Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies

Background: The EMCOVID project conducted a multi-centre cohort study to investigate the impact of COVID-19 on patients with Multiple Sclerosis (pwMS) receiving disease-modifying therapies (DMTs). The study aimed to evaluate the seroprevalence and persistence of SARS-CoV-2 antibodies in MS patients...

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Autores: Sancho-Saldaña, Agustín, Gil Sánchez, Anna|||0000-0002-0738-5578, González-Mingot, Cristina|||0000-0002-6387-8764, Peralta, Silvia, Solana, Maria José, Torres, Pascual|||0000-0001-7903-3478, Juanes, Alba, Quibus, Laura, Ruiz, Emilio, Sanpedro, Eduardo, Quirant, Bibiana|||0000-0002-3875-8074, Martínez Cáceres, Eva María|||0000-0002-6762-8025, Ramo-Tello, Cristina|||0000-0001-8643-5053, Presas Rodríguez, Sílvia|||0000-0001-8545-2476, García Rubio, Sebatián, Baron, Beatriz Pardiñas|||0000-0002-3041-9238, Ramió-Torrentà, Lluís|||0000-0002-6999-1004, Sotoca Fernández, Javier|||0000-0003-3400-1434, González-Suárez, Inés|||0000-0002-9897-0771, Eichau Madueño, Sara, Prieto, Jose Maria|||0000-0002-8170-0724, Blasco Quilez, Maria Rosario|||0000-0003-2719-4629, Sabín-Muñoz, Julia|||0000-0001-5745-7544, Sánchez López, Antonio José|||0000-0001-7168-6175, Llorens Calatayud, Gloria, Calles, Carmen, Perez-Sempere, Angel|||0000-0002-0195-2834, Garces, Moises|||0000-0002-1756-5492, Carmona, Olga|||0000-0002-5957-0046, Moral, Ester, Hervás, José Vicente, Blanco, Yolanda, Sola-Valls, Nuria, Téllez Lara, Nieves|||0000-0001-8787-2239, Forero, Lucía|||0000-0003-0256-6748, Brieva Ruiz, Luis|||0000-0002-5871-6189
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:310697
Acceso en línea:https://ddd.uab.cat/record/310697
https://dx.doi.org/urn:doi:10.3390/jcm12237243
Access Level:acceso abierto
Palabra clave:Multiple Sclerosis
COVID-19
SARS-CoV-2
DMT
Seroprevalence
id ES_76d70e56cfda3f37b97afde9b4d6579b
oai_identifier_str oai:ddd.uab.cat:310697
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies
A Multi-Centre Study
title Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies
spellingShingle Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies
Sancho-Saldaña, Agustín
Multiple Sclerosis
COVID-19
SARS-CoV-2
DMT
Seroprevalence
title_short Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies
title_full Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies
title_fullStr Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies
title_full_unstemmed Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies
title_sort Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying Therapies
dc.creator.none.fl_str_mv Sancho-Saldaña, Agustín
Gil Sánchez, Anna|||0000-0002-0738-5578
González-Mingot, Cristina|||0000-0002-6387-8764
Peralta, Silvia
Solana, Maria José
Torres, Pascual|||0000-0001-7903-3478
Juanes, Alba
Quibus, Laura
Ruiz, Emilio
Sanpedro, Eduardo
Quirant, Bibiana|||0000-0002-3875-8074
Martínez Cáceres, Eva María|||0000-0002-6762-8025
Ramo-Tello, Cristina|||0000-0001-8643-5053
Presas Rodríguez, Sílvia|||0000-0001-8545-2476
García Rubio, Sebatián
Baron, Beatriz Pardiñas|||0000-0002-3041-9238
Ramió-Torrentà, Lluís|||0000-0002-6999-1004
Sotoca Fernández, Javier|||0000-0003-3400-1434
González-Suárez, Inés|||0000-0002-9897-0771
Eichau Madueño, Sara
Prieto, Jose Maria|||0000-0002-8170-0724
Blasco Quilez, Maria Rosario|||0000-0003-2719-4629
Sabín-Muñoz, Julia|||0000-0001-5745-7544
Sánchez López, Antonio José|||0000-0001-7168-6175
Llorens Calatayud, Gloria
Calles, Carmen
Perez-Sempere, Angel|||0000-0002-0195-2834
Garces, Moises|||0000-0002-1756-5492
Carmona, Olga|||0000-0002-5957-0046
Moral, Ester
Hervás, José Vicente
Blanco, Yolanda
Sola-Valls, Nuria
Téllez Lara, Nieves|||0000-0001-8787-2239
Forero, Lucía|||0000-0003-0256-6748
Brieva Ruiz, Luis|||0000-0002-5871-6189
author Sancho-Saldaña, Agustín
author_facet Sancho-Saldaña, Agustín
Gil Sánchez, Anna|||0000-0002-0738-5578
González-Mingot, Cristina|||0000-0002-6387-8764
Peralta, Silvia
Solana, Maria José
Torres, Pascual|||0000-0001-7903-3478
Juanes, Alba
Quibus, Laura
Ruiz, Emilio
Sanpedro, Eduardo
Quirant, Bibiana|||0000-0002-3875-8074
Martínez Cáceres, Eva María|||0000-0002-6762-8025
Ramo-Tello, Cristina|||0000-0001-8643-5053
