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Immune complexes, innate immunity, and NETosis in ChAdOx1 vaccine-induced thrombocytopenia.


ABSTRACT:

Aims

We recently reported five cases of vaccine-induced immune thrombotic thrombocytopenia (VITT) 7-10 days after receiving the first dose of the ChAdOx1 nCoV-19 adenoviral vector vaccine against corona virus disease 2019 (COVID-19). We aimed to investigate the pathogenic immunological responses operating in these patients.

Methods and results

We assessed circulating inflammatory markers by immune assays and immune cell phenotyping by flow cytometry analyses and performed immunoprecipitation with anti-platelet factor (PF)4 antibody in plasma samples followed by mass spectrometry from all five patients. A thrombus was retrieved from the sinus sagittal superior of one patient and analysed by immunohistochemistry and flow cytometry. Precipitated immune complexes revealed multip

SUBMITTER: Holm S 

PROVIDER: S-EPMC8385969 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature