Immunogenicity to COVID-19 mRNA vaccine third dose in people living with HIV
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Published:2022-08-22
Issue:1
Volume:13
Page:
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ISSN:2041-1723
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Container-title:Nature Communications
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language:en
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Short-container-title:Nat Commun
Author:
Vergori AlessandraORCID, Cozzi Lepri Alessandro, Cicalini Stefania, Matusali Giulia, Bordoni Veronica, Lanini Simone, Meschi Silvia, Iannazzo Roberta, Mazzotta ValentinaORCID, Colavita Francesca, Mastrorosa Ilaria, Cimini Eleonora, Mariotti DavideORCID, De Pascale Lydia, Marani Alessandra, Gallì Paola, Garbuglia AnnaRosa, Castilletti ConcettaORCID, Puro Vincenzo, Agrati Chiara, Girardi Enrico, Vaia Francesco, Antinori Andrea, Amendola Alessandra, Baldini Francesco, Bellagamba Rita, Bettini Aurora, Bordi Licia, Camici Marta, Casetti Rita, Costantini Sarah, Cristofanelli Flavia, D’Alessio Claudia, D’Aquila Veronica, De Angelis Alessia, De Zottis Federico, de Pascale Lydia, Francalancia Massimo, Fusto Marisa, Gagliardini Roberta, Gramigna Giulia, Grassi Germana, Grilli Elisabetta, Grisetti Susanna, Iafrate Denise, Lapa Daniele, Lorenzini Patrizia, Marani Alessandra, Masone Erminia, Marongiu Stefano, Mondi Annalisa, Notari Stefania, Ottou Sandrine, Paulicelli Jessica, Pellegrino Luca, Pinnetti Carmela, Plazzi Maria Maddalena, Possi Adriano, Sacchi Alessandra, Tartaglia Eleonora,
Abstract
AbstractIn order to investigate safety and immunogenicity of SARS-CoV-2 vaccine third dose in people living with HIV (PLWH), we analyze anti-RBD, microneutralization assay and IFN-γ production in 216 PLWH on ART with advanced disease (CD4 count <200 cell/mm3 and/or previous AIDS) receiving the third dose of a mRNA vaccine (BNT162b2 or mRNA-1273) after a median of 142 days from the second dose. Median age is 54 years, median CD4 nadir 45 cell/mm3 (20–122), 93% HIV-RNA < 50 c/mL. In 68% of PLWH at least one side-effect, generally mild, is recorded. Humoral response after the third dose was strong and higher than that achieved with the second dose (>2 log2 difference), especially when a heterologous combination with mRNA-1273 as third shot is used. In contrast, cell-mediated immunity remain stable. Our data support usefulness of third dose in PLWH currently receiving suppressive ART who presented with severe immune dysregulation.
Funder
Ministero della Salute
Publisher
Springer Science and Business Media LLC
Subject
General Physics and Astronomy,General Biochemistry, Genetics and Molecular Biology,General Chemistry,Multidisciplinary
Cited by
78 articles.
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