PMID- 36568756 OWN - NLM STAT- MEDLINE DCOM- 20221227 LR - 20230126 IS - 2296-2565 (Electronic) IS - 2296-2565 (Linking) VI - 10 DP - 2022 TI - Reduced antibody response to COVID-19 vaccine composed of inactivated SARS-CoV-2 in diabetic individuals. PG - 1025901 LID - 10.3389/fpubh.2022.1025901 [doi] LID - 1025901 AB - BACKGROUND: Patients with type 2 diabetes mellitus (T2DM) are at increased risk for COVID-19 related morbidity and mortality. Antibody response to COVID-19 vaccine in T2DM patients is not very clear. The present work aims to evaluate the antibody response to the inactivated SARS-CoV-2 vaccine in this population. METHODS: Two groups of subjects with no history of SARS-CoV-2 infection were included: 63 T2DM patients and 56 non-T2DM controls. Each participant received two doses of inactivated COVID-19 vaccine. IgG antibodies against the nucleocapsid (N) and spike (S) proteins of SARS-CoV-2 (anti-N/S IgG) and receptor binding domain (RBD) proteins (anti-RBD IgG) were quantitatively evaluated by the electrochemiluminescence immunoassays, respectively. RESULTS: It was observed that the positive rates and titers of anti-N/S IgG and anti-RBD IgG in T2DM patients were significantly lower than those in controls, respectively (anti-N/S: 85.7 vs. 98.2%, P = 0.034; 25.48 vs. 33.58 AU/ml P = 0.011; anti-RBD: 85.7 vs. 96.4%, P = 0.044; 15.45 vs. 22.25 AU/ml, P = 0.019). Compared to non-T2DM subjects, T2DM patients with uncontrolled glycemia showed lower positive antibody rates and titers (anti-N/S IgG: 75% and 13.30 AU/ml; anti-RBD IgG: 75% and 11.91 AU/ml, respectively, all P < 0.05), while T2DM patients with controlled glycemia had similar positive antibody rates and titers (anti-N/S IgG: 94.3% and 33.65 AU/ml; and anti-RBD IgG: 94.3% and 19.82 AU/ml, respectively, all P > 0.05). CONCLUSION: In the analysis performed, the data indicate that T2DM patients with uncontrolled glycemia showed a lower level of IgG antibodies compared to non-diabetic controls and individuals with controlled glycemia when immunized with the inactivated COVID-19 vaccine. CI - Copyright (c) 2022 Cheng, Shen, Tao, Zhang, Xu, Bi, Han and Zhou. FAU - Cheng, Yandong AU - Cheng Y AD - Department of Endocrinology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Shen, Ping AU - Shen P AD - Department of Laboratory Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Tao, Yue AU - Tao Y AD - Department of Laboratory Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Zhang, Wenjun AU - Zhang W AD - Department of Laboratory Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Xu, Biyun AU - Xu B AD - Department of Biomedicine Statistics, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Bi, Yan AU - Bi Y AD - Department of Endocrinology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Han, Zhen AU - Han Z AD - Department of Prevention and Health Care, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Zhou, Yi-Hua AU - Zhou YH AD - Department of Laboratory Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. AD - Department of Infectious Diseases and Jiangsu Key Laboratory for Molecular Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221208 PL - Switzerland TA - Front Public Health JT - Frontiers in public health JID - 101616579 RN - 0 (COVID-19 Vaccines) RN - 0 (Immunoglobulin G) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2 MH - COVID-19 Vaccines MH - SARS-CoV-2 MH - Antibody Formation MH - *COVID-19/prevention & control MH - Immunoglobulin G PMC - PMC9773130 OTO - NOTNLM OT - COVID-19 OT - T2DM patients OT - impaired antibody response OT - inactivated SARS-CoV-2 OT - vaccination COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/12/27 06:00 MHDA- 2022/12/28 06:00 PMCR- 2022/12/08 CRDT- 2022/12/26 03:59 PHST- 2022/08/23 00:00 [received] PHST- 2022/11/23 00:00 [accepted] PHST- 2022/12/26 03:59 [entrez] PHST- 2022/12/27 06:00 [pubmed] PHST- 2022/12/28 06:00 [medline] PHST- 2022/12/08 00:00 [pmc-release] AID - 10.3389/fpubh.2022.1025901 [doi] PST - epublish SO - Front Public Health. 2022 Dec 8;10:1025901. doi: 10.3389/fpubh.2022.1025901. eCollection 2022.