Presas Rodríguez, Sílvia|||0000-0001-8545-2476
García Rubio, Sebatián
Baron, Beatriz Pardiñas|||0000-0002-3041-9238
Ramió-Torrentà, Lluís|||0000-0002-6999-1004
Sotoca Fernández, Javier|||0000-0003-3400-1434
González-Suárez, Inés|||0000-0002-9897-0771
Eichau Madueño, Sara
Prieto, Jose Maria|||0000-0002-8170-0724
Blasco Quilez, Maria Rosario|||0000-0003-2719-4629
Sabín-Muñoz, Julia|||0000-0001-5745-7544
Sánchez López, Antonio José|||0000-0001-7168-6175
Llorens Calatayud, Gloria
Calles, Carmen
Perez-Sempere, Angel|||0000-0002-0195-2834
Garces, Moises|||0000-0002-1756-5492
Carmona, Olga|||0000-0002-5957-0046
Moral, Ester
Hervás, José Vicente
Blanco, Yolanda
Sola-Valls, Nuria
Téllez Lara, Nieves|||0000-0001-8787-2239
Forero, Lucía|||0000-0003-0256-6748
Brieva Ruiz, Luis|||0000-0002-5871-6189
author_role author
author2 Gil Sánchez, Anna|||0000-0002-0738-5578
González-Mingot, Cristina|||0000-0002-6387-8764
Peralta, Silvia
Solana, Maria José
Torres, Pascual|||0000-0001-7903-3478
Juanes, Alba
Quibus, Laura
Ruiz, Emilio
Sanpedro, Eduardo
Quirant, Bibiana|||0000-0002-3875-8074
Martínez Cáceres, Eva María|||0000-0002-6762-8025
Ramo-Tello, Cristina|||0000-0001-8643-5053
Presas Rodríguez, Sílvia|||0000-0001-8545-2476
García Rubio, Sebatián
Baron, Beatriz Pardiñas|||0000-0002-3041-9238
Ramió-Torrentà, Lluís|||0000-0002-6999-1004
Sotoca Fernández, Javier|||0000-0003-3400-1434
González-Suárez, Inés|||0000-0002-9897-0771
Eichau Madueño, Sara
Prieto, Jose Maria|||0000-0002-8170-0724
Blasco Quilez, Maria Rosario|||0000-0003-2719-4629
Sabín-Muñoz, Julia|||0000-0001-5745-7544
Sánchez López, Antonio José|||0000-0001-7168-6175
Llorens Calatayud, Gloria
Calles, Carmen
Perez-Sempere, Angel|||0000-0002-0195-2834
Garces, Moises|||0000-0002-1756-5492
Carmona, Olga|||0000-0002-5957-0046
Moral, Ester
Hervás, José Vicente
Blanco, Yolanda
Sola-Valls, Nuria
Téllez Lara, Nieves|||0000-0001-8787-2239
Forero, Lucía|||0000-0003-0256-6748
Brieva Ruiz, Luis|||0000-0002-5871-6189
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Multiple Sclerosis
COVID-19
SARS-CoV-2
DMT
Seroprevalence
topic Multiple Sclerosis
COVID-19
SARS-CoV-2
DMT
Seroprevalence
description Background: The EMCOVID project conducted a multi-centre cohort study to investigate the impact of COVID-19 on patients with Multiple Sclerosis (pwMS) receiving disease-modifying therapies (DMTs). The study aimed to evaluate the seroprevalence and persistence of SARS-CoV-2 antibodies in MS patients enrolled in the EMCOVID database. The DMTs were used to manage MS by reducing relapses, lesion accumulation, and disability progression. However, concerns arose regarding the susceptibility of pwMS to COVID-19 due to potential interactions between SARS-CoV-2 and the immune system, as well as the immunomodulatory effects of DMTs. Methods: This prospective observational study utilized data from a Multiple Sclerosis and COVID-19 (EMCOVID-19) study. Demographic characteristics, MS history, laboratory data, SARS-CoV-2 serology, and symptoms of COVID-19 were extracted for pwMS receiving any type of DMT. The relationship between demographics, MS phenotype, DMTs, and COVID-19 was evaluated. The evolution of SARS-CoV-2 antibodies over a 6-month period was also assessed. Results: The study included 709 pwMS, with 376 patients providing samples at the 6-month follow-up visit. The seroprevalence of SARS-CoV-2 antibodies was higher among pwMS than the general population, with Interferon treatment being significantly associated with greater seroprevalence (16.9% vs. 8.4%; p 0.003). However, no other specific DMT showed a significant association with antibody presence. A total of 32 patients (8.5%) tested positive for IgG, IgM, or IgA antibodies against SARS-CoV-2 at baseline, but then tested negative at 6 months. Most of the pwMS in the cohort were asymptomatic for COVID-19 and, even among symptomatic cases, the prognosis was generally favourable. Conclusion: pwMS undergoing DMTs exhibited a higher seroprevalence of COVID-19 than the general population. Interferon treatment was associated with a higher seroprevalence, suggesting a more robust humoral response. This study provides valuable insights into the seroprevalence and persistence of SARS-CoV-2 antibodies in pwMS and contributes to our understanding of the impact of COVID-19 amongst this population.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/310697
