刘琪星, 李月红. 肾移植受者接种新型冠状病毒疫苗的最新进展[J]. 器官移植, 2023, 14(1): 135-141. DOI: 10.3969/j.issn.1674-7445.2023.01.018
引用本文: 刘琪星, 李月红. 肾移植受者接种新型冠状病毒疫苗的最新进展[J]. 器官移植, 2023, 14(1): 135-141. DOI: 10.3969/j.issn.1674-7445.2023.01.018
Liu Qixing, Li Yuehong. The latest progress on novel coronavirus vaccination in kidney transplant recipients[J]. ORGAN TRANSPLANTATION, 2023, 14(1): 135-141. DOI: 10.3969/j.issn.1674-7445.2023.01.018
Citation: Liu Qixing, Li Yuehong. The latest progress on novel coronavirus vaccination in kidney transplant recipients[J]. ORGAN TRANSPLANTATION, 2023, 14(1): 135-141. DOI: 10.3969/j.issn.1674-7445.2023.01.018

肾移植受者接种新型冠状病毒疫苗的最新进展

The latest progress on novel coronavirus vaccination in kidney transplant recipients

  • 摘要: 肾移植受者由于长期服用免疫抑制药,免疫功能低下,感染新型冠状病毒后有更高的重症风险,对该高风险人群进行预防性接种疫苗至关重要。但有证据表明,肾移植受者对新型冠状病毒疫苗的免疫反应显著弱于健康人群,美国的标准接种方案如接种2针信使核糖核酸(mRNA)疫苗并不足以为肾移植受者提供足够的保护作用。已有多项研究证明增加肾移植受者疫苗接种的次数能够提高疫苗的效力,而调整免疫抑制治疗对提高疫苗效力的证据仍十分有限。本文就肾移植受者接种新型冠状病毒疫苗的重要性、有效性、特殊性以及免疫抑制治疗对新型冠状病毒疫苗效力影响进行综述,以期为肾移植受者的疫苗接种提供参考。

     

    Abstract: Due to long-term use of immunosuppressant, poor immune function and a higher risk of critical diseases after novel coronavirus pneumonia in kidney transplant recipients, it is of significance to deliver prophylactic vaccination for this high-risk population. Studies have shown that the immune reaction of kidney transplant recipients to novel coronavirus vaccine is significantly lower than that of healthy counterparts. Standard vaccination program in the United States, such as 2 doses of messenger RNA (mRNA) vaccine, fails to provide sufficient protection for kidney transplant recipients. Many studies have proven that increasing the frequency of vaccination for kidney transplant recipients may enhance the vaccine efficacy. Nevertheless, the role of adjusting immunosuppressive therapy in increasing vaccine efficacy remains to be elucidated. In this article, the importance, effectiveness and particularity of novel coronavirus vaccine for kidney transplant recipients and the effect of immunosuppressive therapy on the efficacy of novel coronavirus vaccine were reviewed, aiming to provide reference on the vaccination for kidney transplant recipients.

     

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