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pmid:35979368
Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseases.
Yen-Ju Chen · Po-Liang Cheng · Wen-Nan Huang · Hsin-Hua Chen · Hong-Wei Chen · Jun-Peng Chen · Ching-Tsai Lin · Kuo-Tung Tang · Wei-Ting Hung · Tsu-Yi Hsieh · Yi-Hsing Chen · Yi-Ming Chen · Tzu-Hung Hsiao
Frontiers in immunology · 2022 doi:10.3389/fimmu.2022.920865
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Complete file
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The serum IgG antibodies to the SARS-CoV-2 receptor-binding domain was quantified by electrochemiluminescence immunoassay at 4-6 weeks after vaccination. Moreover, peripheral blood mononuclear cells (PBMCs) were isolated from RA patients at 4-6 weeks after vaccination for scRNA-seq and further analyzed by CellChat. ScRNA-seq of PBMCs samples from GSE201534 in the Gene Expression Omnibus (GEO) database were also extracted for analysis.\nResults: The anti-SARS-CoV-2 IgG seropositivity rate was 85.34% for AIRD patients and 98.20% for healthy controls. The anti-SARS-CoV-2 IgG level was higher in patients receiving mRNA-1273 than those receiving AZD1222 (β: 35.25, 95% CI: 14.81-55.68, p=0.001). Prednisolone-equivalent dose >5 mg/day and methotrexate use in AIRD patients, and non-anti-tumor necrosis factor-α biologics and Janus kinase inhibitor use in RA patients were associated with inferior immunogenicity. ScRNA-seq revealed CD16-monocytes were predominant in RA patients with high anti-SARS-CoV2-IgG antibodies, and enriched pathways related to antigen presentation via MHC class II were found. HLA-DRA and CD4 interaction was enhanced in high anti-SARS-CoV2-IgG group.\nConclusions: mRNA-1273 and AZD1222 vaccines exhibited differential immunogenicity in AIRD patients. 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