Evidence map›Paper›PMID 33983545›Full record

ArticleJournal of clinical immunology2021

Robust Antibody and T Cell Responses to SARS-CoV-2 in Patients with Antibody Deficiency.

Hannah Kinoshita, Jessica Durkee-Shock, Mariah Jensen-Wachspress, Vaishnavi V Kankate, Haili Lang, Christopher A Lazarski, Anjeni Keswani, Kathleen C Webber, Kimberly Montgomery-Recht, Magdalena Walkiewicz and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
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  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Severity of SARS-CoV-2 infection in children with inborn errors of immunity (primary immunodeficiencies): a systematic review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Detection of specific RBDFrontiers in immunology · 2023
    Article
  17. A unique cytotoxic CD4Clinical & translational immunology · 2023
    Article
  18. Review
  19. Article
  20. Immunizing the imperfect immune system: Coronavirus disease 2019 vaccination in patients with inborn errors of immunity.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    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

16 authors at 5 institutions in 1 country.

Hannah KinoshitaCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA.
Jessica Durkee-ShockCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA.
Mariah Jensen-WachspressCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA.
Vaishnavi V KankateCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA.
Haili LangCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA.
Christopher A LazarskiCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA.
Anjeni KeswaniDivision of Allergy and Immunology, George Washington University, Washington, DC, USA.
Kathleen C WebberCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA.
Kimberly Montgomery-RechtClinical Research Directorate, Frederick National Laboratory for Cancer Research, Frederick, MD, USA.
Magdalena WalkiewiczDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Luigi D NotarangeloLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA.
Peter D BurbeloNational Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA.
Ivan FussLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA.
Jeffrey I CohenLaboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Catherine M BollardCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA.
Michael D KellerCenter for Cancer and Immunology Research, Children's Research Institute, Children's National Hospital, Washington, DC, USA. mkeller@childrensnational.org.ORCID 0000-0001-8323-3085
Children's National · USNational Institutes of Health · USNational Institute of Allergy and Infectious Diseases · USFrederick National Laboratory for Cancer Research · USGeorge Washington University · US

Funding

WORK ORDER 126643 B539 EXPAND IC SUITE75N91019D00024 · NIAID · LEIDOS BIOMEDICAL RESEARCH, INC. · PI BRISCOE, LYNN · 2019 to 2025
$3932.6M
Characterization of the cellular and molecular bases of inborn errors of immunityZIAAI001222 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NOTARANGELO, LUIGI · 2017 to 2025
$15.2M
Adoptive T Lymphocyte Administration for Chronic Norovirus Treatment Following Hematopoietic Stem Cell TransplantationR01HL152161 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI KELLER, MICHAEL DANIEL · 2020 to 2024
$3.6M
Characterization of host immune responses to SARS-CoV-2ZIAAI001270 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NOTARANGELO, LUIGI · 2020 to 2025
$1.2M
Serologic studies of persons with COVID-19 infectionZIAAI001258 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI COHEN, JEFFREY · 2020 to 2025
$411k
NCI NIH HHS 75N91019D00024NHLBI NIH HHS R01 HL152161NHLBI NIH HHS R01HL152161NIH HHS 75N91019D00024
6 · The paper itself

Abstract

Immunocompromised patients, including those with inborn errors of immunity (IEI), may be at increased risk for severe or prolonged infections with SARS-CoV-2 (Zhu et al. N Engl J Med. 382:727-33, 2020; Guan et al. 2020; Minotti et al. J Infect. 81:e61-6, 2020). While antibody and T cell responses to SARS-CoV-2 structural proteins are well described in healthy convalescent donors, adaptive humoral and cellular immunity has not yet been characterized in patients with antibody deficiency (Grifoni et al. Cell. 181:1489-1501 e1415, 2020; Burbelo et al. 2020; Long et al. Nat Med. 26:845-8, 2020; Braun et al. 2020). Herein, we describe the clinical course, antibody, and T cell responses to SARS-CoV-2 structural proteins in a cohort of adult and pediatric patients with antibody deficiencies (n = 5) and controls (related and unrelated) infected with SARS-CoV-2. Five patients within the same family (3 with antibody deficiency, 2 immunocompetent controls) showed antibody responses to nucleocapsid and spike proteins, as well as SARS-CoV-2 specific T cell immunity at days 65-84 from onset of symptoms. No significant difference was identified between immunocompromised patients and controls. Two additional unrelated, adult patients with common variable immune deficiency were assessed. One did not show antibody response, but both demonstrated SARS-CoV-2-specific T cell immunity when evaluated 33 and 76 days, respectively, following SARS-CoV-2 diagnosis. This report is the first to show robust T cell activity and humoral immunity against SARS-CoV-2 structural proteins in some patients with antibody deficiency. Given the reliance on spike protein in most candidate vaccines (Folegatti et al. Lancet. 396:467-78, 2020; Jackson et al. N Engl J Med. 383:1920-31, 2020), the responses are encouraging. Additional studies will be needed to further define the timing of onset of immunity, longevity of the immune response, and variability of response in immunocompromised patients.

Indexed as

AdolescentAdultAntibodies, ViralCarrier StateCells, CulturedChildCommon Variable ImmunodeficiencyCOVID-19Exome SequencingFemaleHumansImmunity, HumoralLymphocyte ActivationMaleMiddle AgedMutationAntibodies, ViralTNFRSF13B protein, humanTransmembrane Activator and CAML Interactor Proteinadaptive immune responseAntibody deficiencycommon variable immunodeficiencyCOVID-19SARS-CoV-2T cell response

Identifiers

PMID33983545
PMCPMC8117127
OpenAlexW3161855925

What OpenQuestion holds

Textmetadata
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.