Evidence map›Paper›PMID 34036720›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2021

Cellular and humoral response after MRNA-1273 SARS-CoV-2 vaccine in kidney transplant recipients.

David Cucchiari, Natalia Egri, Marta Bodro, Sabina Herrera, Jimena Del Risco-Zevallos, Joaquim Casals-Urquiza, Frederic Cofan, Asunción Moreno, Jordi Rovira, Elisenda Banon-Maneus and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 10 pooled it
14.8field-weighted citation impact, top 1% 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

151 citing papers in PubMed, 10 syntheses or guidelines pooled it, 237 citations in OpenAlex.

  1. Pooled it
  2. Immunogenicity of COVID-19 vaccines in solid organ transplant recipients: a systematic review and meta-analysis.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Pooled it
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  4. Humoral and cellular response of COVID-19 vaccine among solid organ transplant recipients: A systematic review and meta-analysis.Transplant infectious disease : an official journal of the Transplantation Society · 2022
    Pooled it
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  7. COVID-19 and solid organ transplantation: Finding the right balance.Transplantation reviews (Orlando, Fla.) · 2022
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  9. Immunological and clinical efficacy of COVID-19 vaccines in immunocompromised populations: a systematic review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
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91 more citing papers are in PubMed but not listed here.

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

22 authors at 5 institutions in 1 country.

David CucchiariDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.ORCID 0000-0002-7594-1070
Natalia EgriDepartment of Immunology, Hospital Clínic, Barcelona, Spain.
Marta BodroDepartment of Infectious Diseases, Hospital Clínic, Barcelona, Spain.
Sabina HerreraDepartment of Infectious Diseases, Hospital Clínic, Barcelona, Spain.
Jimena Del Risco-ZevallosDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.
Joaquim Casals-UrquizaDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.
Frederic CofanDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.
Asunción MorenoDepartment of Infectious Diseases, Hospital Clínic, Barcelona, Spain.
Jordi RoviraLaboratori Experimental de Nefrologia i Trasplantament (LENIT), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.ORCID 0000-0001-8737-5005
Elisenda Banon-ManeusLaboratori Experimental de Nefrologia i Trasplantament (LENIT), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Maria J Ramirez-BajoLaboratori Experimental de Nefrologia i Trasplantament (LENIT), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Pedro Ventura-AguiarDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.ORCID 0000-0003-3381-7503
Anna Pérez-OlmosDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.
Marta Garcia-PascualDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.
Mariona PascalDepartment of Immunology, Hospital Clínic, Barcelona, Spain.
Anna VilellaDepartment of Preventive Medicine and Epidemiology, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain.
Antoni TrillaDepartment of Preventive Medicine and Epidemiology, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain.
José RíosMedical Statistics Core Facility, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Eduard PalouDepartment of Immunology, Hospital Clínic, Barcelona, Spain.
Manel JuanDepartment of Immunology, Hospital Clínic, Barcelona, Spain.
Beatriu BayésDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.
Fritz DiekmannDepartment of Nephrology and Kidney Transplantation, Hospital Clínic, Barcelona, Spain.ORCID 0000-0001-6199-3016
Hospital Clínic de Barcelona · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESUniversitat de Barcelona · ESInstituto de Salud Carlos III · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

According to preliminary data, seroconversion after mRNA SARS-CoV-2 vaccination might be unsatisfactory in Kidney Transplant Recipients (KTRs). However, it is unknown if seronegative patients develop at least a cellular response that could offer a certain grade of protection against SARS-CoV-2. To answer this question, we prospectively studied 148 recipients of either kidney (133) or kidney-pancreas (15) grafts with assessment of IgM/IgG spike (S) antibodies and ELISpot against the nucleocapside (N) and the S protein at baseline and 2 weeks after receiving the second dose of the mRNA-1273 (Moderna) vaccine. At baseline, 31 patients (20.9%) had either IgM/IgG or ELISpot positivity and were considered to be SARS-CoV-2-pre-immunized, while 117 (79.1%) patients had no signs of either cellular or humoral response and were considered SARS-CoV-2-naïve. After vaccination, naïve patients who developed either humoral or cellular response were finally 65.0%, of which 29.9% developed either IgG or IgM and 35.0% S-ELISpot positivity. Factors associated with vaccine unresponsiveness were diabetes and treatment with antithymocytes globulins during the last year. Side effects were consistent with that of the pivotal trial and no DSAs developed after vaccination. In conclusion, mRNA-1273 SARS-CoV-2 vaccine elicits either cellular or humoral response in almost two thirds of KTRs.

Indexed as

COVID-19Kidney TransplantationAntibodies, ViralCOVID-19 VaccinesHumansRNA, MessengerSARS-CoV-2Antibodies, ViralCOVID-19 VaccinesRNA, Messengerclinical research / practiceinfection and infectious agents - viralinfectious diseasekidney transplantation / nephrologyvaccine

Identifiers

PMID34036720
PMCPMC8222867
OpenAlexW3165003372

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.