Search

Many scientific societies recommend SARS‐CoV‐2 vaccination for solid-organ transplant recipients. The immunogenicity of two or three vaccine doses in lung transplant (LTx) recipients is unclear. The aim of this study was to evaluate the humoral response to the vaccine in LTx and heart-lung transplant (HLTx) recipients. We conducted a prospective study of LTx and HLTx recipients at seven centers in France. Anti-spike-protein antibody titers after two or three SARS‐CoV‐2 vaccine injections were measured. We studied 2186 patients (1091 [51%] males) with a median age of 49 [45-55] years. Double LTx was performed in 1792 (82%) patients. The main reasons for LTx were chronic obstructive pulmonary disease (n=656, 30%), fibrosis (n=459, 21%), and cystic fibrosis (n=350, 16 %). Median time from LTx to vaccination was 59 [29-108] months and mean time from the last vaccine dose to serological testing was 3 months [1.5-3.8]. We used WHO definitions to classify antibody titers as negative (&lt. 30 BAU/mL), suboptimal (30-260 BAU/mL), or protective (&gt 260 BAU/mL). Of the first 1081 patients, 270 (25%) were partially vaccinated and 649 (60%) fully vaccinated (three doses or history of COVID-19 then two doses); Among these patients,133 (12%) were infected by covid. Of the 649 fully vaccinated patients, 461 (71%), 84 (13%), and 97 (15%) had negative, suboptimal, and protective antibody titers, respectively. The proportion of patients with protective titers was 8% vs. 18% in patients vaccinated within 5 years vs. 5 or more years after LTx, respectively. Among covid-infected patients, 48% developed a protective rate, whether fully or partially vaccinated. LTx recipients usually fail to develop protective antibody titers in response to SARS-CoV-2 vaccination. Once further data are collected, we will seek to identify risk factors for a poor antibody response. [ABSTRACT FROM AUTHOR]

Abstract: High-frequency pCO2 and ancillary data were recorded for seven years during the first deployment of a CARbon Interface OCean Atmosphere (CARIOCA) sensor in the surface waters of a temperate coastal ecosystem, the Bay of Brest, which is impacted by both coastal (via estuaries) and oceanic (North Atlantic via the Iroise Sea) water inputs. The CARIOCA sensor proved to be an excellent tool to constrain the high pCO2 variability in such dynamic coastal ecosystem. Biological processes (e.g. pelagic photosynthesis/respiration) were the main drivers of the seasonal and diurnal pCO2 dynamics throughout seven years of observations. Autotrophic processes were responsible for abrupt pCO2 drawdown of 100 to 200μatm in spring. During the spring bloom, diurnal variations were driven by diel biological cycle. The average daily drawdown due to autotrophy (observed during highest daily PAR) was equivalent to 10 to 60% of the total pCO2 drawdown observed every year during the spring season. From late summer to fall, heterotrophic processes increased pCO2 in the surface water of the Bay back to the pre-bloom level. The average daily increase due to heterotrophy (observed during lowest daily PAR) corresponded to 10 to 70% of the total pCO2 increase observed every year during the late summer to fall period. Air–sea CO2 fluxes estimates based on hourly, daily and monthly calculations showed that careful consideration of the diurnal variability was needed to accurately estimate air–sea CO2 fluxes in the Bay of Brest. Sampling only during daytime or night-time would induce 8 to 36% error on monthly air–sea CO2 fluxes. This would in turn reverse the direction of the fluxes at annual level for the Bay. The annual emissions of CO2 from the surface waters of the Bay to the atmosphere showed relatively low inter-annual variations with an average of +0.7±0.4molCm−2 yr−1 computed for the study period. Further, air–sea CO2 fluxes computed for the adjacent inner-estuaries and Iroise Sea for an annual cycle were +17±3molCm−2 yr−1 and −0.2±0.2molCm−2 yr−1, respectively. The spatial gradient showed a clear pattern from strong source to sink of CO2, from the inner-estuaries to the open oceanic waters of the North Atlantic. We suggest that semi-enclosed Bays act as buffers for sea to air emissions of CO2 from inner estuaries to adjacent costal seas. [Copyright &y& Elsevier]