Evidence map›Paper›PMID 30303980›Full record

Trial reportPloS one2018

A randomized trial of serological and cellular responses to hepatitis B vaccination in chronic kidney disease.

Elizabeth N da Silva, Alan Baker, Jalila Alshekaili, Krishna Karpe, Matthew C Cook

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Advances in treatment and prevention of hepatitis B.World journal of gastrointestinal pharmacology and therapeutics · 2021
    Review
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Elizabeth N da SilvaDivision of Immunology and Infection, John Curtin School of Medical Research, Australian National University, Canberra, ACT, Australia.ORCID 0000-0002-7253-1519
Alan BakerDepartment of Immunology, Liverpool Hospital, Liverpool, NSW, Australia.
Jalila AlshekailiDivision of Immunology and Infection, John Curtin School of Medical Research, Australian National University, Canberra, ACT, Australia.
Krishna KarpeDepartment of Renal Medicine, The Canberra Hospital, Garran, ACT, Australia.
Matthew C CookDivision of Immunology and Infection, John Curtin School of Medical Research, Australian National University, Canberra, ACT, Australia.ORCID 0000-0002-3331-9363
Australian National University · AUCanberra Hospital · AULiverpool Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is associated with an increased risk of hepatitis B infection and impaired seroconversion to hepatitis B vaccine (HBV). Studies examining augmented vaccine schedules to enhance seroconversion have so far been inconclusive. Furthermore, the defects responsible for impaired vaccine immunity in CKD have not yet been identified.

methodsWe studied serological and cellular responses to HBV in CKD to identify a defect in vaccine-induced cellular responses that could account for impaired seroconversion in CKD and clarify the effects of an augmented vaccine dose schedule. We compared these results with responses to seasonal influenza vaccination (Fluvax).

resultsWe found a clear benefit in rates and magnitude of seroconversion after an augmented 40mcg HBV dose schedule in CKD. This permitted comparison of responders and non-responders. Serological non-responders with CKD exhibited reduction in CXCR3+CCR6- CXCR5+ memory T cells at baseline. Unlike Fluvax, HBV elicited a poor plasmablast (PB) response. Both vaccinations induced activation of the CXCR3+CCR6- CCR7- subset of circulating T follicular helper cells (cTFH), although this response was impaired in CKD after HBV.

conclusionsCKD confers a specific T cell defect that contributes to the impaired seroconversion to HBV.

Indexed as

Hepatitis B VaccinesVaccinationAdultAgedAged, 80 and overBiomarkersFemaleFollow-Up StudiesHumansInfluenza VaccinesLongitudinal StudiesMaleMiddle AgedRenal Insufficiency, ChronicSeroconversionT-LymphocytesBiomarkersHepatitis B VaccinesInfluenza Vaccines

Identifiers

PMID30303980
PMCPMC6179249
OpenAlexW2897143710

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.