Evidence map›Paper›PMID 31440255›Full record

ReviewFrontiers in immunology2019

Vaccination in Multiple Sclerosis: Friend or Foe?

Tobias Zrzavy, Herwig Kollaritsch, Paulus S Rommer, Nina Boxberger, Micha Loebermann, Isabella Wimmer, Alexander Winkelmann, Uwe K Zettl

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. BCG vaccination and multiple sclerosis risk: A Norwegian cohort study.Multiple sclerosis (Houndmills, Basingstoke, England) · 2024
    Article
  10. Immune-Mediated Myelopathies.Continuum (Minneapolis, Minn.) · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Vaccination frequency in people newly diagnosed with multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
    Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Vaccine hesitancy in people with multiple sclerosis.Multiple sclerosis and related disorders · 2022
    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

8 authors at 2 institutions in 2 countries.

Tobias ZrzavyDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Herwig KollaritschInstitute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, Austria.
Paulus S RommerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Nina BoxbergerDepartment of Neurology, Neuroimmunological Section, University of Rostock, Rostock, Germany.
Micha LoebermannDepartment of Tropical Medicine and Infectious Diseases, University of Rostock, Rostock, Germany.
Isabella WimmerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Alexander WinkelmannDepartment of Neurology, University of Rostock, Rostock, Germany.
Uwe K ZettlDepartment of Neurology, Neuroimmunological Section, University of Rostock, Rostock, Germany.
University of Rostock · DEMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is a debilitating disease of the central nervous systems (CNS). Disease-modifying treatments (including immunosuppressive treatments) have shown positive effects on the disease course, but are associated with systemic consequences on the immune system and may increase the risk of infections and alter vaccine efficiency. Therefore, vaccination of MS patients is of major interest. Over the last years, vaccine hesitancy has steadily grown especially in Western countries, partly due to fear of sequelae arising from vaccination, especially neurological disorders. The interaction of vaccination and MS has been discussed for decades. In this review, we highlight the immunology of vaccination, provide a review of literature and discuss the clinical consideration of MS, vaccination and immunosuppression. In conclusion, there is consensus that MS cannot be caused by vaccines, neither by inactivated nor by live vaccines. However, particular attention should be paid to two aspects: First, in immunocompromised patients, live vaccines may lead to a stronger immune reaction with signs of the disease against which the patients have been vaccinated, albeit in weakened form. Second, protection provided by vaccination should be controlled in patients who have been vaccinated while receiving immunomodulatory or immunosuppressive treatment. In conclusion, there is evidence that systemic infections can worsen MS, thus vaccination will lower the risk of relapses by reducing the risk of infections. Therefore, vaccination should be in general recommended to MS patients.

Indexed as

Multiple SclerosisVaccinationVaccinesHumansVaccinesdisease modifying therapy (DMT)immunologymultiple scleorsis (MS)vaccinationvaccination immunology

Identifiers

PMID31440255
PMCPMC6693409
OpenAlexW2963064076

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.