{"id":70114,"date":"2021-11-23T03:20:31","date_gmt":"2021-11-23T07:20:31","guid":{"rendered":"https:\/\/news.utoledo.edu\/?p=70114"},"modified":"2021-11-22T18:12:49","modified_gmt":"2021-11-22T22:12:49","slug":"utoledo-scientists-studying-covid-vaccine-response-in-organ-recipients","status":"publish","type":"post","link":"https:\/\/news.utoledo.edu\/index.php\/11_23_2021\/utoledo-scientists-studying-covid-vaccine-response-in-organ-recipients","title":{"rendered":"UToledo Scientists Studying COVID Vaccine Response in Organ Recipients"},"content":{"rendered":"<p>When healthy people get vaccinated against COVID-19, they can feel confident that they are well-armored against the virus.<\/p>\n<p>For individuals with compromised immune systems, however, it\u2019s not nearly as straightforward.<\/p>\n<div id=\"attachment_70115\" style=\"width: 226px\" class=\"wp-caption alignright\"><a href=\"https:\/\/news.utoledo.edu\/wp-content\/uploads\/2021\/11\/Stepkowski.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-70115\" class=\"wp-image-70115 size-medium\" src=\"https:\/\/news.utoledo.edu\/wp-content\/uploads\/2021\/11\/Stepkowski-216x300.jpg\" alt=\"\" width=\"216\" height=\"300\" srcset=\"https:\/\/news.utoledo.edu\/wp-content\/uploads\/2021\/11\/Stepkowski-216x300.jpg 216w, https:\/\/news.utoledo.edu\/wp-content\/uploads\/2021\/11\/Stepkowski.jpg 377w\" sizes=\"(max-width: 216px) 100vw, 216px\" \/><\/a><p id=\"caption-attachment-70115\" class=\"wp-caption-text\">Stepkowski<\/p><\/div>\n<p>Studies have shown that some immunosuppressed patients develop a robust antibody response. Others develop no response at all.<\/p>\n<p>\u201cThat variation in immune response is one of the biggest questions we are facing,\u201d said Dr. Stanislaw Stepkowski, a transplant immunologist and professor in The University of Toledo College of Medicine and Life Sciences. \u201cIt\u2019s the same vaccine, the same dose, but it\u2019s not protecting everyone at the same level.\u201d<\/p>\n<p>Stepkowski suspects the answer lies with the specific types of antibodies being produced after vaccination \u2014 and how the body\u2019s immune cells are responding and working together to produce them.<\/p>\n<p>\u201cWhen we hear stories on the news about vaccine effectiveness, we often hear references to antibody production, but that\u2019s a very general statement,\u201d he said. \u201cIn reality, you can divide this into different quality of antibodies. We have IgM, IgG and IgA. The working hypothesis is that patients who produce all of those antibodies have the best protection.\u201d<\/p>\n<p>With $700,000 in support from an anonymous donor, Stepkowski is leading a UToledo research team that will monitor the level of those three key antibodies in hundreds of patients who received a kidney transplant at The University of Toledo Medical Center.<\/p>\n<p>Through that, the team hopes to learn more about how the COVID-19 vaccine confers protection in specific individuals and provides valuable insights about how clinicians might tweak the dosage or delivery method of the vaccine to better protect those with suppressed or compromised immune systems.<\/p>\n<p>Individuals who have weakened immune systems are more likely to get severely sick if they contract COVID-19, regardless of why they are immunocompromised.<\/p>\n<p>Those who have received an organ transplant \u2014 including a kidney \u2014 require a lifelong cocktail of immunosuppressive drugs to prevent their bodies from rejecting the new organ.<\/p>\n<p>\u201cWhile these medications are wonderful at stopping rejection, they impede the immune\u00a0system&#8217;s ability to fight off diseases like COVID. They also impair the body&#8217;s ability to respond to a COVID vaccination,\u201d said Dr. Michael Rees, a transplant surgeon at UTMC and professor of urology in the UToledo College of Medicine and Life Sciences.<\/p>\n<div id=\"attachment_70116\" style=\"width: 210px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/news.utoledo.edu\/wp-content\/uploads\/2021\/11\/Dr.-Michael-Rees-STORY.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-70116\" class=\"wp-image-70116 size-medium\" src=\"https:\/\/news.utoledo.edu\/wp-content\/uploads\/2021\/11\/Dr.-Michael-Rees-STORY-200x300.jpg\" alt=\"\" width=\"200\" height=\"300\" srcset=\"https:\/\/news.utoledo.edu\/wp-content\/uploads\/2021\/11\/Dr.-Michael-Rees-STORY-200x300.jpg 200w, https:\/\/news.utoledo.edu\/wp-content\/uploads\/2021\/11\/Dr.-Michael-Rees-STORY.jpg 268w\" sizes=\"(max-width: 200px) 100vw, 200px\" \/><\/a><p id=\"caption-attachment-70116\" class=\"wp-caption-text\">Rees<\/p><\/div>\n<p>Rees, who is collaborating with Stepkowski on the project, said only half of immunosuppressed patients have an immune response of any kind following full vaccination. While booster doses can improve their immune response, only about a third of those who had no response to the initial vaccine course generated antibodies after getting a booster dose.<\/p>\n<p>IgM is the first antibody the body produces to fight against viral and bacterial infections. IgM is produced exclusively by a type of white blood cell called B-cells.<\/p>\n<p>Production of IgG and IgA antibodies require a more specialized immune response, with B-cells and T-cells working together.<\/p>\n<p>Part of the study will investigate how individuals\u2019 T-cells are responding to the COVID-19 vaccine. It\u2019s possible, Stepkowski said, that the reason some immunosuppressed individuals don\u2019t develop a robust response to vaccination is rooted in how their T-cells are functioning.<\/p>\n<p>Each transplant recipient will have their blood tested for these antibodies four times over the course of the study. Researchers will be comparing those levels to samples drawn from healthy volunteers.<\/p>\n<p>Rees said researchers also will assess if additional booster shots help those immunosuppressed transplant patients who did not respond after the first booster.<\/p>\n<p>\u201cThis study will help us better understand the full spectrum of responses of immunosuppressed transplant patients to the COVID vaccine,\u201d Rees said. \u201cI am very happy that The University of Toledo has been chosen to do these important studies to try to help us better understand how to protect transplanted patients.&#8221;<\/p>\n<p>Beyond evaluating the specific antigen makeup, faculty scientists in the Department of Medical Microbiology and Immunology will run tests on each collection of antibodies to see how well they neutralize the SARS-CoV-2 virus, including the more transmissible delta variant.<\/p>\n<p>\u201cThis is work that matters and is important,\u201d Stepkowski said. \u201cIt\u2019s not just science that goes on the shelf, but science that is immediately applicable.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Studies have shown that some immunosuppressed patients develop a robust antibody response. Others develop no response at all. The University of Toledo researchers want to know why. <\/p>\n","protected":false},"author":849,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50,72,38,1,3,7],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/posts\/70114"}],"collection":[{"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/users\/849"}],"replies":[{"embeddable":true,"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/comments?post=70114"}],"version-history":[{"count":2,"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/posts\/70114\/revisions"}],"predecessor-version":[{"id":70118,"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/posts\/70114\/revisions\/70118"}],"wp:attachment":[{"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/media?parent=70114"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/categories?post=70114"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news.utoledo.edu\/index.php\/wp-json\/wp\/v2\/tags?post=70114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}