The correlation between nutritional status and CD8+ cell counts in the elderly after the second COVID-19 vaccination in Palembang, Indonesia

Authors

  • Khoirun Mukhsinin Putra FK Universitas Sriwijaya
  • Nur Riviati FK Universitas Sriwijaya
  • Eddy Mart Salim FK Universitas Sriwijaya
  • Nova Kurniaty FK Universitas Sriwijaya
  • Desti Paramita FK Universitas Sriwijaya

DOI:

https://doi.org/10.25170/djm.v21i3.3856

Keywords:

elderly, COVID-19 vaccination, CD8 T cells, nutritional status

Abstract

Introduction: The SARS-CoV-2 virus is the cause of coronavirus illness (COVID-19). The WHO classified the outbreak a pandemic on March 9, 2020. The COVID-19 vaccine has been widely utilized to manage the pandemic. However, some high-risk conditions that can compromise the vaccine's efficacy require careful consideration. Patients over 60 years old are at a greater risk for COVID-19. Due to the involution of the thymus and the transformation of the cortex and medulla tissue into adipose tissue, CD8+ T cell numbers decline. In addition, undernutrition reduces the number of CD8+ T cells. The purpose of this study is to examine the relationship between nutritional status and CD8+ T cell counts in elderly patients following the second COVID-19 vaccination.

Methods: This study is a pilot project employing a cross-sectional design. The sampling employed a technique of sequential sampling. On day 28, following the administration of the second vaccine, the Mini Nutritional Assessment (MNA) and the amount of CD8+ T cells in the blood were utilized to evaluate the nutrition status.

Results: Between May and November of 2021, forty subjects were collected. The average number of CD8+ T cells was 517.32±41.67. Therefore, five people (12.5%) were at risk of malnutrition, whereas thirty-five (87.5%) had a normal nutritional status.

Conclusion: There is a significant relationship between MNA and CD8+ levels (P<0.05) and a positive correlation between nutritional status and CD8+ T cell counts in the elderly who have received the second covid-19 vaccination in Palembang.

