Cellular Immune Response after Vaccination in Patients with Cancer—Review on Past and Present Experiences

Клеточный иммунный ответ после вакцинации у онкологических пациентов — обзор прошлого и современного опыта
Maria Madeleine Rüthrich, Nicola Giesen, Sibylle C. Mellinghoff, Christina Rieger, Marie von Lilienfeld‐Toal
2022-01-25

SARS-CoV-2 vaccinationT cellscancer patientscellular immune responsevaccine responses
Patients with cancer are at particular risk for infection but also have diminished vaccine responses, usually quantified by the level of specific antibodies. Nonetheless, vaccines are specifically recommended in this vulnerable patient group. Here, we discuss the cellular part of the vaccine response in patients with cancer. We summarize the experience with vaccines prior to and during the SARS-CoV-2 pandemic in different subgroups, and we discuss why, especially in patients with cancer, T cells may be the more reliable correlate of protection. Finally, we provide a brief outlook on options to improve the cellular response to vaccines.
1
Evidence from pre-pandemic and SARS-CoV-2 vaccine studies indicates that cellular immune responses are important across different cancer patient subgroups.
2
Patients with cancer face increased infection risk while generally developing weaker vaccine responses, commonly assessed through antigen-specific antibody levels.
3
Potential strategies to improve vaccine-induced cellular immunity in patients with cancer warrant further consideration.
4
T-cell responses may provide a more reliable correlate of protection than antibody levels in patients with cancer.
5
Vaccination remains specifically recommended for patients with cancer despite their impaired immune responses and vulnerability to infection.

Patients with cancer receiving vaccination

Cellular immune response, particularly T-cell responses and their reliability as correlates of vaccine protection

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2022-01-25
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Authors
Maria Madeleine Rüthrich
Nicola Giesen
Sibylle C. Mellinghoff
Christina Rieger
Marie von Lilienfeld‐Toal
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