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Humoral and cellular responses after a third dose of SARS-CoV-2 BNT162b2 vaccine in patients with lymphoid malignancies

Author

Listed:
  • Daniel Re

    (Centre Hospitalier
    Centre Antoine Lacassagne)

  • Barbara Seitz-Polski

    (Université Côte d’Azur
    Université Côte d’Azur
    Université Côte d’Azur)

  • Vesna Brglez

    (Université Côte d’Azur
    Université Côte d’Azur
    Université Côte d’Azur)

  • Michel Carles

    (Centre Hospitalier Universitaire de Nice (CHU)
    INSERM, C3M, Université Côte d’Azur)

  • Daisy Graça

    (Université Côte d’Azur
    Université Côte d’Azur
    Université Côte d’Azur)

  • Sylvia Benzaken

    (Université Côte d’Azur
    Université Côte d’Azur
    Université Côte d’Azur)

  • Stéphane Liguori

    (Centre Hospitalier)

  • Khaled Zahreddine

    (Centre Hospitalier)

  • Margaux Delforge

    (Centre Hospitalier)

  • Béatrice Bailly-Maitre

    (INSERM, C3M, Université Côte d’Azur)

  • Benjamin Verrière

    (Centre Hospitalier)

  • Emmanuel Chamorey

    (Centre Antoine Lacassagne)

  • Jérôme Barrière

    (Polyclinique Saint-Jean)

Abstract

Patients with hematological malignancies have impaired immune response after two doses of BNT162b2 (Pfizer/BioNTech) vaccine against SARS-CoV-2. Here, in this observational study (registration number HDH F20210324145532), we measure SARS-CoV-2 anti-Spike antibodies, neutralizing antibodies and T-cell responses after immune stimulation with a third dose (D3) of the same vaccine in patients with chronic lymphocytic leukemia (n = 13), B cell non-Hodgkin lymphoma (n = 14), and multiple myeloma (n = 16)). No unexpected novel side effects are reported. Among 25 patients with positive anti-S titers before D3, 23 (92%) patients increase their anti-S and neutralizing antibody titer after D3. All 18 (42%) initially seronegative patients remain negative. D3 increases the median IFN-γ secretion in the whole cohort and induces IFN-γ secretion in a fraction of seronegative patients. Our data thus support the use of a third vaccine dose amongst patients with lymphoid malignancies, even though some of them will still have vaccine failure.

Suggested Citation

  • Daniel Re & Barbara Seitz-Polski & Vesna Brglez & Michel Carles & Daisy Graça & Sylvia Benzaken & Stéphane Liguori & Khaled Zahreddine & Margaux Delforge & Béatrice Bailly-Maitre & Benjamin Verrière &, 2022. "Humoral and cellular responses after a third dose of SARS-CoV-2 BNT162b2 vaccine in patients with lymphoid malignancies," Nature Communications, Nature, vol. 13(1), pages 1-9, December.
  • Handle: RePEc:nat:natcom:v:13:y:2022:i:1:d:10.1038_s41467-022-28578-0
    DOI: 10.1038/s41467-022-28578-0
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    References listed on IDEAS

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    1. Delphine Planas & David Veyer & Artem Baidaliuk & Isabelle Staropoli & Florence Guivel-Benhassine & Maaran Michael Rajah & Cyril Planchais & Françoise Porrot & Nicolas Robillard & Julien Puech & Matth, 2021. "Reduced sensitivity of SARS-CoV-2 variant Delta to antibody neutralization," Nature, Nature, vol. 596(7871), pages 276-280, August.
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