1. Analysis of the humoral and cellular response after the thirdCOVID‐19 vaccination in patients with autoimmune hepatitis.
- Author
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Hartl, Johannes, Rüther, Darius Ferenc, Duengelhoef, Paul Maria, Brehm, Thomas Theo, Steinmann, Silja, Weltzsch, Jan Philipp, Glaser, Fabian, Sterneck, Martina, Sebode, Marcial, Weiler‐Normann, Christina, Lütgehetmann, Marc, Schaub, Golda Melina, Haag, Friedrich, Schramm, Christoph, Wiesch, Julian Schulze zur, and Lohse, Ansgar Wilhelm
- Subjects
SEROCONVERSION ,AUTOIMMUNE hepatitis ,CELL analysis ,BOOSTER vaccines ,COVID-19 vaccines ,ANTIBODY titer - Abstract
Background & aims: To explore the humoral and T‐cell response to the third COVID‐19 vaccination in autoimmune hepatitis (AIH). Methods: Anti‐SARS‐CoV‐2 antibody titers were prospectively determined in 81 AIH patients and 53 healthy age‐ and sex‐matched controls >7 days (median 35) after the first COVID‐19 booster vaccination. The spike‐specific T‐cell response was assessed using an activation‐induced marker assay (AIM) in a subset of patients. Results: Median antibody levels were significantly lower in AIH compared to controls (10 908 vs. 25 000 AU/ml, p <.001), especially in AIH patients treated with MMF (N = 14, 4542 AU/ml, p =.004) or steroids (N = 27, 7326 AU/ml, p =.020). Also, 48% of AIH patients had antibody titers below the 10% percentile of the healthy controls (9194 AU/ml, p <.001). AIH patients had a high risk of failing to develop a spike‐specific T‐cell response (15/34 (44%) vs. 2/16 (12%), p =.05) and showed overall lower frequencies of spike‐specific CD4 + T cells (median: 0.074% vs 0.283; p =.01) after the booster vaccination compared to healthy individuals. In 34/81 patients, antibody titers before and after booster vaccination were available. In this subgroup, all patients but especially those without detectable/low antibodies titers (<100 AU/ml) after the second vaccination (N = 11/34) showed a strong, 148‐fold increase. Conclusion: A third COVID‐19 vaccination efficiently boosts antibody levels and T‐cell responses in AIH patients and even seroconversion in patients with the absent immune response after two vaccinations, but to a lower level compared to controls. Therefore, we suggest routinely assessing antibody levels in AIH patients and offering additional booster vaccinations to those with suboptimal responses. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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