Response to SARS-CoV-2 initial series and additional dose vaccine in pediatric patients with predominantly antibody deficiency

Copyright © 2023 Tandon, DiGiacomo, Zhou, Hesterberg, Rosenberg, Barmettler and Farmer..

Data regarding response to SARS-CoV-2 immunization in pediatric patients with predominantly antibody deficiency (PAD) is limited. We evaluated SARS-CoV-2 immunization response by anti-SARS-CoV-2-spike antibody level in 15 pediatric PAD patients. These data were compared to a published cohort of adult PAD patients (n=62) previously analyzed following SARS-CoV-2 immunization at our single center institution. We evaluated demographics, clinical characteristics, immunophenotype, infection history, and past medication use by chart review. Following a two-dose monovalent initial series SARS-CoV-2 immunization, mean anti-SARS-CoV-2-spike antibody levels were significantly higher in pediatric PAD patients compared to adult PAD patients (2,890.7 vs. 140.1 U/mL; p<0.0001). Pediatric PAD patients with low class-switched memory B-cells, defined as <2% of total CD19+ B-cells, had significantly lower mean anti-SARS-CoV-2-spike antibody levels than those without (p=0.02). Following a third-dose monovalent SARS-CoV-2 immunization, the mean anti-SARS-CoV-2-spike antibody levels in pediatric PAD patients significantly increased (2,890.7 to 18,267.2 U/mL; p<0.0001). These data support Centers for Disease Control guidelines regarding three-part SARS-CoV-2 vaccine series, including in the pediatric PAD patient demographic.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Frontiers in immunology - 14(2023) vom: 05., Seite 1217718

Sprache:

Englisch

Beteiligte Personen:

Tandon, Megha [VerfasserIn]
DiGiacomo, Daniel V [VerfasserIn]
Zhou, Baijun [VerfasserIn]
Hesterberg, Paul [VerfasserIn]
Rosenberg, Chen E [VerfasserIn]
Barmettler, Sara [VerfasserIn]
Farmer, Jocelyn R [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Viral
COVID-19
COVID-19 Vaccines
Inborn error of immunity
Journal Article
Predominantly antibody deficiency
Primary immune deficiency
Research Support, N.I.H., Extramural
SARS-CoV-2
Vaccine
Vaccines

Anmerkungen:

Date Completed 15.08.2023

Date Revised 28.03.2024

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.3389/fimmu.2023.1217718

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360746403