Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseases

ObjectivesTo investigate the differences between the vector vaccine ChAdOx1 nCoV-19/AZD1222 (Oxford-AstraZeneca) and mRNA-based vaccine mRNA-1273 (Moderna) in patients with autoimmune rheumatic diseases (AIRD), and to explore the cell-cell interactions between high and low anti-SARS-CoV-2 IgG levels...

Full description

Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.920865/full
_version_ 1818014980863164416
author Yen-Ju Chen
Yen-Ju Chen
Yen-Ju Chen
Yen-Ju Chen
Po-Liang Cheng
Po-Liang Cheng
Wen-Nan Huang
Wen-Nan Huang
Wen-Nan Huang
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hong-Wei Chen
Jun-Peng Chen
Ching-Tsai Lin
Kuo-Tung Tang
Kuo-Tung Tang
Wei-Ting Hung
Wei-Ting Hung
Wei-Ting Hung
Tsu-Yi Hsieh
Tsu-Yi Hsieh
Yi-Hsing Chen
Yi-Hsing Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Tzu-Hung Hsiao
Tzu-Hung Hsiao
Tzu-Hung Hsiao
author_facet Yen-Ju Chen
Yen-Ju Chen
Yen-Ju Chen
Yen-Ju Chen
Po-Liang Cheng
Po-Liang Cheng
Wen-Nan Huang
Wen-Nan Huang
Wen-Nan Huang
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hong-Wei Chen
Jun-Peng Chen
Ching-Tsai Lin
Kuo-Tung Tang
Kuo-Tung Tang
Wei-Ting Hung
Wei-Ting Hung
Wei-Ting Hung
Tsu-Yi Hsieh
Tsu-Yi Hsieh
Yi-Hsing Chen
Yi-Hsing Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Tzu-Hung Hsiao
Tzu-Hung Hsiao
Tzu-Hung Hsiao
author_sort Yen-Ju Chen
collection DOAJ
description ObjectivesTo investigate the differences between the vector vaccine ChAdOx1 nCoV-19/AZD1222 (Oxford-AstraZeneca) and mRNA-based vaccine mRNA-1273 (Moderna) in patients with autoimmune rheumatic diseases (AIRD), and to explore the cell-cell interactions between high and low anti-SARS-CoV-2 IgG levels in patients with rheumatic arthritis (RA) using single-cell RNA sequencing (scRNA-seq).MethodsFrom September 16 to December 10, 2021, we consecutively enrolled 445 participants (389 patients with AIRD and 56 healthy controls), of whom 236 were immunized with AZD1222 and 209 with mRNA-1273. 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.ResultsThe 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.ConclusionsmRNA-1273 and AZD1222 vaccines exhibited differential immunogenicity in AIRD patients. Enriched pathways related to antigen presentation via MHC class II in CD16-monocytes might be associated with higher anti-SARS-CoV2-IgG level in RA patients and further study is warranted.
first_indexed 2024-04-14T06:52:07Z
format Article
id doaj.art-172f2a227eed43fdb1724a247df38c60
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-04-14T06:52:07Z
publishDate 2022-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-172f2a227eed43fdb1724a247df38c602022-12-22T02:07:00ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-08-011310.3389/fimmu.2022.920865920865Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseasesYen-Ju Chen0Yen-Ju Chen1Yen-Ju Chen2Yen-Ju Chen3Po-Liang Cheng4Po-Liang Cheng5Wen-Nan Huang6Wen-Nan Huang7Wen-Nan Huang8Hsin-Hua Chen9Hsin-Hua Chen10Hsin-Hua Chen11Hsin-Hua Chen12Hsin-Hua Chen13Hsin-Hua Chen14Hong-Wei Chen15Jun-Peng Chen16Ching-Tsai Lin17Kuo-Tung Tang18Kuo-Tung Tang19Wei-Ting Hung20Wei-Ting Hung21Wei-Ting Hung22Tsu-Yi Hsieh23Tsu-Yi Hsieh24Yi-Hsing Chen25Yi-Hsing Chen26Yi-Ming Chen27Yi-Ming Chen28Yi-Ming Chen29Yi-Ming Chen30Yi-Ming Chen31Tzu-Hung Hsiao32Tzu-Hung Hsiao33Tzu-Hung Hsiao34Division of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanInstitute of Clinical Medicine, National Yang-Ming Chiao Tung University, Taipei, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, TaiwanSchool of Medicine, National Yang-Ming Chiao Tung University, Taipei, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanSchool of Medicine, National Yang-Ming Chiao Tung University, Taipei, TaiwanDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, TaiwanDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanSchool of Medicine, National Yang-Ming Chiao Tung University, Taipei, TaiwanDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, TaiwanDepartment of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, TaiwanInstitute of Biomedical Science and Rong Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung, TaiwanInstitute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, TaiwanDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanInstitute of Biomedical Science and Rong Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung, TaiwanDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan0Department of Medical Education, Taichung Veterans General Hospital, Taichung, TaiwanDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan0Department of Medical Education, Taichung Veterans General Hospital, Taichung, TaiwanDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanSchool of Medicine, National Yang-Ming Chiao Tung University, Taipei, TaiwanDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, TaiwanSchool of Medicine, National Yang-Ming Chiao Tung University, Taipei, TaiwanDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, TaiwanInstitute of Biomedical Science and Rong Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan1Department of Public Health, Fu Jen Catholic University, New Taipei City, Taiwan2Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, TaiwanObjectivesTo investigate the differences between the vector vaccine ChAdOx1 nCoV-19/AZD1222 (Oxford-AstraZeneca) and mRNA-based vaccine mRNA-1273 (Moderna) in patients with autoimmune rheumatic diseases (AIRD), and to explore the cell-cell interactions between high and low anti-SARS-CoV-2 IgG levels in patients with rheumatic arthritis (RA) using single-cell RNA sequencing (scRNA-seq).MethodsFrom September 16 to December 10, 2021, we consecutively enrolled 445 participants (389 patients with AIRD and 56 healthy controls), of whom 236 were immunized with AZD1222 and 209 with mRNA-1273. 