Evidence map›Paper›PMID 30664927›Full record

ArticleTransplant immunology2019

Kinetics of antibody response to influenza vaccination in renal transplant recipients.

Shivaprakash Gangappa, Jens Wrammert, David Wang, Zhu-Nan Li, Justine S Liepkalns, Weiping Cao, Jufu Chen, Min Z Levine, James Stevens, Suryaprakash Sambhara and 5 more

Open access · greenAbstract read
In one paragraph

Article in Transplant immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

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  14. Influence of immunosuppression on seroconversion against SARS-CoV-2 in two kidney transplant recipients.Transplant infectious disease : an official journal of the Transplantation Society · 2021
    Article
  15. Detection of SARS-CoV-2 Antibodies in Kidney Transplant Recipients.Journal of the American Society of Nephrology : JASN · 2020
    Article
  16. Article
  17. Influenza-specific IgG1Clinical & translational immunology · 2020
    Article
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

15 authors at 2 institutions in 1 country.

Shivaprakash GangappaInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: sgangappa@cdc.gov.
Jens WrammertEmory Vaccine Center, Emory University, Atlanta, GA 30322, United States.
David WangInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Zhu-Nan LiInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Justine S LiepkalnsInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Weiping CaoInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Jufu ChenInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Min Z LevineInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
James StevensInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Suryaprakash SambharaInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Beth BegleyEmory Transplant Center, Emory University School of Medicine, Atlanta, GA 30322, United States.
Aneesh MehtaEmory Transplant Center, Emory University School of Medicine, Atlanta, GA 30322, United States.
Thomas C PearsonEmory Transplant Center, Emory University School of Medicine, Atlanta, GA 30322, United States.
Rafi AhmedEmory Vaccine Center, Emory University, Atlanta, GA 30322, United States.
Christian P LarsenEmory Transplant Center, Emory University School of Medicine, Atlanta, GA 30322, United States.
Centers for Disease Control and Prevention · USEmory University · US

Funding

IMMUNE FUNCTION AND BIODEFENSE IN CHILDREN. ELDERLY AND IMMUNOCOMPROMI-266050025N01AI050025 · NIAID · EMORY UNIVERSITY · PI LARSON, CHRIS · 2006 to 2006
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Intramural CDC HHS CC999999NIAID NIH HHS N01 AI050025
6 · The paper itself

Abstract

Annual vaccination is routinely used in organ transplant recipients for immunization against seasonal influenza. However, detailed analysis of the kinetics of vaccine-induced immune responses in this population is lacking. In this study, we investigated the kinetics of vaccine strains-specific antibody responses to trivalent influenza vaccine in a group of renal transplant recipients and a control group. First, we found that the geometric mean hemagglutination inhibition titer against all 3 vaccine strains in the transplant cohort was significantly low when compared to control subjects. Next, whereas the control group sera showed significantly higher HA-specific IgG and isotype IgG1 antibodies at all four time points, a similar increase in the transplant group was delayed until day 28. Interestingly, within the transplant group, subjects receiving belatacept/MMF/prednisone-based regimen had significantly lower levels of total IgG and HA-specific IgG when compared to tacrolimus/MMF/prednisone-based regimen. Even though IgG-ASC response in both cohorts peaked at day 7 post-vaccination, the frequency of IgG-ASC was significantly low in the transplant group. Taken together, our studies show delayed kinetics and lower levels of influenza vaccine-specific antibody responses in renal transplant recipients and, more importantly, indicate the need to probe and improve current vaccination strategies in renal transplant recipients.

Indexed as

Kidney TransplantationAdultAntibodies, ViralAntibody FormationCohort StudiesFemaleGraft RejectionHemagglutinin Glycoproteins, Influenza VirusHumansImmunosuppression TherapyInfluenza A virusInfluenza, HumanInfluenza VaccinesMaleMiddle AgedTacrolimusAntibodies, ViralHemagglutinin Glycoproteins, Influenza Virushemagglutinin, human influenza A virusInfluenza VaccinesTacrolimusAntibodyImmunosuppressionInfluenzaKidney transplantVaccination

Identifiers

PMID30664927
PMCPMC6471676
OpenAlexW2910673724

What OpenQuestion holds

Textmetadata
LicenceTDM
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.