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Interpreting and addressing suboptimal immune responses after COVID-19 vaccination in solid-organ transplant recipients

Date:

07/15/2021

Citation:

Stock PG, Henrich TJ, Segev DL, Werbel WA. Interpreting and addressing suboptimal immune responses after COVID-19 vaccination in solid-organ transplant recipients. J Clin Invest. 2021 Jul 15;131(14):e151178. doi: 10.1172/JCI151178. PMID: 34143755; PMCID: PMC8279579.

Abstract

Transplant recipients were excluded from the initial clinical trials determining safety and efficacy of the landmark COVID-19 vaccines. Further, there is increasing evidence that immunosuppressed transplant recipients have a blunted antibody response to COVID-19 vaccination. In a concerning report by Sattler et al. in this issue of the JCI, kidney transplant recipients not only lacked a humoral response following two doses of Pfizer BNT162b2, but also displayed substantial impairment of the cellular response to SARS-CoV-2 antigens. This Commentary addresses potential strategies for transplant providers to evaluate and augment vaccine immunogenicity given the likelihood that COVID-19 will remain a world-wide threat to the health of transplant recipients.

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https://pubmed.ncbi.nlm.nih.gov/34143755/