Evidence map›Paper›PMID 33513242›Full record

ArticleThe Journal of clinical endocrinology and metabolism2021

Robust Neutralizing Antibodies to SARS-CoV-2 Develop and Persist in Subjects with Diabetes and COVID-19 Pneumonia.

Stefania Dispinseri, Vito Lampasona, Massimiliano Secchi, Andrea Cara, Elena Bazzigaluppi, Donatella Negri, Cristina Brigatti, Maria Franca Pirillo, Ilaria Marzinotto, Martina Borghi and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 7% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  11. COVID-19 and diabetes: Association intensify risk factors for morbidity and mortality.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2022
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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

16 authors at 3 institutions in 1 country.

Stefania DispinseriViral Evolution and Trasmission Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Vito LampasonaDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Massimiliano SecchiDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Andrea CaraNational Center for Global Health, Istituto Superiore di Sanità, Rome, Italy.
Elena BazzigaluppiDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Donatella NegriDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Cristina BrigattiDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Maria Franca PirilloNational Center for Global Health, Istituto Superiore di Sanità, Rome, Italy.
Ilaria MarzinottoDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Martina BorghiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Patrizia Rovere-QueriniDepartment of Immunology, Transplantation and Infectious Diseases, IRCCS Ospedale San Raffaele, Milan, Italy.
Cristina TresoldiMolecular Hematology Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Fabio CiceriSchool of Medicine and Surgery, Università Vita-Salute San Raffaele, Milan, Italy.
Marina ScaviniDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Gabriella ScarlattiViral Evolution and Trasmission Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Lorenzo PiemontiDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
IRCCS Ospedale San Raffaele · ITIstituto Superiore di Sanità · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextDemonstrating the ability to mount a neutralizing antibody response to SARS-CoV-2 in the presence of diabetes is crucial to understand COVID-19 pathogenesis, reinfection potential, and vaccine development.

objectiveThe aim of this study was to characterize the kinetics and durability of neutralizing antibody (Nab) response against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the presence of hyperglycemia.

methodsUsing a lentiviral vector-based SARS-CoV-2 neutralization assay to measure Nabs, we characterized 150 patients randomly selected from a cohort of 509 patients with confirmed COVID-19 pneumonia. We analyzed Nab response according to the presence of diabetes or hyperglycemia, at the time of hospitalization and during the postdischarge follow-up: 1-, 3-, and 6-month outpatient visits.

resultsAmong 150 randomly selected patients 40 (26.6%) had diabetes. Diabetes (hazard ratio [HR] 8.9, P < .001), glucose levels (HR 1.25 × 1.1 mmol/L, P < .001), and glucose variability (HR 1.17 × 0.6 mmol/L, P < .001) were independently associated with an increased risk of mortality. The neutralizing activity of SARS-CoV-2 antibodies in patients with diabetes was superimposable, as for kinetics and extent, to that of patients without diabetes. It was similar across glucose levels and correlated with the humoral response against the SARS-CoV-2 spike protein. Positivity for Nabs at the time of hospital admission conferred protection on mortality, both in the presence (HR 0.28, P = .046) or absence of diabetes (HR 0.26, P = .030). The longevity of the Nab response was not affected by diabetes.

conclusionDiabetes and hyperglycemia do not affect the kinetics and durability of the neutralizing antibody response to SARS-CoV-2. These findings provide the rational to include patients with diabetes in the early phase of the vaccination campaign against SARS-CoV-2.

Indexed as

Antibodies, NeutralizingCOVID-19Diabetes ComplicationsFemaleHumansMalePneumoniaAntibodies, NeutralizingCOVID-19diabeteshumoral responseneutralizing antibodiesSARS-CoV-2survival rate

Identifiers

PMID33513242
PMCPMC7928901
OpenAlexW3124045531

What OpenQuestion holds

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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.