Safety and immunogenicity of inactivated SARS-CoV-2 vaccines in people with gastrointestinal cancer

Objectives: This study aimed to evaluate the safety and immunogenicity of inactivated COVID-19 vaccines in patients with gastrointestinal cancer (GI) cancer. The role of memory B cells (MBCs) in the humoral response to COVID-19 vaccination was also investigated. Methods: In this prospective observat...

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Main Authors: Tong Li, Rui Song, Jingjie Wang, Jianbo Zhang, Hongxing Cai, Hongmei He, Wei Hu, Dajun Yu, Chuanhu Wang, Qingbo Pan, Mingli Peng, Hong Ren, Peng Zhu
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971222004465
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author Tong Li
Rui Song
Jingjie Wang
Jianbo Zhang
Hongxing Cai
Hongmei He
Wei Hu
Dajun Yu
Chuanhu Wang
Qingbo Pan
Mingli Peng
Hong Ren
Peng Zhu
author_facet Tong Li
Rui Song
Jingjie Wang
Jianbo Zhang
Hongxing Cai
Hongmei He
Wei Hu
Dajun Yu
Chuanhu Wang
Qingbo Pan
Mingli Peng
Hong Ren
Peng Zhu
author_sort Tong Li
collection DOAJ
description Objectives: This study aimed to evaluate the safety and immunogenicity of inactivated COVID-19 vaccines in patients with gastrointestinal cancer (GI) cancer. The role of memory B cells (MBCs) in the humoral response to COVID-19 vaccination was also investigated. Methods: In this prospective observational study, GI cancer patients and healthy individuals who had received 2 doses of inactivated COVID-19 vaccines were included. The data regarding adverse effects, serum anti-receptor binding domain (RBD)-IgG, neutralizing antibodies (NAbs), and frequencies of MBCs were collected prospectively. Results: The inactivated COVID-19 vaccines were safe and well tolerated. Serum anti-RBG-IgG and NAbs were lower for cancer patients. Old age, high ASA score, and receiving active chemotherapy were risk factors for lower antibody titers. The frequencies of activated and resting MBCs decreased in (17.45% vs 38.11%, P = 0.002; 16.98% vs 34.13%, P = 0.023), while the frequencies of intermediate and atypical MBCs increased in cancer patients (40.06% vs 19.87%, P = 0.010; 25.47% vs 16.61%, P = 0.025). The serum antibody titer decreased gradually during follow-up but increased when a booster vaccine was given. Conclusion: The inactivated COVID-19 vaccines were well tolerated in patients with GI cancer but with lower immunogenicity. The subpopulations of MBCs were disordered in cancer patients, and a booster vaccine may be prioritized for them.
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spelling doaj.art-cdd26c3bb2d540078a4990137ab28f732022-12-22T04:05:00ZengElsevierInternational Journal of Infectious Diseases1201-97122022-09-01122874884Safety and immunogenicity of inactivated SARS-CoV-2 vaccines in people with gastrointestinal cancerTong Li0Rui Song1Jingjie Wang2Jianbo Zhang3Hongxing Cai4Hongmei He5Wei Hu6Dajun Yu7Chuanhu Wang8Qingbo Pan9Mingli Peng10Hong Ren11Peng Zhu12Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaKey Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Institute for Viral Hepatitis, Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of General Surgery, The Renmin Hospital of Wushan country, Chongqing, ChinaDepartment of General Surgery, The Renmin Hospital of Wushan country, Chongqing, ChinaDepartment of General Surgery, The Renmin Hospital of Wushan country, Chongqing, ChinaKey Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Institute for Viral Hepatitis, Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaKey Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Institute for Viral Hepatitis, Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaKey Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Institute for Viral Hepatitis, Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China; Hong Ren, Key Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Institute for Viral Hepatitis, Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, 74 Linjiang Road, Yuzhong District, Chongqing 400010, China, Tel.: +86-023-63829629.Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China; Corresponding author: Peng Zhu, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, 74 Linjiang Road, Yuzhong District, Chongqing 400010, China. Tel: +86-023-63693840.Objectives: This study aimed to evaluate the safety and immunogenicity of inactivated COVID-19 vaccines in patients with gastrointestinal cancer (GI) cancer. The role of memory B cells (MBCs) in the humoral response to COVID-19 vaccination was also investigated. Methods: In this prospective observational study, GI cancer patients and healthy individuals who had received 2 doses of inactivated COVID-19 vaccines were included. The data regarding adverse effects, serum anti-receptor binding domain (RBD)-IgG, neutralizing antibodies (NAbs), and frequencies of MBCs were collected prospectively. Results: The inactivated COVID-19 vaccines were safe and well tolerated. Serum anti-RBG-IgG and NAbs were lower for cancer patients. Old age, high ASA score, and receiving active chemotherapy were risk factors for lower antibody titers. The frequencies of activated and resting MBCs decreased in (17.45% vs 38.11%, P = 0.002; 16.98% vs 34.13%, P = 0.023), while the frequencies of intermediate and atypical MBCs increased in cancer patients (40.06% vs 19.87%, P = 0.010; 25.47% vs 16.61%, P = 0.025). The serum antibody titer decreased gradually during follow-up but increased when a booster vaccine was given. Conclusion: The inactivated COVID-19 vaccines were well tolerated in patients with GI cancer but with lower immunogenicity. The subpopulations of MBCs were disordered in cancer patients, and a booster vaccine may be prioritized for them.http://www.sciencedirect.com/science/article/pii/S1201971222004465COVID-19Inactivated vaccineMemory B cells
spellingShingle Tong Li
Rui Song
Jingjie Wang
Jianbo Zhang
Hongxing Cai
Hongmei He
Wei Hu
Dajun Yu
Chuanhu Wang
Qingbo Pan
Mingli Peng
Hong Ren
Peng Zhu
Safety and immunogenicity of inactivated SARS-CoV-2 vaccines in people with gastrointestinal cancer
International Journal of Infectious Diseases
COVID-19
Inactivated vaccine
Memory B cells
title Safety and immunogenicity of inactivated SARS-CoV-2 vaccines in people with gastrointestinal cancer
title_full Safety and immunogenicity of inactivated SARS-CoV-2 vaccines in people with gastrointestinal cancer
title_fullStr Safety and immunogenicity of inactivated SARS-CoV-2 vaccines in people with gastrointestinal cancer
title_full_unstemmed Safety and immunogenicity of inactivated SARS-CoV-2 vaccines in people with gastrointestinal cancer
title_short Safety and immunogenicity of inactivated SARS-CoV-2 vaccines in people with gastrointestinal cancer
title_sort safety and immunogenicity of inactivated sars cov 2 vaccines in people with gastrointestinal cancer
topic COVID-19
Inactivated vaccine
Memory B cells
url http://www.sciencedirect.com/science/article/pii/S1201971222004465
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