.003 和 p = 0.002)。接种疫苗后,观察到几种细胞因子明显增加,包括碱性成纤维细胞生长因子 2 (p < 0.001)、γ 干扰素 (IFNγ) (p = 0.005)、白细胞介素-1β (IL1β) (p < 0.001)、IL4 (p < 0.001)、IL6(p = 0.003)、IL7(p = 0.001)、IL17E(p < 0.001)、单核细胞趋化蛋白-1(MCP1)(p = 0.03)、MCP3(p = 0.001)、肿瘤坏死因子α(TNFα)(p < 0.001)和血管内皮生长因子(VEGFA)(p < 0.001)。只有巨噬细胞集落刺激因子(p <0.001)明显减少。经年龄调整后,表皮生长因子(EGF)、IL4、IL6、MCP3、TNFα 和血管内皮生长因子(VEGFA)仍具有统计学意义。性别分析显示,与女性相比,男性 IL6(p = 0.008)、IL4(p = 0.04)和 TNFα(p = 0.015)的增加幅度更大。基于年龄的分析表明,老年参与者的 EGF(p = 0.011)、IL6(p = 0.029)、MCP1(p = 0.042)和 TNFα(p = 0.017)的增加更为明显,而年轻参与者的 VEGFA(p = 0.025)的增加更大。 结论 本研究结果表明,接种 COVID-19 疫苗会导致细胞因子水平升高,这表明对信使核糖核酸(mRNA)疫苗的体液免疫反应持续存在。这种效应可能归因于mRNA-脂质纳米颗粒持续产生尖峰蛋白和高度炎症性。此外,研究结果表明,细胞因子水平因性别和年龄而异。值得注意的是,接种了 mRNA 疫苗的年轻成年人的细胞因子谱在 1 年后仍会发生有利的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Altered Circulating Cytokine Profile Among mRNA-Vaccinated Young Adults: A Year-Long Follow-Up Study

Altered Circulating Cytokine Profile Among mRNA-Vaccinated Young Adults: A Year-Long Follow-Up Study

Objectives

This longitudinal study aimed to assess the impact of COVID-19 vaccination on cytokine profile.

Methods

A total of 84 Saudi subjects (57.1% females) with mean age of 27.2 ± 12.3 participated in this longitudinal study. Anthropometric data and fasting blood samples were obtained at baseline and after final vaccination, with an average follow-up duration of 14.1 ± 3.6 months for adolescents and 13.3 ± 3.0 months for adults, calculated from the first dose of vaccination. Assessment of cytokine profiles was done using commercially available assays.

Results

After follow-up, a significant increase in weight and body mass index was observed overall (p = 0.003 and p = 0.002, respectively). Postvaccination, significant increases were observed in several cytokines, including basic fibroblast growth factor 2 (p < 0.001), interferon gamma (IFNγ) (p = 0.005), interleukin-1 beta (IL1β) (p < 0.001), IL4 (p < 0.001), IL6 (p = 0.003), IL7 (p = 0.001), IL17E (p < 0.001), monocyte chemoattractant protein-1 (MCP1) (p = 0.03), MCP3 (p = 0.001), tumor necrosis factor alpha (TNFα) (p < 0.001), and VEGFA (p < 0.001). A significant reduction was observed only in macrophage colony-stimulating factor (p < 0.001). When adjusted for age, epidermal growth factor (EGF), IL4, IL6, MCP3, TNFα, and vascular endothelial growth factor (VEGFA) remained statistically significant. Gender-based analysis revealed that men experienced greater increases in IL6 (p = 0.008), IL4 (p = 0.04), and TNFα (p = 0.015) compared to women. Age-based analysis showed that older participants had more pronounced increases in EGF (p = 0.011), IL6 (p = 0.029), MCP1 (p = 0.042), and TNFα (p = 0.017), while younger participants had a greater increase in VEGFA (p = 0.025).

Conclusions

The findings of this study indicated that COVID-19 vaccination resulted in an increase in cytokine levels, which signifies the persistence of the humoral immune response to messenger RNA (mRNA) vaccines. This effect may be attributed to the persistent production of spike protein and highly inflammatory nature of mRNA–lipid nanoparticle. Additionally, the results suggested differences in cytokine levels based on gender and age. Notably, the cytokine profile remains favorably altered in young adults who received mRNA vaccinations, even after 1 year.

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来源期刊
Immunity, Inflammation and Disease
Immunity, Inflammation and Disease Medicine-Immunology and Allergy
CiteScore
3.60
自引率
0.00%
发文量
146
审稿时长
8 weeks
期刊介绍: Immunity, Inflammation and Disease is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research across the broad field of immunology. Immunity, Inflammation and Disease gives rapid consideration to papers in all areas of clinical and basic research. The journal is indexed in Medline and the Science Citation Index Expanded (part of Web of Science), among others. It welcomes original work that enhances the understanding of immunology in areas including: • cellular and molecular immunology • clinical immunology • allergy • immunochemistry • immunogenetics • immune signalling • immune development • imaging • mathematical modelling • autoimmunity • transplantation immunology • cancer immunology
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