https://dx.doi.org/urn:doi:10.3390/jcm12237243
url https://ddd.uab.cat/record/310697
https://dx.doi.org/urn:doi:10.3390/jcm12237243
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 COV20/00948
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Seroprevalence of SARS-CoV-2 in Patients with Multiple Sclerosis under Disease-Modifying TherapiesA Multi-Centre StudySancho-Saldaña, AgustínGil Sánchez, Anna|||0000-0002-0738-5578González-Mingot, Cristina|||0000-0002-6387-8764Peralta, SilviaSolana, Maria JoséTorres, Pascual|||0000-0001-7903-3478Juanes, AlbaQuibus, LauraRuiz, EmilioSanpedro, EduardoQuirant, Bibiana|||0000-0002-3875-8074Martínez Cáceres, Eva María|||0000-0002-6762-8025Ramo-Tello, Cristina|||0000-0001-8643-5053Presas Rodríguez, Sílvia|||0000-0001-8545-2476García Rubio, SebatiánBaron, Beatriz Pardiñas|||0000-0002-3041-9238Ramió-Torrentà, Lluís|||0000-0002-6999-1004Sotoca Fernández, Javier|||0000-0003-3400-1434González-Suárez, Inés|||0000-0002-9897-0771Eichau Madueño, SaraPrieto, Jose Maria|||0000-0002-8170-0724Blasco Quilez, Maria Rosario|||0000-0003-2719-4629Sabín-Muñoz, Julia|||0000-0001-5745-7544Sánchez López, Antonio José|||0000-0001-7168-6175Llorens Calatayud, GloriaCalles, CarmenPerez-Sempere, Angel|||0000-0002-0195-2834Garces, Moises|||0000-0002-1756-5492Carmona, Olga|||0000-0002-5957-0046Moral, EsterHervás, José VicenteBlanco, YolandaSola-Valls, NuriaTéllez Lara, Nieves|||0000-0001-8787-2239Forero, Lucía|||0000-0003-0256-6748Brieva Ruiz, Luis|||0000-0002-5871-6189Multiple SclerosisCOVID-19SARS-CoV-2DMTSeroprevalenceBackground: The EMCOVID project conducted a multi-centre cohort study to investigate the impact of COVID-19 on patients with Multiple Sclerosis (pwMS) receiving disease-modifying therapies (DMTs). The study aimed to evaluate the seroprevalence and persistence of SARS-CoV-2 antibodies in MS patients enrolled in the EMCOVID database. The DMTs were used to manage MS by reducing relapses, lesion accumulation, and disability progression. However, concerns arose regarding the susceptibility of pwMS to COVID-19 due to potential interactions between SARS-CoV-2 and the immune system, as well as the immunomodulatory effects of DMTs. Methods: This prospective observational study utilized data from a Multiple Sclerosis and COVID-19 (EMCOVID-19) study. Demographic characteristics, MS history, laboratory data, SARS-CoV-2 serology, and symptoms of COVID-19 were extracted for pwMS receiving any type of DMT. The relationship between demographics, MS phenotype, DMTs, and COVID-19 was evaluated. The evolution of SARS-CoV-2 antibodies over a 6-month period was also assessed. Results: The study included 709 pwMS, with 376 patients providing samples at the 6-month follow-up visit. The seroprevalence of SARS-CoV-2 antibodies was higher among pwMS than the general population, with Interferon treatment being significantly associated with greater seroprevalence (16.9% vs. 8.4%; p 0.003). However, no other specific DMT showed a significant association with antibody presence. A total of 32 patients (8.5%) tested positive for IgG, IgM, or IgA antibodies against SARS-CoV-2 at baseline, but then tested negative at 6 months. Most of the pwMS in the cohort were asymptomatic for COVID-19 and, even among symptomatic cases, the prognosis was generally favourable. Conclusion: pwMS undergoing DMTs exhibited a higher seroprevalence of COVID-19 than the general population. Interferon treatment was associated with a higher seroprevalence, suggesting a more robust humoral response. This study provides valuable insights into the seroprevalence and persistence of SARS-CoV-2 antibodies in pwMS and contributes to our understanding of the impact of COVID-19 amongst this population. 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/310697https://dx.doi.org/urn:doi:10.3390/jcm12237243reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 COV20/00948open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3106972026-06-06T12:50:31Z
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