Comprehensive analyses of immune activity in COVID-19-vaccinated idiopathic pulmonary fibrosis patients

Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal disease, characterized by impaired wound repair, tissue remodeling and fibrosis. Immune system may participate in the development and progression of the disease as indicated by altered activity in IPF sufferers. This study investigates t...

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Main Authors: Agata Maciejewska, Piotr Czernia, Magdalena Piotrowska-Mieczkowska, Beata Wajda, Bartosz Słomiński, Jan Romantowski, Adam Sudoł, Małgorzata Dąbrowska, Lucyna Górska, Tomasz Smiatacz, Marek Niedoszytko, Ewa Jassem, Maria Skrzypkowska, Piotr Trzonkowski
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.2024.1436491/full
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author Agata Maciejewska
Piotr Czernia
Magdalena Piotrowska-Mieczkowska
Beata Wajda
Bartosz Słomiński
Jan Romantowski
Adam Sudoł
Małgorzata Dąbrowska
Lucyna Górska
Tomasz Smiatacz
Marek Niedoszytko
Ewa Jassem
Maria Skrzypkowska
Piotr Trzonkowski
author_facet Agata Maciejewska
Piotr Czernia
Magdalena Piotrowska-Mieczkowska
Beata Wajda
Bartosz Słomiński
Jan Romantowski
Adam Sudoł
Małgorzata Dąbrowska
Lucyna Górska
Tomasz Smiatacz
Marek Niedoszytko
Ewa Jassem
Maria Skrzypkowska
Piotr Trzonkowski
author_sort Agata Maciejewska
collection DOAJ
description Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal disease, characterized by impaired wound repair, tissue remodeling and fibrosis. Immune system may participate in the development and progression of the disease as indicated by altered activity in IPF sufferers. This study investigates the immune response to the BNT162b2 COVID-19 vaccine in patients with IPF compared to healthy controls, with a particular focus on evaluation of antibody responses, interferon-gamma release, cytokine profiling and a broad panel of immune cell subpopulations. IPF patients without prior exposure to SARS-CoV-2 had undetectable levels of anti-N IgG antibodies, highlighting their lack of previous infection. After vaccination, IPF patients showed a significant increase in anti-S1 IgG and IgA antibodies, though their levels were lower compared to healthy controls and convalescent IPF patients. Additionally, IPF patients exhibited altered proportions of regulatory T cells (Tregs) and effector T lymphocytes (Teffs) before and after vaccination. Specifically, IPF patients had higher percentages of Tregs with a Th2 phenotype and Th17 Tregs, along with reduced proportions of Th1/17 Tregs. Teffs in IPF patients showed a decrease in Th1-like and Th2-like populations after vaccination. Moreover, IPF patients demonstrated elevated populations of cytotoxic T lymphocytes (Tc) before vaccination and increased levels of γδ Tc cells throughout the study. Alterations in cytokine profiles were also observed, IPF patients showed higher levels of IL-6 and IL-22 compared to healthy controls. These findings suggest a distinct immune response in IPF patients to the COVID-19 vaccine, characterized by differences in antibody production, T cell differentiation and cytokine secretion compared to healthy individuals.
