Loss of anti-spike antibodies following mRNA vaccination for COVID-19 among patients with multiple myeloma

© 2023 The Authors. Cancer Reports published by Wiley Periodicals LLC..

BACKGROUND: Multiple myeloma (MM) patients have variable responses to mRNA vaccination to COVID-19. Little is known regarding their vaccine-induced antibody levels over time.

METHODS: We monitored spike IgG antibody levels over 24 weeks among a subset of 18 MM patients who showed a full response after two mRNA vaccinations.

RESULTS: MM patients had a more rapid decline in antibody levels as compared to eight healthy controls, with power law half-lives of 72 days (vs. 107 days) and exponential half-lives of 37 days (vs. 51 days). The patients with longer SARS-CoV-2 antibody half-lives were more likely to have undetectable monoclonal protein than those with shorter half-lives, suggesting better disease control may correlate with longer duration of vaccine-induced antibodies. Regardless, by 16 weeks post-second dose of mRNA vaccination, the majority of patients had antibody levels below 250 binding arbitrary units per milliliter, which would be unlikely to contribute to preventing COVID-19.

CONCLUSIONS: Thus, even MM patients who respond adequately to vaccination are likely to require more frequent booster doses than the general population.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

Cancer reports (Hoboken, N.J.) - 6(2023), 5 vom: 01. Mai, Seite e1803

Sprache:

Englisch

Beteiligte Personen:

Stampfer, Samuel D [VerfasserIn]
Bujarski, Sean [VerfasserIn]
Goldwater, Marissa-Skye [VerfasserIn]
Jew, Scott [VerfasserIn]
Regidor, Bernard [VerfasserIn]
Chen, Haiming [VerfasserIn]
Xu, Ning [VerfasserIn]
Li, Mingjie [VerfasserIn]
Fung, Eddie [VerfasserIn]
Swift, Regina [VerfasserIn]
Beatty, Bethany [VerfasserIn]
Eshaghian, Shahrooz [VerfasserIn]
Berenson, James R [VerfasserIn]

Links:

Volltext

Themen:

Antibodies
COVID-19
Half-life
Journal Article
Multiple myeloma
RNA, Messenger
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
SARS-CoV-2
Vaccination

Anmerkungen:

Date Completed 12.05.2023

Date Revised 15.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/cnr2.1803

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353974579