Evidence map›Paper›PMID 31749033›Full record

ArticleJournal of clinical immunology2020

BCG Moreau Vaccine Safety Profile and NK Cells-Double Protection Against Disseminated BCG Infection in Retrospective Study of BCG Vaccination in 52 Polish Children with Severe Combined Immunodeficiency.

Ewa Bernatowska, Małgorzta Skomska-Pawliszak, Beata Wolska-Kuśnierz, Małgorzata Pac, Edyta Heropolitanska-Pliszka, Barbara Pietrucha, Katarzyna Bernat-Sitarz, Nel Dąbrowska-Leonik, Nadia Bohynikova, Barbara Piątosa and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  4. Review
  5. 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

24 authors at 8 institutions in 5 countries.

Ewa BernatowskaDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland. ewa.bernatowska@gmail.com.ORCID http://orcid.org/0000-0002-0125-266X
Małgorzta Skomska-PawliszakDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Beata Wolska-KuśnierzDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Małgorzata PacDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Edyta Heropolitanska-PliszkaDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Barbara PietruchaDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Katarzyna Bernat-SitarzDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Nel Dąbrowska-LeonikDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Nadia BohynikovaDepartment of Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Barbara PiątosaHistocompatibility Laboratory, Children's Memorial Health Institute, Warsaw, Poland.
Anna LutyńskaDepartment of Medical Biology, The Cardinal Stefan Wyszyński Institute of Cardiology, Warsaw, Poland.
Ewa AugustynowiczDepartment of Epidemiology, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland.
Ewa Augustynowicz-KopećDepartment of Microbiology, National Tuberculosis Reference Laboratory, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland.
Maria Korzeniewska-KosełaDepartment of Tuberculosis Epidemiology and Surveillance, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland.
Maria KrasińskaDepartment of Tuberculosis and Lung Disease, Mazovian Centre for Tuberculosis and Lung Disease, Otwock, Poland.
Katarzyna Krzysztopa-GrzybowskaDepartment of Sera and Vaccines Evaluation, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland.
Anna Wieteska-KlimczakDepartment of Paediatrics, Nutrition and Metabolic Diseases, Children's Memorial Health Institute, Warsaw, Poland.
Janusz KsiążykDepartment of Paediatrics, Nutrition and Metabolic Diseases, Children's Memorial Health Institute, Warsaw, Poland.
Teresa JackowskaDepartment of Paediatrics, Medical Centre of Postgraduate Education, Warsaw, Poland.
Mirjam van den BurgDepartment of Immunohematology and Blood Transfusion (IHB), Leiden University Medical Center (LUMC), 2333, Leiden, ZA, Netherlands.
Jacques J M van DongenDepartment of Immunohematology and Blood Transfusion (IHB), Leiden University Medical Center (LUMC), 2333, Leiden, ZA, Netherlands.
Jean-Laurent CasanovaSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, USA.
Capucine PicardParis Descartes University, Imagine Institute, Paris, France.
Bożena MikołućDepartment of Paediatrics, Rheumatology, Immunology and Metabolic Bone Diseases, Medical University of Bialystok, Białystok, Poland.
Children's Memorial Health Institute · PLLeiden University Medical Center · NLNarodowy Instytut Zdrowia Publicznego PZH – Państwowy Instytut Badawczy · PLHôpital Necker-Enfants Malades · FRHoward Hughes Medical Institute · USInstitute of Cardiology · PLMedical University of Białystok · PLPostgraduate School of Molecular Medicine · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the study was to estimate the rate of adverse reactions to live BCG Moreau vaccine, manufactured by Biomed in Poland, in severe combined immunodeficiency (SCID) patients. MATERIAL: The profiles of 52 SCID patients vaccinated at birth with BCG, hospitalized in Children's Memorial Health Institute, Warsaw (CMHI), in the years 1980-2015 were compared with those of 349 BCG-vaccinated SCID patients from other countries analyzed by Beatriz E. Marciano et al. in a retrospective study (Marciano et al. J Allergy Clin Immunol. 2014;133(4):1134-1141).

resultsSignificantly less disseminated BCG infections (10 out of 52 SCID, 19%) occurred in comparison with Marciano study-119 out of 349, 34% (p = 0.0028), with no death in patients treated with SCID anti-TB drug, except one in lethal condition. In our study, disseminated BCG infection was observed only in SCID with T-B+NK- phenotype and significantly lower NK cell counts (p = 0.0161). NK cells do not influence on the frequency of local BCG reaction. A significantly higher number of hematopoietic stem cells transplantations (HSCT) were performed in CMHI study (p = 0.0001). Anti-TB treatment with at least two medicines was provided.

conclusionThe BCG Moreau vaccine produced in Poland, with well-documented genetic characteristics, seems to be safer than other BCG substrains used in other regions of the world. Importantly, NK cells seem to play a role in protecting SCID patients against disseminated BCG complications, which NK- SCID patients are more prone to. HSCT and TB therapy could be relevant due to the patients' survival and the fact that they protect against BCG infection.

Indexed as

BCG VaccineChild, PreschoolFemaleHematopoietic Stem Cell TransplantationHumansInfantInfant, NewbornKiller Cells, NaturalMalePolandRetrospective StudiesSevere Combined ImmunodeficiencyTuberculosisVaccinationBCG VaccineBCG Moreau vaccinedisseminated BCG infectionNKcellsPrimary immunodeficiencies

Identifiers

PMID31749033
PMCPMC7082382
OpenAlexW2991572087

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Registered trials

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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.