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.ResultsThe 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.ConclusionsmRNA-1273 and AZD1222 vaccines exhibited differential immunogenicity in AIRD patients. Enriched pathways related to antigen presentation via MHC class II in CD16-monocytes might be associated with higher anti-SARS-CoV2-IgG level in RA patients and further study is warranted.https://www.frontiersin.org/articles/10.3389/fimmu.2022.920865/fullCOVID-19 vaccinerheumatic diseaseautoimmuneanti-rheumatic medicationssingle-cell RNA sequencing
spellingShingle Yen-Ju Chen
Yen-Ju Chen
Yen-Ju Chen
Yen-Ju Chen
Po-Liang Cheng
Po-Liang Cheng
Wen-Nan Huang
Wen-Nan Huang
Wen-Nan Huang
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hsin-Hua Chen
Hong-Wei Chen
Jun-Peng Chen
Ching-Tsai Lin
Kuo-Tung Tang
Kuo-Tung Tang
Wei-Ting Hung
Wei-Ting Hung
Wei-Ting Hung
Tsu-Yi Hsieh
Tsu-Yi Hsieh
Yi-Hsing Chen
Yi-Hsing Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Yi-Ming Chen
Tzu-Hung Hsiao
Tzu-Hung Hsiao
Tzu-Hung Hsiao
Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseases
Frontiers in Immunology
COVID-19 vaccine
rheumatic disease
autoimmune
anti-rheumatic medications
single-cell RNA sequencing
title Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseases
title_full Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseases
title_fullStr Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseases
title_full_unstemmed Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseases
title_short Single-cell RNA sequencing to decipher the immunogenicity of ChAdOx1 nCoV-19/AZD1222 and mRNA-1273 vaccines in patients with autoimmune rheumatic diseases
title_sort single cell rna sequencing to decipher the immunogenicity of chadox1 ncov 19 azd1222 and mrna 1273 vaccines in patients with autoimmune rheumatic diseases
topic COVID-19 vaccine
rheumatic disease
autoimmune
anti-rheumatic medications
single-cell RNA sequencing
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.920865/full
work_keys_str_mv AT yenjuchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yenjuchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yenjuchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yenjuchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT poliangcheng singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT poliangcheng singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT wennanhuang singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT wennanhuang singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT wennanhuang singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT hsinhuachen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT hsinhuachen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT hsinhuachen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT hsinhuachen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT hsinhuachen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT hsinhuachen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT hongweichen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT junpengchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT chingtsailin singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT kuotungtang singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT kuotungtang singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT weitinghung singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT weitinghung singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT weitinghung singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT tsuyihsieh singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT tsuyihsieh singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yihsingchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yihsingchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yimingchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yimingchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yimingchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yimingchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT yimingchen singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT tzuhunghsiao singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT tzuhunghsiao singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases
AT tzuhunghsiao singlecellrnasequencingtodeciphertheimmunogenicityofchadox1ncov19azd1222andmrna1273vaccinesinpatientswithautoimmunerheumaticdiseases