Humoral response to SARS-CoV-2 infection and vaccines against COVID-19 in patients with neuromyelitis optica spectrum disorders: Impact of immunosuppressive treatment.

Mult Scler Relat Disord

Clinic of Neurology, University Clinical Center of Serbia, Dr Subotica 6, Belgrade 11000, Serbia; Faculty of Medicine, University of Belgrade, Dr Subotica 8, Belgrade 11000, Serbia. Electronic address:

Published: June 2022

AI Article Synopsis

  • The study examined how well NMOSD patients' immune systems responded to SARS-CoV-2 infection and vaccination while on different types of immunosuppressants.
  • Seroconversion was successful in 80% of patients who had COVID-19 and in about 56% post-vaccination, but varied significantly with different treatments.
  • Patients treated with B-cell depleting therapies showed a weak immune response after vaccination, while those on conventional immunosuppressants had a much better seroconversion rate.

Article Abstract

The aim of this study was to evaluate the humoral response to the SARS-CoV-2 infection and vaccination in the NMOSD patients, treated with various immunosuppresants (ISs). Serum IgG against the complete sequence of the receptor binding domain of the spike protein was measured using ELISA SARS-CoV-2 IgG, INEP, Belgrade. Seroconversion occurred in 8/10 patients with COVID-19, and in 5/9 after vaccination. One out of four patients treated with inebilizumab seroconverted (after COVID-19); antibodies were not detected in any of the remaining 3 patients who were vaccinated. Antibodies developed after COVID-19 in 4/5 patients treated with azathioprine and all treated with mycophenolate-mofetil, and after vaccination, in 5/6 patients treated with these ISs. Post-vaccination humoral response was impaired in our NMOSD patients treated with B-cell depleting therapies; seroconversion occurred in almost all patients treated with conventional synthetic disease modifying ISs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986231PMC
http://dx.doi.org/10.1016/j.msard.2022.103794DOI Listing

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