PMID- 38511554 OWN - NLM STAT- MEDLINE DCOM- 20240322 LR - 20240322 IS - 1096-9071 (Electronic) IS - 0146-6615 (Linking) VI - 96 IP - 3 DP - 2024 Mar TI - Temporal changes in biomarkers of neutrophil extracellular traps and NET-promoting autoantibodies following adenovirus-vectored, mRNA, and recombinant protein COVID-19 vaccination. PG - e29556 LID - 10.1002/jmv.29556 [doi] AB - Neutrophil extracellular traps (NETs) play a role in innate pathogen defense and also trigger B-cell response by providing antigens. NETs have been linked to vaccine-induced thrombotic thrombocytopenia. We postulated a potential link between NET biomarkers, NET-promoting autoantibodies, and adverse events (AEs) after COVID-19 vaccine boosters. Healthy donors (HDs) who received ChAdOx1-S (A), mRNA-1273 (M), or recombinant protein (MVC-COV1901) vaccines at the National Taiwan University Hospital between 2021 and 2022 were recruited. We measured serial NET-associated biomarkers, citrullinated-histone3 (citH3), and myeloperoxidase (MPO)-DNA. Serum citH3 and MPO-DNA were significantly or numerically higher in HDs who reported AEs (n = 100, booster Day 0/Day 30, p = 0.01/p = 0.03 and p = 0.30/p = 0.35, respectively). We also observed a positive correlation between rash occurrence in online diaries and elevated citH3. A linear mixed model also revealed significantly higher citH3 levels in mRNA-1273/ChAdOx1-S recipients than MVC-COV1901 recipients. Significant positive correlations were observed between the ratios of anti-heparin platelet factor 4 and citH3 levels on Booster Day 0 and naive and between the ratios of anti-NET IgM and citH3 on Booster Day 30/Day 0 in the AA-M and MM-M group, respectively. The increased levels of citH3/MPO-DNA accompanied by NET-promoting autoantibodies suggest a potential connection between mRNA-1273/ChAdOx1-S vaccines and cardiovascular complications. These findings provide insights for risk assessments of future vaccines. CI - (c) 2024 Wiley Periodicals LLC. FAU - Kuo, Yu-Min AU - Kuo YM AUID- ORCID: 0000-0002-5797-6093 AD - Department of Internal Medicine, Division of Allergy, Immunology and Rheumatology, National Taiwan University, Taipei, Taiwan. AD - Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. FAU - Kang, Chun-Min AU - Kang CM AD - Department of Laboratory Medicine, National Taiwan University, Taipei, Taiwan. FAU - Lai, Zhi-Yun AU - Lai ZY AD - Department of Microbiology and Immunology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. FAU - Huang, Ting-Yu AU - Huang TY AD - Department of Internal Medicine, Division of Infection, National Taiwan University, Taipei, Taiwan. FAU - Tzeng, Shiang-Jong AU - Tzeng SJ AUID- ORCID: 0000-0003-1633-020X AD - Department and Graduate Institute of Pharmacology, College of Medicine, National Taiwan University, Taipei, Taiwan. FAU - Hsu, Chih-Chieh AU - Hsu CC AD - Department of Internal Medicine, Division of Infection, National Taiwan University, Taipei, Taiwan. FAU - Chen, Shey-Ying AU - Chen SY AUID- ORCID: 0000-0002-5855-6170 AD - Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. FAU - Hsieh, Song-Chou AU - Hsieh SC AD - Department of Internal Medicine, Division of Allergy, Immunology and Rheumatology, National Taiwan University, Taipei, Taiwan. FAU - Chia, Jean-San AU - Chia JS AD - Department of Dentistry, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. FAU - Jung, Chiau-Jing AU - Jung CJ AUID- ORCID: 0000-0002-7824-3454 AD - Department of Microbiology and Immunology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. FAU - Hsueh, Po-Ren AU - Hsueh PR AUID- ORCID: 0000-0002-7502-9225 AD - Departments of Laboratory Medicine and Internal Medicine, China Medical University Hospital, China Medical University, Taichung, Taiwan. AD - Departments of Laboratory Medicine and Internal Medicine, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan. LA - eng GR - NTUH 112-M0024/National Taiwan University Hospital/ GR - Taiwan Centers for Disease Control/ GR - NSTC 112-2320-B-038-055-MY3/National Science and Technology Council of Taiwan/ GR - NSTC112-2320-B-038-061/National Science and Technology Council of Taiwan/ PT - Journal Article PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (COVID-19 Vaccines) RN - 0 (Autoantibodies) RN - EPK39PL4R4 (2019-nCoV Vaccine mRNA-1273) RN - 0 (RNA, Messenger) RN - 0 (Biomarkers) RN - B5S3K2V0G8 (ChAdOx1 nCoV-19) RN - 9007-49-2 (DNA) SB - IM MH - Humans MH - *Extracellular Traps/metabolism MH - COVID-19 Vaccines/adverse effects MH - Autoantibodies MH - 2019-nCoV Vaccine mRNA-1273 MH - RNA, Messenger/genetics/metabolism MH - *COVID-19/prevention & control/metabolism MH - Biomarkers MH - ChAdOx1 nCoV-19 MH - Vaccination MH - DNA/metabolism MH - Adenoviridae OTO - NOTNLM OT - ChAdOx1 nCoV-19 OT - MVC-COV1901 vaccine OT - autoantibodies OT - mRNA-1273.211 OT - neutrophil extracellular traps EDAT- 2024/03/21 12:43 MHDA- 2024/03/22 06:45 CRDT- 2024/03/21 06:43 PHST- 2024/03/01 00:00 [revised] PHST- 2023/11/08 00:00 [received] PHST- 2024/03/12 00:00 [accepted] PHST- 2024/03/22 06:45 [medline] PHST- 2024/03/21 12:43 [pubmed] PHST- 2024/03/21 06:43 [entrez] AID - 10.1002/jmv.29556 [doi] PST - ppublish SO - J Med Virol. 2024 Mar;96(3):e29556. doi: 10.1002/jmv.29556.