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Vaccine Breakthrough Hypoxemic Covid-19 Pneumonia in Patients With Auto-Abs Neutralizing Type I Ifns Publisher Pubmed



Bastard P1, 2, 3, 4 ; Vazquez SE5, 6, 7 ; Liu J8, 9 ; Laurie MT8 ; Wang CY10 ; Gervais A1, 2 ; Voyer TL1, 2 ; Bizien L1, 2 ; Zamecnik C11 ; Philippot Q1, 2 ; Rosain J1, 2 ; Catherinot E12 ; Willmore A10 ; Mitchell AM10 Show All Authors
Authors
  1. Bastard P1, 2, 3, 4
  2. Vazquez SE5, 6, 7
  3. Liu J8, 9
  4. Laurie MT8
  5. Wang CY10
  6. Gervais A1, 2
  7. Voyer TL1, 2
  8. Bizien L1, 2
  9. Zamecnik C11
  10. Philippot Q1, 2
  11. Rosain J1, 2
  12. Catherinot E12
  13. Willmore A10
  14. Mitchell AM10
  15. Bair R11
  16. Garcon P13
  17. Kenney H14
  18. Fekkar A1, 2, 15
  19. Salagianni M16
  20. Poulakou G17
  21. Siouti E16
  22. Sahanic S18
  23. Tancevski I18
  24. Weiss G18
  25. Nagl L19
  26. Manry J1, 2
  27. Duvlis S20, 21
  28. Arroyosanchez D22
  29. Artal EP22
  30. Rubio L8
  31. Perani C23
  32. Bezzi M24
  33. Sottini A25
  34. Quaresima V25
  35. Roussel L26, 27
  36. Vinh DC26, 27
  37. Reyes LF28, 29
  38. Garzaro M30
  39. Hatipoglu N31
  40. Boutboul D32
  41. Tandjaouilambiotte Y33, 34, 35
  42. Borghesi A36
  43. Aliberti A37
  44. Cassaniti I38
  45. Venet F39, 40, 41
  46. Monneret G39, 40
  47. Halwani R42, 43
  48. Sharifaskari NS42
  49. Danielson J14
  50. Burrel S44
  51. Morbieu C45
  52. Stepanovskyy Y46
  53. Bondarenko A46, 111
  54. Volokha A46
  55. Boyarchuk O47
  56. Gagro A48, 49
  57. Neuville M50
  58. Neven B51
  59. Keles S52
  60. Hernu R53
  61. Bal A54
  62. Novelli A55
  63. Novelli G56
  64. Saker K57, 58
  65. Ailioaie O59
  66. Antoli A60
  67. Jeziorski E61
  68. Rocamorablanch G60
  69. Teixeira C62
  70. Delaunay C63
  71. Lhuillier M64
  72. Turnier PL63
  73. Zhang Y14, 65
  74. Mahevas M66, 67, 68
  75. Panhammarstrom Q69, 143
  76. Abolhassani H69
  77. Bompoil T70
  78. Dorgham K71
  79. Gorochov G71, 72
  80. Laouenan C33, 73, 74
  81. Rodriguezgallego C75, 76
  82. Ng LFP77, 78
  83. Renia L77, 78, 79
  84. Pujol A80, 86, 180, 181
  85. Belot A57, 58, 82, 83, 107
  86. Raffi F63
  87. Allende LM22
  88. Martinezpicado J84, 85, 86, 87
  89. Ozcelik T88
  90. Imberti L25
  91. Notarangelo LD14, 170
  92. Troya J89
  93. Solanich X60
  94. Zhang SY1, 2, 3
  95. Puel A1, 2, 3
  96. Wilson MR11
  97. Trouilletassant S58, 90
  98. Abel L1, 2, 3
  99. Jouanguy E1, 2, 3
  100. Ye CJ10, 91, 92, 93, 94
  101. Cobat A1, 2, 3
  102. Thompson LM95
  103. Andreakos E16
  104. Zhang Q1, 2, 3
  105. Anderson MS7, 96
  106. Casanova JL1, 2, 3, 4, 216, 217
  107. Derisi JL8, 10
  108. Achille C36
  109. Aiuti A98
  110. Almuhsen S99
  111. Almulla F100
  112. Angelini M36
  113. Arias AA3, 101, 102
  114. Aytekin G103
  115. Baldanti F38, 104
  116. Banos A105
  117. Feldman HB106
  118. Bergami F38
  119. Biggs CM108
  120. Bogunovic D109
  121. Bolze A110
  122. Bousfiha AA112
  123. Brodin P113
  124. Bryceson Y114
  125. Bustamante CD115
  126. Butte MJ116
  127. Casari G117
  128. Christodoulou J118
  129. Clement B53
  130. Condinoneto A119
  131. Constantinescu SN120
  132. Conti F121
  133. Cooper MA122
  134. Daganou M123
  135. Dalgard CL124
  136. Desai M125
  137. Drolet BA126
  138. El Baghdadi J127
  139. Ergun R128
  140. Ergun D128
  141. Espinosapadilla S129
  142. Fellay J130, 131
  143. Flores C132, 133, 134, 135
  144. Franco JL136
  145. Froidure A137, 138
  146. Ghirardello S36
  147. Gregersen PK139
  148. Grimbacher B140
  149. Haerynck F141
  150. Hagin D142
  151. Hammarstrom L143
  152. Heath JR144
  153. Henrickson SE145, 146
  154. Hsieh EWY147
  155. Husebye E148
  156. Imai K149
  157. Itan Y150, 151
  158. Jarvis ED152
  159. Kanat F128
  160. Karamitros T153
  161. Kisand K154
  162. Kopcha V155
  163. Korda M155
  164. Ku CL156
  165. Lampropoulou V16
  166. Lau YL157
  167. Ling Y158
  168. Lucas CL159
  169. Maniatis T160
  170. Mansouri D161
  171. Marodi L162
  172. Meyts I163, 164, 165
  173. Milner JD166
  174. Mironska K167
  175. Mogensen TH168
  176. Mojoli F37
  177. Morandeira F60
  178. Morio T169
  179. Ofarrelly C171
  180. Okada S172
  181. Okamoto K173
  182. Pagani M37
  183. Papadaki M16
  184. Pape JW174
  185. De Diego RP175
  186. Perlin DS176
  187. Pesole G177
  188. Pession A121
  189. Piralla A38
  190. Pirounaki M105
  191. Planas AM178
  192. Prando C179
  193. Quintanamurci L182, 183
  194. Ramaswamy S184
  195. Rapti V17
  196. Resnick I185
  197. Rigobonnin R60
  198. Sanchoshimizu V186, 187
  199. Sediva A188
  200. Seppanen MRJ189, 190
  201. Shahrooei M191, 192
  202. Shcherbina A193
  203. Slaby O194
  204. Snow AL195
  205. Solerpalacin P196
  206. Spaan AN3, 197
  207. Syrigos K17
  208. Tangye SG198, 199
  209. Tayoun AA184
  210. Triantafyllia V16
  211. Tsiodras S200
  212. Tulek B128
  213. Turvey SE201
  214. Furkan Uddin KM202
  215. Uddin MJ203, 204
  216. Van De Beek D205
  217. Vatansev H206
  218. Von Bernuth H207, 208, 209
  219. Wauters J210
  220. Zatz M211
  221. Zawadzki P212
  222. Gok F213
  223. Emiroglu M214
  224. Alkan G215
  225. Yormaz B128