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References

1. Wu Y-C, Chen C-S, Chan Y-J. The outbreak of CoVID-19: An overview. . J Chin Med Assoc. Taiwan, ROC. February, 2020.
2. Ouassou H, Kharchoufa L, Bouhrim M, Daoudi NE, Imtara H, Bencheikh N, et al. The Pathogenesis of Coronavirus Disease 2019 (COVID-19): Evaluation and Prevention. Journal of Immunology Research. 2020 Jul 10;2020:1–7.
3. Susilo A, Rumende CM, Pitoyo CW, Santoso WD, Yulianti M, Kurniawan H, et al. Coronavirus disease 2019: Tinjauan literatur terkini. J Peny Dal Indo. 2020; 7(1):45-67
4. Rauf A, Abu-Izneid T, Olatunde A, Ahmed Khalil A, Alhumaydhi FA, Tufail T, et al. COVID-19 Pandemic: Epidemiology, Etiology, Conventional and Non-Conventional Therapies. IJERPH. 2020 Nov 4;17(21):8155.
5. Westmeier J, Paniskaki K, Karaköse Z, Werner T, Sutter K, Dolff S, et al. Impaired Cytotoxic CD8 + T Cell Response in Elderly COVID-19 Patients. Palese P, editor. mBio. 2020 Oct 27;11(5):e02243-20.
6. Crooke SN, Ovsyannikova IG, Poland GA, Kennedy RB. Immunosenescence and human vaccine immune responses. Immun Ageing. 2019 Dec;16(1):25.
7. Wagner A, Garner-Spitzer E, Jasinska J, Kollaritsch H, Stiasny K, Kundi M, et al. Age-related differences in humoral and cellular immune responses after primary immunisation: indications for stratified vaccination schedules. Sci Rep. 2018 Dec;8(1):9825.
8. Takuto Nogimori, Koichiro Suzuki, Yuji Masuta et al. mRNA vaccine induces cytotoxic CD8+ T-cell cross-reactivity against SARS-CoV-2 Omicron variant and regulates COVID-19 severity. Research Square preprint 2022, https://doi.org/10.21203/rs.3.rs-1364513/v1, https://www.researchsquare.com/article/rs-1364513/v1
9. Pellini R, Venuti A, Pimpinelli F, Abril E, Blandino G, Campo F, et al. Initial observations on age, gender, BMI and hypertension in antibody responses to SARS-CoV-2 BNT162b2 vaccine. EClinicalMedicine. 2021 Jun;36:100928.
10. Shenggen Fan, 26 November 2020 • 3:54pm, Shenggen Fan. Good nutrition is crucial for the coronavirus vaccine to work effectively. 2020 Nov 26; Available from:https://www.telegraph.co.uk/global-health/science-and-disease/good-nutrition-canmake-vaccines-effective/
11. Rayman MP, Calder PC. Optimising COVID-19 vaccine efficacy by ensuring nutritional adequacy. Br J Nutr. 2021 Dec 28;126(12):1919–20.
12. S, Moulias R. Decreased maturation of T-cell populations in the healthy elderly: Influence of nutritional factors on the appearance of double negative CD4-, CD8-, CD2+ cells. Arch Gerontol Geriatr. 1994;19 Suppl 1:139-54.
13. DiaoB,WangC,TanY,ChenX,LiuY,NingL,ChenL,LiM,LiuY,Wang G, Yuan Z, Feng Z, Zhang Y, Wu Y, Chen Y. 2020. Reduction and functional exhaustion of T cells in patients with coronavirus disease 2019 (COVID-19). Front Immunol 11:827.
14. NiL,YeF,ChengML,FengY,DengYQ,ZhaoH,WeiP,GeJ,GouM,Li X, Sun L, Cao T, Wang P, Zhou C, Zhang R, Liang P, Guo H, Wang X, Qin CF, Chen F, Dong C. 2020. Detection of SARS-CoV-2-specific humoral and cellular immunity in COVID-19 convalescent individuals. Immunity 52: 971–977.e3.
15. Thieme CJ, Anft M, Paniskaki K, Blazquez-Navarro A, Doevelaar A, Seibert FS, Hoelzer B, Konik MJ, Brenner T, Tempfer C, Watzl C, Dolff S, Dittmer U, Westhoff TH, Witzke O, Stervbo U, Roch T, Babel N. 2020. The SARS-CoV-2 T-cell immunity is directed against the spike, membrane, and nucleocapsid protein and associated with COVID 19 severity. medRxiv 2020.05.13.20100636
16. Lynda Mazari; Bruno M Lesourd (1998). Nutritional influences on immune response in healthy aged persons.,104(1), 25–40.
17. Gerriets VA, MacIver NJ. Role of T cells in malnutrition and obesity. Front Immunol. 2014 Aug 11;5:379.
18. Pellini R, Venuti A, Pimpinelli F, Abril E, Blandino G, Campo F, Conti L, De Virgilio A, De Marco F, Di Domenico EG, Di Bella O, Di Martino S, Ensoli F, Giannarelli D, Mandoj C, Manciocco V, Marchesi P, Mazzola F, Moretto S, Petruzzi G, Petrone F, Pichi B, Pontone M, Zocchi J, Vidiri A, Vujovic B, Piaggio G, Morrone A, Ciliberto G. Initial observations on age, gender, BMI and hypertension in antibody responses to SARS-CoV-2 BNT162b2 vaccine. EClinicalMedicine. 2021 Jun;36:100928

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Published

2022-12-31

How to Cite

1.
Putra KM, Riviati N, Salim EM, Kurniaty N, Paramita D. The correlation between nutritional status and CD8+ cell counts in the elderly after the second COVID-19 vaccination in Palembang, Indonesia. DJM [Internet]. 2022 Dec. 31 [cited 2024 Nov. 5];21(3):194-9. Available from: https://ejournal.atmajaya.ac.id/index.php/damianus/article/view/3856
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