Evidence map›Paper›PMID 34212497›Full record

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

Humoral response to SARS-CoV-2 is well preserved and symptom dependent in kidney transplant recipients.

Maria Magicova, Martina Fialova, Ivan Zahradka, Silvie Rajnochova-Bloudickova, David Hackajlo, Petr Raska, Ilja Striz, Ondrej Viklicky

Abstract readObservational Study
In one paragraph

Observational study 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. COVID-19 and solid organ transplantation: Finding the right balance.Transplantation reviews (Orlando, Fla.) · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Insufficient response to mRNA SARS-CoV-2 vaccine and high incidence of severe COVID-19 in kidney transplant recipients during pandemic.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  7. Article
  8. Article
  9. Humoral Response in SARS-CoV-2 Convalescent Compared to Vaccinated Kidney Transplant Patients.Transplant international : official journal of the European Society for Organ Transplantation · 2021
    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.

Maria MagicovaDepartment of Nephrology, Transplant Center, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0001-5556-9972
Martina FialovaDepartment of Immunology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0001-5595-3632
Ivan ZahradkaDepartment of Nephrology, Transplant Center, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0002-0043-7216
Silvie Rajnochova-BloudickovaDepartment of Nephrology, Transplant Center, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0003-0270-571X
David HackajloDepartment of Informatics, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0001-6889-0490
Petr RaskaDepartment of Informatics, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0001-7970-9298
Ilja StrizDepartment of Immunology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0001-9269-5652
Ondrej ViklickyDepartment of Nephrology, Transplant Center, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0003-1049-2195

Funding

Ministerstvo Zdravotnictví Ceské Republiky NV19-06-00031
6 · The paper itself

Abstract

Data on the immune response to SARS-CoV-2 in kidney transplant recipients are scarce. Thus, we conducted a single-center observational study to assess the anti-SARS-CoV-2 IgG seroprevalence in outpatient kidney transplant recipients (KTR; n = 1037) and healthcare workers (HCW; n = 512) during the second wave of the COVID-19 pandemic in fall 2020 and evaluated the clinical variables affecting antibody levels. Antibodies against S1 and S2 subunit of SARS-CoV-2 were evaluated using immunochemiluminescent assay (cut off 9.5 AU/ml, sensitivity of 91.2% and specificity of 90.2%). Anti-SARS-CoV-2 IgG seroprevalence was lower in KTR than in HCW (7% vs. 11.9%, p = .001). Kidney transplant recipients with SARS-CoV-2 infection were younger (p = .001) and received CNI-based immunosuppression more frequently (p = .029) than seronegative KTR. Anti-SARS-CoV-2 IgG positive symptomatic KTR had a higher BMI (p = .04) than asymptomatic KTR. Interestingly, anti-SARS-CoV-2 IgG levels were higher in KTR than in HCW (median 31 AU/ml, IQR 17-84 vs. median 15 AU/ml, IQR 11-39, p < .001). The presence of moderate to severe symptoms in KTR was found to be the only independent factor affecting IgG levels (Beta coefficient = 41.99, 95% CI 9.92-74.06, p = .011) in the multivariable model. In conclusion, KTR exhibit a well-preserved symptom-dependent humoral response to SARS-CoV-2 infection.

Indexed as

COVID-19Kidney TransplantationAntibodies, ViralHumansPandemicsSARS-CoV-2Seroepidemiologic StudiesTransplant RecipientsAntibodies, Viralclinical research/practiceinfection and infectious agents - viralinfectious diseasekidney transplantation/nephrologypatient characteristics

Identifiers

PMID34212497
PMCPMC9906442

What OpenQuestion holds

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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.