Source: Science Immunology Published:2023


Abstract

Life-threatening breakthroughcases of critical COVID-19 are attributed to poor or waning antibody (Ab) response to SARS-CoV-2 vaccines in individuals already at risk. Preexisting auto-Abs neutralizing type I IFNs underlie at least 15% of critical COVID-19 pneumonia cases in unvaccinated individuals; their contribution to hypoxemic breakthrough cases in vaccinated people is unknown. We studied a cohort of 48 individuals (aged 20 to 86 years) who received two doses of a messenger RNA (mRNA) vaccine and developed a breakthrough infection with hypoxemic COVID-19 pneumonia 2 weeks to 4 months later. Ab levels to the vaccine, neutralization of the virus, and auto-Abs to type I IFNs were measured in the plasma. Forty-two individuals had no known deficiency of B cell immunity and a normal Ab response to the vaccine. Among them, 10 (24%) had auto-Abs neutralizing type I IFNs (aged 43 to 86 years). Eight of these 10 patients had auto-Abs neutralizing both IFN-a2 and IFN-w, whereas two neutralized IFN-w only. No patient neutralized IFN-b. Seven neutralized type I IFNs at 10 ng/ml and three at 100 pg/ml only. Seven patients neutralized SARS-CoV-2 D614G and Delta efficiently, whereas one patient neutralized Delta slightly less efficiently. Two of the three patients neutralizing only type I IFNs at 100 pg/ml neutralized both D614G and Delta less efficiently. Despite two mRNA vaccine inoculations and the presence of circulating Abs capable of neutralizing SARS-CoV-2, auto-Abs neutralizing type I IFNs may underlie a notable proportion of hypoxemic COVID-19 pneumonia cases, highlighting the importance of this particularly vulnerable population. Copyright © 2023 The Authors, some rights reserved.
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