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Impaired SARS-CoV-2 vaccine responsiveness is not associated with subclinical atherosclerosis or cardiovascular disease

Andersson, Samuel H A LU orcid ; Chalou, Anthi LU ; Mulholland, Megan LU ; Katra, Pernilla LU ; Ljungcrantz, Irena LU ; Andersson, Linda LU ; Engström, Gunnar LU ; Nilsson, Jan LU ; Schiopu, Alexandru LU orcid and Björkbacka, Harry LU orcid , et al. (2026) In European Heart Journal Open 6(1). p.1-5
Abstract

AIMS: Although age-related immune deterioration has been implicated as a mechanistic contributor to cardiovascular disease (CVD), evidence for an impairment of adaptive immune function in individuals with clinically verified presence of atherosclerosis is lacking.

METHODS AND RESULTS: To test the association between atherosclerosis and immune function, we evaluated SARS-CoV-2 vaccine responsiveness in 65- to 71-year-old individuals ( n = 644) derived from a population-based cohort, characterized for subclinical atherosclerosis by coronary computed tomography angiography and carotid ultrasound. Vaccine-specific T cells were quantified by activation-induced marker assays and antibody responses by ELISA. We did not find any... (More)

AIMS: Although age-related immune deterioration has been implicated as a mechanistic contributor to cardiovascular disease (CVD), evidence for an impairment of adaptive immune function in individuals with clinically verified presence of atherosclerosis is lacking.

METHODS AND RESULTS: To test the association between atherosclerosis and immune function, we evaluated SARS-CoV-2 vaccine responsiveness in 65- to 71-year-old individuals ( n = 644) derived from a population-based cohort, characterized for subclinical atherosclerosis by coronary computed tomography angiography and carotid ultrasound. Vaccine-specific T cells were quantified by activation-induced marker assays and antibody responses by ELISA. We did not find any significant associations between the degree of subclinical atherosclerosis or history of cardiovascular disease and vaccine-specific IgG or T cells. Vaccine immunity was not associated with lipid levels but was inversely correlated with several plasma cytokines.

CONCLUSIONS: Our study demonstrates that subclinical atherosclerosis or prevalent CVD is not associated with impaired responsiveness to vaccination.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Heart Journal Open
volume
6
issue
1
article number
oeaf167
pages
1 - 5
publisher
Oxford University Press
external identifiers
  • pmid:41509508
ISSN
2752-4191
DOI
10.1093/ehjopen/oeaf167
language
English
LU publication?
yes
additional info
© The Author(s) 2025. Published by Oxford University Press on behalf of the European Society of Cardiology.
id
fb097b53-dedf-4b00-8361-091656911f2d
date added to LUP
2026-01-21 14:04:48
date last changed
2026-01-21 14:20:38
@article{fb097b53-dedf-4b00-8361-091656911f2d,
  abstract     = {{<p>AIMS: Although age-related immune deterioration has been implicated as a mechanistic contributor to cardiovascular disease (CVD), evidence for an impairment of adaptive immune function in individuals with clinically verified presence of atherosclerosis is lacking.</p><p>METHODS AND RESULTS: To test the association between atherosclerosis and immune function, we evaluated SARS-CoV-2 vaccine responsiveness in 65- to 71-year-old individuals ( n = 644) derived from a population-based cohort, characterized for subclinical atherosclerosis by coronary computed tomography angiography and carotid ultrasound. Vaccine-specific T cells were quantified by activation-induced marker assays and antibody responses by ELISA. We did not find any significant associations between the degree of subclinical atherosclerosis or history of cardiovascular disease and vaccine-specific IgG or T cells. Vaccine immunity was not associated with lipid levels but was inversely correlated with several plasma cytokines. </p><p>CONCLUSIONS: Our study demonstrates that subclinical atherosclerosis or prevalent CVD is not associated with impaired responsiveness to vaccination.</p>}},
  author       = {{Andersson, Samuel H A and Chalou, Anthi and Mulholland, Megan and Katra, Pernilla and Ljungcrantz, Irena and Andersson, Linda and Engström, Gunnar and Nilsson, Jan and Schiopu, Alexandru and Björkbacka, Harry and Engelbertsen, Daniel}},
  issn         = {{2752-4191}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{1--5}},
  publisher    = {{Oxford University Press}},
  series       = {{European Heart Journal Open}},
  title        = {{Impaired SARS-CoV-2 vaccine responsiveness is not associated with subclinical atherosclerosis or cardiovascular disease}},
  url          = {{http://dx.doi.org/10.1093/ehjopen/oeaf167}},
  doi          = {{10.1093/ehjopen/oeaf167}},
  volume       = {{6}},
  year         = {{2026}},
}