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J Inflamm Res . Early Humoral Responses of Hemodialysis Patients After Inactivated SARS-CoV-2 Vaccination

tetano

Editor, Senior Moderator
J Inflamm Res


. 2022 Jun 14;15:3467-3475.
doi: 10.2147/JIR.S361621. eCollection 2022.
Early Humoral Responses of Hemodialysis Patients After Inactivated SARS-CoV-2 Vaccination


Wen-Man Zhao[SUP] #[/SUP][SUP] 1 [/SUP], Rui Shi[SUP] #[/SUP][SUP] 1 [/SUP], Peng Wang[SUP] #[/SUP][SUP] 2 [/SUP], Jun He[SUP] #[/SUP][SUP] 3 4 [/SUP], Yue Chen[SUP] 5 6 [/SUP], Ya-Ting Feng[SUP] 5 6 [/SUP], Hai-Feng Pan[SUP] 5 6 [/SUP], De-Guang Wang[SUP] 1 [/SUP]



Affiliations

Abstract

Purpose: To detect antibody responses to inactivated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine in patients undergoing hemodialysis and to investigate vaccine-related adverse events.
Patients and methods: A total of 120 hemodialysis (HD) patients and 24 healthy controls (HCs) who had not been previously infected with SARS-CoV-2 and had received their first dose of the inactivated vaccine (CoronaVac; Sinovac Biotech Ltd) were recruited for this study. All participants were scheduled to receive a second dose of inactivated SARS-CoV-2 vaccine. Serum-specific immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies against the SARS-CoV-2 were detected at least 14 days after the second dose of vaccine using a commercial kit. Positive and negative results were defined as a sample/cutoff (S/CO) ratio≥1.00 and <1.00, respectively. Vaccination-related adverse events were assessed using a standardized questionnaire.
Results: There were no significant differences regarding the seroprevalences of IgG and IgM antibodies against SARS-CoV-2 and the self-reported vaccination-related adverse events between HD patients and HCs. The analysis results for HD patients suggest that 82 (68.3%) and 27 (22.5%) tested positive for IgG and IgM, respectively. The levels of IgG were higher than IgM levels (P<0.0001). In addition, the IgG-positive group had significantly higher serum albumin levels than the IgG-negative group (P<0.05). Only mild vaccine-related adverse events were observed in two patients (1.66%) and in one healthy individual (4.2%).
Conclusion: The seroprevalences of IgG and IgM antibodies against SARS-CoV-2 and vaccination-related adverse effects are similar between HD and HCs. The inactivated SARS-CoV-2 vaccine is effective and safe in inducing near-term immunity in hemodialysis patients.

Keywords: COVID-19; IgM and IgG antibody; adverse events; inactivated SARS-CoV-2 vaccine.
 
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