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Comment
. 2021 Jun;99(6):1498-1500.
doi: 10.1016/j.kint.2021.04.005. Epub 2021 Apr 20.

Low immunization rates among kidney transplant recipients who received 2 doses of the mRNA-1273 SARS-CoV-2 vaccine

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Comment

Low immunization rates among kidney transplant recipients who received 2 doses of the mRNA-1273 SARS-CoV-2 vaccine

Ilies Benotmane et al. Kidney Int. 2021 Jun.
No abstract available

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Figures

Figure 1
Figure 1
Anti-spike IgG antibody titers (arbitrary unit [AU]/ml) measured after the second injection of the mRNA-1273 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine in 204 kidney transplant recipients without a history of coronavirus disease 2019 (COVID-19). Patients with titers >50 AU/ml were considered as seropositive. Bars represent median values. (a) Scattergram showing a significant positive correlation between anti-spike IgG antibody titers (AU/ml) after the first and second vaccine injections (Spearman ρ = 0.68; P < 0.0001). (b) Kidney transplant recipients being treated with antimetabolites (mycophenolate mofetil [MMF]/mycophenolic acid [MPA]) had lower median antibody titers compared with those who did not receive antimetabolites (21.2 [interquartile range {IQR}, 6.8−401.9] AU/ml vs. 147.4 [IQR, 27.5−3352.5] AU/ml, respectively; P = 0.0005). (c) Kidney transplant recipients being treated with steroids had lower median antibody titers compared with those who did not receive steroids (17.9 [IQR, 6.8−378.9] AU/ml vs. 74.8 [IQR, 7.2−2417.9] AU/ml; P = 0.002). (d) Kidney transplant recipients being treated with calcineurin inhibitors (CNIs) had lower median antibody titers compared with those who did not receive CNIs (18.1 [IQR, 6.8−330] AU/ml for patients under tacrolimus and 76.6 [IQR, 10.1−2392.2] AU/ml for patients under cyclosporine vs. 220 [IQR, 6.8−4269] AU/ml for patients who did not receive CNIs). (e) Kidney transplant recipients being treated with tacrolimus + antimetabolites (MMF/MPA) had lower median antibody titers compared with those did not (9.2 [IQR, 6.8−110.2] AU/ml vs. 90.9 [IQR, 7.7−1976] AU/ml, respectively; P < 0.0001). (f) Kidney transplant recipients being treated with tacrolimus + antimetabolites (MMF/MPA) + steroids had lower median antibody titers compared with those who did not (6.8 [IQR, 6.8−57.4] AU/ml vs. 79.4 [IQR, 6.9−1393.5] AU/ml, respectively; P < 0.0001).

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References

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