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Perinatally Human Immunodeficiency Virus-Infected Adolescents and Young Adults Demonstrate Distinct BNT162b2 Messenger RNA Coronavirus Disease 2019 Vaccine Immunogenicity.


ABSTRACT:

Background

Immunization of vulnerable populations with distinct immunity often results in suboptimal immunogenicity, durability, and efficacy.

Methods

Safety and immunogenicity profiles of BNT162b2 messenger RNA coronavirus disease 2019 (COVID-19) vaccine, among people living with human immunodeficiency virus (HIV), were evaluated in 28 perinatally HIV-infected patients under antiretroviral therapy (ART) and 65 healthy controls (HCs) with no previous history of COVID-19. Thus, we measured severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific humoral and CD4+ T cell responses. Samples were collected before vaccination (baseline, day [D] 0), at the second dose (D21), and at 4 weeks (D28) and 6 months (D180) after D0. Proteomic profiles at D0 and D28 were assessed with a multiplexed proximity extension assay (Olink) on plasma samples.

Results

All HIV-infected patients mounted similar anti-SARS-CoV-2 humoral responses to those of HCs, albeit with lower titers of anti-trimeric S at D28 (P = .01). Only peripheral blood mononuclear cells of HIV-infected patients demonstrated at D28 an impaired ability to expand their specific (CD40L+) CD4+ T-cell populations. Similar humoral titers were maintained between the 2 groups at 6-months follow-up. We additionally correlated baseline protein levels to either humoral or cellular responses, identifying clusters of molecules involved in immune response regulation with inverse profiles between the 2 study groups.

Conclusions

Responses of ART-treated HIV-infected patients, compared to those of HCs, were characterized by distinct features especially within the proteomic compartment, supporting their eligibility to an additional dose, similarly to the HC schedule.

SUBMITTER: Morrocchi E 

PROVIDER: S-EPMC9278233 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Perinatally Human Immunodeficiency Virus-Infected Adolescents and Young Adults Demonstrate Distinct BNT162b2 Messenger RNA Coronavirus Disease 2019 Vaccine Immunogenicity.

Morrocchi Elena E   Pighi Chiara C   Pascucci Giuseppe Rubens GR   Cotugno Nicola N   Medri Chiara C   Amodio Donato D   Colagrossi Luna L   Ruggiero Alessandra A   Manno Emma Concetta EC   Casamento Tumeo Chiara C   Bernardi Stefania S   Smolen Kinga K KK   Perno Carlo Federico CF   Ozonoff Al A   Rossi Paolo P   Levy Ofer O   Palma Paolo P  

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 20220801 Suppl 1


<h4>Background</h4>Immunization of vulnerable populations with distinct immunity often results in suboptimal immunogenicity, durability, and efficacy.<h4>Methods</h4>Safety and immunogenicity profiles of BNT162b2 messenger RNA coronavirus disease 2019 (COVID-19) vaccine, among people living with human immunodeficiency virus (HIV), were evaluated in 28 perinatally HIV-infected patients under antiretroviral therapy (ART) and 65 healthy controls (HCs) with no previous history of COVID-19. Thus, we  ...[more]

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