Humoral response after mRNA COVID-19 primary vaccination and single booster dose in people living with HIV compared to controls: A French nationwide multicenter cohort study—ANRS0001s COV-POPART

oleh: Paul Loubet, Jean-Daniel Lelievre, Alexis François, Elisabeth Botelho-Nevers, Christian Chidiac, David Chirio, Vincent Dubee, Bertrand Dussol, Florence Galtier, Mojgan Hessamfar, Enkelejda Hodaj, Sylvain Jaffuel, Karine Lacombe, Fabrice Laine, Maeva Lefebvre, Zoha Maakaroun-Vermesse, Alain Makinson, Aurelie Portefaix, Valerie Pourcher, David Rey, David Zucman, Julie Longobardi, Mathilde Bertheau, Eric Tartour, Xavier de Lamballerie, Odile Launay, Linda Wittkop

Format: Article
Diterbitkan: Elsevier 2024-09-01

Deskripsi

Background: This study aimed to compare the humoral responses to mRNA COVID-19 vaccination in people living with HIV (PWH) and HIV-negative individuals. Methods: We included PWH with an undetectable viral load under ART and HIV-negative participants from the French nationwide ANRS COV-POPART cohort who had received two doses of vaccine as a primary vaccination. We compared humoral response between controls and PWH, stratified by CD4 cell count (<200/mm3 and ≥200/mm3 CD4 cell counts) at 1, 6, and 12 months after primary vaccination. Results: A total of 1776 participants were included in this analysis, 684 PWH (99% were on ART, median CD4 counts 673 cells/mm3) and 1092 controls. At 1 month, after adjustment on age, sex, and BMI, PWH had lower seroneutralization titers than controls, and PWH with <200 CD4 cell/mm3 had lower anti-Spike SARS-CoV-2 IgG antibodies. Same results were found at 6 months. However, in participants who received a booster dose between 6 and 12 months postprimary vaccination, we did not observe differences between PWH and controls at 12 months. Conclusion: PWH had high responses to primary mRNA COVID-19 vaccination. In those who received a booster dose after 6 months, the humoral response at 12 months increased to similar levels to controls, even in those with low CD4 counts at baseline.