Increased induction of de novo serum ANCA and ANCA-associated vasculitis after mass vaccination against SARS-CoV-2

Summary: Different immune-mediated diseases have been described after SARS-CoV-2 vaccination, with antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV) being one of the possible side effects. In this study, a total of 35 patients presented ANCA for the first time during 2021, wit...

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Main Authors: Juan Irure-Ventura, Lara Belmar-Vega, Gema Fernández-Fresnedo, Elena González-López, Carolina Castro-Hernández, Emilio Rodrigo-Calabia, Milagros Heras-Vicario, Juan Carlos Ruiz San Millán, Marcos López-Hoyos
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:iScience
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589004222011191
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author Juan Irure-Ventura
Lara Belmar-Vega
Gema Fernández-Fresnedo
Elena González-López
Carolina Castro-Hernández
Emilio Rodrigo-Calabia
Milagros Heras-Vicario
Juan Carlos Ruiz San Millán
Marcos López-Hoyos
author_facet Juan Irure-Ventura
Lara Belmar-Vega
Gema Fernández-Fresnedo
Elena González-López
Carolina Castro-Hernández
Emilio Rodrigo-Calabia
Milagros Heras-Vicario
Juan Carlos Ruiz San Millán
Marcos López-Hoyos
author_sort Juan Irure-Ventura
collection DOAJ
description Summary: Different immune-mediated diseases have been described after SARS-CoV-2 vaccination, with antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV) being one of the possible side effects. In this study, a total of 35 patients presented ANCA for the first time during 2021, with the number during 2019 being 15. Twenty-seven out of thirty-five patients developed ANCA after vaccination. Two of them developed these antibodies after receiving the first dose (7.4%), and 25 patients developed ANCA after the second dose of the vaccine (92.6%), with BNT162b2 being the main vaccine received by these patients. In 97.1% of the patients who developed ANCA during 2021, the positivity of ANCA was accompanied by systemic involvement, with renal and respiratory tracts being the main organs affected. Therefore, an increase in the development of AAV has been observed during 2021 in comparison with 2019, which could be due to the administration of SARS-CoV-2 vaccine.
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spelling doaj.art-3136b8cf6a6547fc811cee5440ad984b2022-12-22T03:59:00ZengElsevieriScience2589-00422022-08-01258104847Increased induction of de novo serum ANCA and ANCA-associated vasculitis after mass vaccination against SARS-CoV-2Juan Irure-Ventura0Lara Belmar-Vega1Gema Fernández-Fresnedo2Elena González-López3Carolina Castro-Hernández4Emilio Rodrigo-Calabia5Milagros Heras-Vicario6Juan Carlos Ruiz San Millán7Marcos López-Hoyos8Immunology Service, University Hospital Marqués de Valdecilla, 39008 Santander, Spain; Transplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, SpainTransplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, Spain; Nephrology Service, University Hospital Marqués de Valdecilla, 39008 Santander, SpainTransplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, Spain; Nephrology Service, University Hospital Marqués de Valdecilla, 39008 Santander, SpainImmunology Service, University Hospital Marqués de Valdecilla, 39008 Santander, Spain; Transplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, SpainImmunology Service, University Hospital Marqués de Valdecilla, 39008 Santander, Spain; Transplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, SpainTransplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, Spain; Nephrology Service, University Hospital Marqués de Valdecilla, 39008 Santander, SpainTransplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, Spain; Nephrology Service, University Hospital Marqués de Valdecilla, 39008 Santander, SpainTransplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, Spain; Nephrology Service, University Hospital Marqués de Valdecilla, 39008 Santander, SpainImmunology Service, University Hospital Marqués de Valdecilla, 39008 Santander, Spain; Transplantation and Autoimmunity Laboratory, Research Institute “Marqués de Valdecilla” (IDIVAL), 39011 Santander, Spain; Faculty of Medicine, University of Cantabria, 39011 Santander, Spain; Corresponding authorSummary: Different immune-mediated diseases have been described after SARS-CoV-2 vaccination, with antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV) being one of the possible side effects. In this study, a total of 35 patients presented ANCA for the first time during 2021, with the number during 2019 being 15. Twenty-seven out of thirty-five patients developed ANCA after vaccination. Two of them developed these antibodies after receiving the first dose (7.4%), and 25 patients developed ANCA after the second dose of the vaccine (92.6%), with BNT162b2 being the main vaccine received by these patients. In 97.1% of the patients who developed ANCA during 2021, the positivity of ANCA was accompanied by systemic involvement, with renal and respiratory tracts being the main organs affected. Therefore, an increase in the development of AAV has been observed during 2021 in comparison with 2019, which could be due to the administration of SARS-CoV-2 vaccine.http://www.sciencedirect.com/science/article/pii/S2589004222011191Health sciencesClinical findingDisease
spellingShingle Juan Irure-Ventura
Lara Belmar-Vega
Gema Fernández-Fresnedo
Elena González-López
Carolina Castro-Hernández
Emilio Rodrigo-Calabia
Milagros Heras-Vicario
Juan Carlos Ruiz San Millán
Marcos López-Hoyos
Increased induction of de novo serum ANCA and ANCA-associated vasculitis after mass vaccination against SARS-CoV-2
iScience
Health sciences
Clinical finding
Disease
title Increased induction of de novo serum ANCA and ANCA-associated vasculitis after mass vaccination against SARS-CoV-2
title_full Increased induction of de novo serum ANCA and ANCA-associated vasculitis after mass vaccination against SARS-CoV-2
title_fullStr Increased induction of de novo serum ANCA and ANCA-associated vasculitis after mass vaccination against SARS-CoV-2
title_full_unstemmed Increased induction of de novo serum ANCA and ANCA-associated vasculitis after mass vaccination against SARS-CoV-2
title_short Increased induction of de novo serum ANCA and ANCA-associated vasculitis after mass vaccination against SARS-CoV-2
title_sort increased induction of de novo serum anca and anca associated vasculitis after mass vaccination against sars cov 2
topic Health sciences
Clinical finding
Disease
url http://www.sciencedirect.com/science/article/pii/S2589004222011191
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