Impaired neutralizing antibody response to COVID-19 mRNA vaccines in cancer patients

Abstract There is currently a critical need to determine the efficacy of SARS-CoV-2 vaccination for immunocompromised patients. In this study, we determined the neutralizing antibody response in 160 cancer patients diagnosed with chronic lymphocytic leukemia (CLL), lung cancer, breast cancer, and va...

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Autores principales: Cong Zeng, John P. Evans, Sarah Reisinger, Jennifer Woyach, Christina Liscynesky, Zeinab El Boghdadly, Mark P. Rubinstein, Karthik Chakravarthy, Linda Saif, Eugene M. Oltz, Richard J. Gumina, Peter G. Shields, Zihai Li, Shan-Lu Liu
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/b0b75e1c41084268a96830ebeb2c2906
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spelling oai:doaj.org-article:b0b75e1c41084268a96830ebeb2c29062021-11-28T12:29:00ZImpaired neutralizing antibody response to COVID-19 mRNA vaccines in cancer patients10.1186/s13578-021-00713-22045-3701https://doaj.org/article/b0b75e1c41084268a96830ebeb2c29062021-11-01T00:00:00Zhttps://doi.org/10.1186/s13578-021-00713-2https://doaj.org/toc/2045-3701Abstract There is currently a critical need to determine the efficacy of SARS-CoV-2 vaccination for immunocompromised patients. In this study, we determined the neutralizing antibody response in 160 cancer patients diagnosed with chronic lymphocytic leukemia (CLL), lung cancer, breast cancer, and various non-Hodgkin’s lymphomas (NHL), after they received two doses of mRNA vaccines. Serum from 46 mRNA vaccinated health care workers (HCWs) served as healthy controls. We discovered that (1) cancer patients exhibited reduced neutralizing antibody titer (NT50) compared to HCWs; (2) CLL and NHL patients exhibited the lowest NT50 levels, with 50-60% of them below the detection limit; (3) mean NT50 levels in patients with CLL and NHL was ~2.6 fold lower than those with solid tumors; and (4) cancer patients who received anti-B cell therapy exhibited significantly reduced NT50 levels. Our results demonstrate an urgent need for novel immunization strategies for cancer patients against SARS-CoV-2, particularly those with hematological cancers and those on anti-B cell therapies.Cong ZengJohn P. EvansSarah ReisingerJennifer WoyachChristina LiscyneskyZeinab El BoghdadlyMark P. RubinsteinKarthik ChakravarthyLinda SaifEugene M. OltzRichard J. GuminaPeter G. ShieldsZihai LiShan-Lu LiuBMCarticleBiotechnologyTP248.13-248.65Biology (General)QH301-705.5BiochemistryQD415-436ENCell & Bioscience, Vol 11, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Biotechnology
TP248.13-248.65
Biology (General)
QH301-705.5
Biochemistry
QD415-436
spellingShingle Biotechnology
TP248.13-248.65
Biology (General)
QH301-705.5
Biochemistry
QD415-436
Cong Zeng
John P. Evans
Sarah Reisinger
Jennifer Woyach
Christina Liscynesky
Zeinab El Boghdadly
Mark P. Rubinstein
Karthik Chakravarthy
Linda Saif
Eugene M. Oltz
Richard J. Gumina
Peter G. Shields
Zihai Li
Shan-Lu Liu
Impaired neutralizing antibody response to COVID-19 mRNA vaccines in cancer patients
description Abstract There is currently a critical need to determine the efficacy of SARS-CoV-2 vaccination for immunocompromised patients. In this study, we determined the neutralizing antibody response in 160 cancer patients diagnosed with chronic lymphocytic leukemia (CLL), lung cancer, breast cancer, and various non-Hodgkin’s lymphomas (NHL), after they received two doses of mRNA vaccines. Serum from 46 mRNA vaccinated health care workers (HCWs) served as healthy controls. We discovered that (1) cancer patients exhibited reduced neutralizing antibody titer (NT50) compared to HCWs; (2) CLL and NHL patients exhibited the lowest NT50 levels, with 50-60% of them below the detection limit; (3) mean NT50 levels in patients with CLL and NHL was ~2.6 fold lower than those with solid tumors; and (4) cancer patients who received anti-B cell therapy exhibited significantly reduced NT50 levels. Our results demonstrate an urgent need for novel immunization strategies for cancer patients against SARS-CoV-2, particularly those with hematological cancers and those on anti-B cell therapies.
format article
author Cong Zeng
John P. Evans
Sarah Reisinger
Jennifer Woyach
Christina Liscynesky
Zeinab El Boghdadly
Mark P. Rubinstein
Karthik Chakravarthy
Linda Saif
Eugene M. Oltz
Richard J. Gumina
Peter G. Shields
Zihai Li
Shan-Lu Liu
author_facet Cong Zeng
John P. Evans
Sarah Reisinger
Jennifer Woyach
Christina Liscynesky
Zeinab El Boghdadly
Mark P. Rubinstein
Karthik Chakravarthy
Linda Saif
Eugene M. Oltz
Richard J. Gumina
Peter G. Shields
Zihai Li
Shan-Lu Liu
author_sort Cong Zeng
title Impaired neutralizing antibody response to COVID-19 mRNA vaccines in cancer patients
title_short Impaired neutralizing antibody response to COVID-19 mRNA vaccines in cancer patients
title_full Impaired neutralizing antibody response to COVID-19 mRNA vaccines in cancer patients
title_fullStr Impaired neutralizing antibody response to COVID-19 mRNA vaccines in cancer patients
title_full_unstemmed Impaired neutralizing antibody response to COVID-19 mRNA vaccines in cancer patients
title_sort impaired neutralizing antibody response to covid-19 mrna vaccines in cancer patients
publisher BMC
publishDate 2021
url https://doaj.org/article/b0b75e1c41084268a96830ebeb2c2906
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