Table 1.
Immunogenicity of COVID-19 Vaccines in Patients With IEI
| Author | Total number of patients with IEI | Vaccine | IEI diagnosis | Humoral immunity findings | Cellular immunity findings |
|---|---|---|---|---|---|
| Abo Helo et al40 | 17 | BNT162B2 | CVID | 65%a | NR |
| Amodio et al41 | 21 | BNT162B2 | XLA, CVID, antibody deficiency | 95% anti-spike RBD antibody, 86% anti-trimeric spike Ab | 76%b |
| Antoli et al42 | 28 | BNT162B2, mRNA-1273, ChAdOx1 nCoV-19, Ad26.COV2.S | CVID | 71.4% | 71% |
| Arroyo-Sanchez et al43 | 18 | BNT162B2, mRNA-1273, ChAdOx1 | CVID | 83% any, 50% neutralizing | 83% |
| Barmettler et al44 | 62 | BNT162B2, mRNA-1273, Ad26.COV2.S | Primary antibody deficiency | 59.7% after initial series; 14x higher after booster 2erologic response | NR |
| Barrios et al45 | 17 | BNT162B2 | CVID | 70.5% | 82% |
| Bergman et al46 | 78 | BNT162B2 | CVID, XLA, CID, “monogenic” | 73% | |
| Bradley et al47 | 1 | BNT162B2 | WAS | 100% | 100% |
| Delmonte et al36 | 81 | BNT162B2, mRNA-1273, Ad26.COV2.S | SCID, APECED, CD40L, CID, CVID, FOXN1, hypogammaglobulinemia, MagT1, immune dysregulation, RAG, RALD, SASH3, STAT 3 LOF, STAT3 GOF, WAS, WHIM, XLA | 85% | NR |
| Fernandez-Salinas et al38 | 33 | BNT162B2 | CVID | 33% | NR |
| Goda et al48 | 30 | ChAdOx1 BNT162b2 Booster |
CVID | 83% Any after booster 80% Neutralizing after mRNA booster |
53% after ChAdOx1 83% after mRNA booster |
| Gupta et al49 | 10 | BNT162B2 | CVID | NR | Lower SARS-CoV-2 tetramer-specific CD8+ T cells, lower CD8+ granzyme+ perforin+ T cells |
| Hagin et al50 | 26 | BNT162B2 | XLA, hypogammaglobulinemia, STAT1 GOF, CVID, STAT3 LOF, NFKB1, Complement deficiency, IgG2 deficiency, CVID | 69% | 73% |
| Jalil, Abraham et al51 | 1 | BNT162B2 | CVID | 100% | NR |
| Jalil, Rowane et al52 | 1 | BNT162B2 | MagT1 | 100% | NR |
| Oshiro et al53 | 1 | Coronovac | XLA | 0% | 100% |
| Pham et al54 | 33 | BNT162B2, mRNA-1273 | Hypo/agammaglobulinemia, XLA, CVID, SAD, Good syndrome, CD40L, CTLA4 haploinsufficiency, PIK3R1 deficiency, ataxia telangiectasia, ATP6AP1 deficiency | 48% anti RBD-specific Ab; 6% with ACE2 receptor blocking activity > 50% | 77% with detectable T cell specificity |
| Ponsford et al55 | 156 | BNT162B2, mRNA-1273, ChAdOx1 |
CVID, hypogammaglobulinemia, CID, SAD, DiGeorge, XLA, STAT1 GOF, APECED, CD40L, CGD, CTLA4, complement 2 deficiency, ADA2, IFNGR1, CHH, STAT3 LOF, idiopathic CD4+ T cell lymphopenia, WAS | 67% | NR |
| Pulvirenti et al56 | 58 | BNT162B2 | CVID | 34% post-vaccination; 100% post-infection and vaccination serologic response | 1/9 after immunization, 0/3 convalescent and immunized |
| Romano et al57 | 5 | BNT162B2, mRNA-1273 | CVID | 80% | NR |
| Salinas et al58 | 47 | BNT162B2 | CVID, XLA | 20% | 70% CVID, 83% XLA |
| Sauerwein et al59 | 73 | BNT162B2 | CVID, PAD | 48% of CVID, 77% of PAD | CVID nonresponders have defective vaccine specific activation of CXCR5-negative CD4+ memory T cells and defective T follicular helper cells. CVID responders and PAD have intact vaccine specific activation of CXCR5-CD4+ memory T cells |
| Schulz-Cherry et al60 | 25 | mRNA-1273, BNT162B2 | SAD, subclass deficiency, CVID, “other” | 73% | NR |
| Shields et al61 | 168 | BNT162B2, ChAdOx1 | CVID, PAD, SAD, XLA, hyper IgM, CID, thymoma | 55% | 46.20% |
| Squire et al62 | 11 | BNT162B2, mRNA-1273 | CVID, XLA, WAS, DiGeorge, hypogammaglobulinemia | 91% | NR |
| van Leeuwen et al39 | 505 | mRNA-1273 | CVID, PAD, XLA, CID, phagocytic defects | RBD-specific binding antibodies: 98.3% IgG subclass deficiency; 100% undefined antibody deficiency, 100% phagocytic defect, 15% XLA, 91% CID, 81% CVID | 88% overall, 67% in CVID |
Abbreviations: APECED, autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy; CID, combined immunodeficiency; COVID-19, coronavirus disease 2019; CVID, common variable immunodeficiency; IEI, inborn errors of immunity; Ig, immunoglobulin; mRNA, messenger RNA; NR, not reported; PAD, primary antibody deficiency; RBD, receptor binding domain; SAD, specific antibody deficiency; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; SCID, severe combined immunodeficiency; WAS, Wiskott-Aldrich syndrome; XLA, X-linked agammaglobulinemia.
Percentage of persons with detectable SARS-CoV-2 spike-specific antibodies.
Percentage of persons with detectable SARS-CoV-2 spike-specific T cells.