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spelling doaj-art-4b5bb69c0fa24ef5acd429a6b04ac7fd2025-01-08T05:10:24ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.14364911436491Comprehensive analyses of immune activity in COVID-19-vaccinated idiopathic pulmonary fibrosis patientsAgata Maciejewska0Piotr Czernia1Magdalena Piotrowska-Mieczkowska2Beata Wajda3Bartosz Słomiński4Jan Romantowski5Adam Sudoł6Małgorzata Dąbrowska7Lucyna Górska8Tomasz Smiatacz9Marek Niedoszytko10Ewa Jassem11Maria Skrzypkowska12Piotr Trzonkowski13Department of Medical Immunology, Medical University of Gdansk, Gdansk, PolandDepartment of Pneumonology, Medical University of Gdansk, Gdansk, PolandDepartment of Medical Immunology, Medical University of Gdansk, Gdansk, PolandDepartment of Pneumonology, Medical University of Gdansk, Gdansk, PolandDepartment of Medical Immunology, Medical University of Gdansk, Gdansk, PolandDepartment of Allergology, Medical University of Gdansk, Gdansk, PolandCentral Clinical Laboratory, University Clinical Centre, Gdansk, PolandCentral Clinical Laboratory, University Clinical Centre, Gdansk, PolandDepartment of Allergology, Medical University of Gdansk, Gdansk, PolandDepartment of Infectious Diseases, Medical University of Gdansk, Gdansk, PolandDepartment of Allergology, Medical University of Gdansk, Gdansk, PolandDepartment of Pneumonology, Medical University of Gdansk, Gdansk, PolandDepartment of Medical Immunology, Medical University of Gdansk, Gdansk, PolandDepartment of Medical Immunology, Medical University of Gdansk, Gdansk, PolandIdiopathic pulmonary fibrosis (IPF) is a progressive and fatal disease, characterized by impaired wound repair, tissue remodeling and fibrosis. Immune system may participate in the development and progression of the disease as indicated by altered activity in IPF sufferers. This study investigates the immune response to the BNT162b2 COVID-19 vaccine in patients with IPF compared to healthy controls, with a particular focus on evaluation of antibody responses, interferon-gamma release, cytokine profiling and a broad panel of immune cell subpopulations. IPF patients without prior exposure to SARS-CoV-2 had undetectable levels of anti-N IgG antibodies, highlighting their lack of previous infection. After vaccination, IPF patients showed a significant increase in anti-S1 IgG and IgA antibodies, though their levels were lower compared to healthy controls and convalescent IPF patients. Additionally, IPF patients exhibited altered proportions of regulatory T cells (Tregs) and effector T lymphocytes (Teffs) before and after vaccination. Specifically, IPF patients had higher percentages of Tregs with a Th2 phenotype and Th17 Tregs, along with reduced proportions of Th1/17 Tregs. Teffs in IPF patients showed a decrease in Th1-like and Th2-like populations after vaccination. Moreover, IPF patients demonstrated elevated populations of cytotoxic T lymphocytes (Tc) before vaccination and increased levels of γδ Tc cells throughout the study. Alterations in cytokine profiles were also observed, IPF patients showed higher levels of IL-6 and IL-22 compared to healthy controls. These findings suggest a distinct immune response in IPF patients to the COVID-19 vaccine, characterized by differences in antibody production, T cell differentiation and cytokine secretion compared to healthy individuals.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1436491/fullIPFidiopathic pulmonary fibrosisphenotypeflow cytometryantibodiescytokines
spellingShingle Agata Maciejewska
Piotr Czernia
Magdalena Piotrowska-Mieczkowska
Beata Wajda
Bartosz Słomiński
Jan Romantowski
Adam Sudoł
Małgorzata Dąbrowska
Lucyna Górska
Tomasz Smiatacz
Marek Niedoszytko
Ewa Jassem
Maria Skrzypkowska
Piotr Trzonkowski
Comprehensive analyses of immune activity in COVID-19-vaccinated idiopathic pulmonary fibrosis patients
Frontiers in Immunology
IPF
idiopathic pulmonary fibrosis
phenotype
flow cytometry
antibodies
cytokines
title Comprehensive analyses of immune activity in COVID-19-vaccinated idiopathic pulmonary fibrosis patients
title_full Comprehensive analyses of immune activity in COVID-19-vaccinated idiopathic pulmonary fibrosis patients
title_fullStr Comprehensive analyses of immune activity in COVID-19-vaccinated idiopathic pulmonary fibrosis patients
title_full_unstemmed Comprehensive analyses of immune activity in COVID-19-vaccinated idiopathic pulmonary fibrosis patients
title_short Comprehensive analyses of immune activity in COVID-19-vaccinated idiopathic pulmonary fibrosis patients
title_sort comprehensive analyses of immune activity in covid 19 vaccinated idiopathic pulmonary fibrosis patients
topic IPF
idiopathic pulmonary fibrosis
phenotype
flow cytometry
antibodies
cytokines
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1436491/full
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