ArticleHuman vaccines & immunotherapeutics2025
Distinct features of humoral and cellular immunity against Omicron breakthrough infection among chronic liver disease patients: An experience from a follow-up cohort.
Article in Human vaccines & immunotherapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Immunity response following vaccination and infection toward the SARS-CoV-2 Omicron variant remains limited in chronic liver disease (CLD) population. This study aims to investigate humoral and cell-mediate immunity to Omicron BA.4/5 among CLD patients with/without breakthrough infections (BI). This longitudinal study characterized immune responses to Omicron infection across three CLD patient groups: vaccinated without BI (group 1, n = 10), vaccinated with BI (group 2, n = 43), and unvaccinated infected (group 3, n = 7). SARS-CoV-2-specific antibodies/T-cell responses and lymphocyte phenotypes were quantified by ELISA and flow cytometry. Logistic regression identified immunological correlates of BI event, viral clearance and liver disease progression. Dynamic immunity changes after infection analyzed using Spearman's correlation. Patients in group 2 exhibited the highest levels of neutralizing antibodies (NAbs) against wildtype (WT) and Omicron BA.4.5, anti-RBD IgG, and total anti-SARS-CoV-2 antibodies compared to groups 1 and 3. Comparable T cell responses were observed between two vaccinated groups, stronger than unvaccinated individuals. Hybrid immune (vaccination plus infection) elicited stronger NAbs-WT, total anti-SARS-CoV-2 antibodies, anti-RBD IgG, MBCs, and Omicron-specific IFN-γ
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