tetano
Editor, Senior Moderator
Front Immunol
. 2022 May 27;13:859926.
doi: 10.3389/fimmu.2022.859926. eCollection 2022.
Case Report: New-Onset Rheumatoid Arthritis Following COVID-19 Vaccination
Tomohiro Watanabe[SUP] 1 [/SUP], Kosuke Minaga[SUP] 1 [/SUP], Akane Hara[SUP] 1 [/SUP], Tomoe Yoshikawa[SUP] 1 [/SUP], Ken Kamata[SUP] 1 [/SUP], Masatoshi Kudo[SUP] 1 [/SUP]
Affiliations
Abstract
Efficient protection against coronavirus disease 2019 (COVID-19) has been achieved by immunization with mRNA-based vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, efficient immune responses against this novel virus by vaccination are accompanied by a wide variety of side effects. Indeed, flares or new-onset of autoimmune disorders have been reported soon after the COVID-19 vaccination. Although pro-inflammatory cytokine responses play pathogenic roles in the development of autoimmunity, cytokines charactering COVID-19 vaccination-related autoimmune responses have been poorly understood. Given that mRNA derived from COVID-19 vaccine is a potent inducer for pro-inflammatory cytokine responses, these cytokines might mediate autoimmune responses after COVID-19 vaccination. Here we report a case with new-onset rheumatoid arthritis (RA) following COVID-19 vaccination. Serum concentrations not only of arthrogenic cytokines, interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α), but also of type I interferon (IFN) were elevated at the active phase in this case. Induction of remission by methotrexate and tocilizumab was accompanied by a marked reduction in serum concentrations of type I IFN, IL-6, and TNF-α. These results suggest that production of type I IFN, IL-6, and TNF-α induced by COVID-19 vaccination might be involved in this case with new-onset RA.
Keywords: COVID-19 vaccination; IL-6; TNF-alpha; rheumatoid arthritis; type I IFN.
. 2022 May 27;13:859926.
doi: 10.3389/fimmu.2022.859926. eCollection 2022.
Case Report: New-Onset Rheumatoid Arthritis Following COVID-19 Vaccination
Tomohiro Watanabe[SUP] 1 [/SUP], Kosuke Minaga[SUP] 1 [/SUP], Akane Hara[SUP] 1 [/SUP], Tomoe Yoshikawa[SUP] 1 [/SUP], Ken Kamata[SUP] 1 [/SUP], Masatoshi Kudo[SUP] 1 [/SUP]
Affiliations
- PMID: 35720324
- PMCID: PMC9198350
- DOI: 10.3389/fimmu.2022.859926
Abstract
Efficient protection against coronavirus disease 2019 (COVID-19) has been achieved by immunization with mRNA-based vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, efficient immune responses against this novel virus by vaccination are accompanied by a wide variety of side effects. Indeed, flares or new-onset of autoimmune disorders have been reported soon after the COVID-19 vaccination. Although pro-inflammatory cytokine responses play pathogenic roles in the development of autoimmunity, cytokines charactering COVID-19 vaccination-related autoimmune responses have been poorly understood. Given that mRNA derived from COVID-19 vaccine is a potent inducer for pro-inflammatory cytokine responses, these cytokines might mediate autoimmune responses after COVID-19 vaccination. Here we report a case with new-onset rheumatoid arthritis (RA) following COVID-19 vaccination. Serum concentrations not only of arthrogenic cytokines, interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α), but also of type I interferon (IFN) were elevated at the active phase in this case. Induction of remission by methotrexate and tocilizumab was accompanied by a marked reduction in serum concentrations of type I IFN, IL-6, and TNF-α. These results suggest that production of type I IFN, IL-6, and TNF-α induced by COVID-19 vaccination might be involved in this case with new-onset RA.
Keywords: COVID-19 vaccination; IL-6; TNF-alpha; rheumatoid arthritis; type I IFN.