Lymphoma patients treated with anti-CD20 and chemotherapy display disconnected T and B cell responses to COVID-19 vaccine

Due to immunosuppressive treatment, COVID-19 vaccination is challenging in patients with B-cell lymphoma. We prospectively evaluated CD4, CD8 T-cell and serological responses to the COVID-19 mRNA vaccine in a cohort of patients treated for a B-cell lymphoma with anti-CD20 therapy. During lymphoma tr...

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Main Authors: Sylvain Lamure, Houria Hendel Chavez, Marie-Ghislaine de Goër de Herve, Luc-Matthieu Fornecker, Bernard Drenou, Caroline Jacquet, Fatiha Merabet, Milena Kohn, Florence Quélin, Angela Jackson, Sylvain Choquet, Rémy Duléry, Yassine Taoufik, Caroline Besson
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1524813/full
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author Sylvain Lamure
Sylvain Lamure
Houria Hendel Chavez
Marie-Ghislaine de Goër de Herve
Luc-Matthieu Fornecker
Bernard Drenou
Caroline Jacquet
Fatiha Merabet
Milena Kohn
Florence Quélin
Angela Jackson
Sylvain Choquet
Rémy Duléry
Yassine Taoufik
Caroline Besson
Caroline Besson
author_facet Sylvain Lamure
Sylvain Lamure
Houria Hendel Chavez
Marie-Ghislaine de Goër de Herve
Luc-Matthieu Fornecker
Bernard Drenou
Caroline Jacquet
Fatiha Merabet
Milena Kohn
Florence Quélin
Angela Jackson
Sylvain Choquet
Rémy Duléry
Yassine Taoufik
Caroline Besson
Caroline Besson
author_sort Sylvain Lamure
collection DOAJ
description Due to immunosuppressive treatment, COVID-19 vaccination is challenging in patients with B-cell lymphoma. We prospectively evaluated CD4, CD8 T-cell and serological responses to the COVID-19 mRNA vaccine in a cohort of patients treated for a B-cell lymphoma with anti-CD20 therapy. During lymphoma treatment, CD4, CD8, and CD19 cell dropped. While functional-specific CD4 and CD8 T-cell responses to SARS-CoV-2 were unaffected, vaccination in patients on treatment induced low specific antibody titers, contrasting with a preserved serological response when vaccination was completed before treatment initiation. Those findings reinforce a vaccinal strategy based on completion before lymphoma treatment, with a booster administered afterward.
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issn 1664-3224
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publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-d80bdc43dd5444f8bc445536be3b30482025-01-20T05:23:49ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15248131524813Lymphoma patients treated with anti-CD20 and chemotherapy display disconnected T and B cell responses to COVID-19 vaccineSylvain Lamure0Sylvain Lamure1Houria Hendel Chavez2Marie-Ghislaine de Goër de Herve3Luc-Matthieu Fornecker4Bernard Drenou5Caroline Jacquet6Fatiha Merabet7Milena Kohn8Florence Quélin9Angela Jackson10Sylvain Choquet11Rémy Duléry12Yassine Taoufik13Caroline Besson14Caroline Besson15Centre de Recherche en Cancérologie de Lyon, Centre Léon Bérard, Lyon, FranceService d’onco-hématologie, Hôpitaux Nord-Ouest, Villefranche-Sur-Saône, FranceLaboratoire Institut national de la santé et de la recherche médicale (INSERM) U1186, Institut Gustave Roussy, Villejuif, FranceLaboratoire Institut national de la santé et de la recherche médicale (INSERM) U1186, Institut Gustave Roussy, Villejuif, FranceService d’Hématologie, Institut de Cancérologie Strasbourg Europe, Strasbourg, FranceService d’Hématologie, Groupe Hospitalier de Mulhouse Sud Alsace, Mulhouse, FranceService d’Hématologie, Centre Hospitalier Régional Universitaire (CHRU) de Nancy, Nancy, FranceService d’Hématologie Oncologie, Centre Hospitalier de Versailles, Le Chesnay, FranceService d’Hématologie Oncologie, Centre Hospitalier de Versailles, Le Chesnay, FranceMaison de la Recherche Clinique, Centre Hospitalier de Versailles, Le Chesnay, FranceUniversité Paris-Saclay, Université de Versailles – Saint-Quentin-en-Yvelines (UVSQ), Inserm, Équipe “Exposome et Hérédité”, Centre de Recherche en Epidémiologie et Santé des Populations (CESP), Villejuif, France0Pitie-Salpetriere Hospital, Assistance Publique - Hôpitaux de Paris (APHP)- Sorbonne University, Paris, France1Service d’Hématologie Clinique et de Thérapie Cellulaire, Hôpital Saint Antoine, Assistance Publique - Hôpitaux de Paris, Sorbonne Université, Inserm UMRs 938, Paris, FranceLaboratoire Institut national de la santé et de la recherche médicale (INSERM) U1186, Institut Gustave Roussy, Villejuif, FranceService d’Hématologie Oncologie, Centre Hospitalier de Versailles, Le Chesnay, FranceUniversité Paris-Saclay, Université de Versailles – Saint-Quentin-en-Yvelines (UVSQ), Inserm, Équipe “Exposome et Hérédité”, Centre de Recherche en Epidémiologie et Santé des Populations (CESP), Villejuif, FranceDue to immunosuppressive treatment, COVID-19 vaccination is challenging in patients with B-cell lymphoma. We prospectively evaluated CD4, CD8 T-cell and serological responses to the COVID-19 mRNA vaccine in a cohort of patients treated for a B-cell lymphoma with anti-CD20 therapy. During lymphoma treatment, CD4, CD8, and CD19 cell dropped. While functional-specific CD4 and CD8 T-cell responses to SARS-CoV-2 were unaffected, vaccination in patients on treatment induced low specific antibody titers, contrasting with a preserved serological response when vaccination was completed before treatment initiation. Those findings reinforce a vaccinal strategy based on completion before lymphoma treatment, with a booster administered afterward.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1524813/fullCOVID-19 vaccinelymphomaimmune responseanti-CD20chemotherapy
spellingShingle Sylvain Lamure
Sylvain Lamure
Houria Hendel Chavez
Marie-Ghislaine de Goër de Herve
Luc-Matthieu Fornecker
Bernard Drenou
Caroline Jacquet
Fatiha Merabet
Milena Kohn
Florence Quélin
Angela Jackson
Sylvain Choquet
Rémy Duléry
Yassine Taoufik
Caroline Besson
Caroline Besson
Lymphoma patients treated with anti-CD20 and chemotherapy display disconnected T and B cell responses to COVID-19 vaccine
Frontiers in Immunology
COVID-19 vaccine
lymphoma
immune response
anti-CD20
chemotherapy
title Lymphoma patients treated with anti-CD20 and chemotherapy display disconnected T and B cell responses to COVID-19 vaccine
title_full Lymphoma patients treated with anti-CD20 and chemotherapy display disconnected T and B cell responses to COVID-19 vaccine
title_fullStr Lymphoma patients treated with anti-CD20 and chemotherapy display disconnected T and B cell responses to COVID-19 vaccine
title_full_unstemmed Lymphoma patients treated with anti-CD20 and chemotherapy display disconnected T and B cell responses to COVID-19 vaccine
title_short Lymphoma patients treated with anti-CD20 and chemotherapy display disconnected T and B cell responses to COVID-19 vaccine
title_sort lymphoma patients treated with anti cd20 and chemotherapy display disconnected t and b cell responses to covid 19 vaccine
topic COVID-19 vaccine
lymphoma
immune response
anti-CD20
chemotherapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1524813/full
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