Evidence map›Paper›PMID 34226189›Full record

ArticleAnnals of the rheumatic diseases2021

B cell depletion impairs vaccination-induced CD8

Theresa Graalmann, Katharina Borst, Himanshu Manchanda, Lea Vaas, Matthias Bruhn, Lukas Graalmann, Mario Koster, Murielle Verboom, Michael Hallensleben, Carlos Alberto Guzmán and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

25 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Review
  5. Safety issues during treatment sequencing in multiple sclerosis: first case of mycosis fungoides during anti CD 20 therapy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  6. "Secondary hypogammaglobulinemia and lymphocytopenia in patients with inflammatory neurological diseases on anti-CD20 therapy: risk of infection and infection-related mortality".Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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  14. Article
  15. Effect of DMARDs on the immunogenicity of vaccines.Nature reviews. Rheumatology · 2023
    Review
  16. Nutrients · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. 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

14 authors at 4 institutions in 1 country.

Theresa GraalmannInstitute for Experimental Infection Research, TWINCORE, Centre for Experimental and Clinical Infection Research, a joint venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hanover, Germany.
Katharina BorstInstitute for Experimental Infection Research, TWINCORE, Centre for Experimental and Clinical Infection Research, a joint venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hanover, Germany.
Himanshu ManchandaInstitute for Bioinformatics, University Medicine Greifswald, Greifswald, Germany.
Lea VaasInstitute for Experimental Infection Research, TWINCORE, Centre for Experimental and Clinical Infection Research, a joint venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hanover, Germany.
Matthias BruhnInstitute for Experimental Infection Research, TWINCORE, Centre for Experimental and Clinical Infection Research, a joint venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hanover, Germany.
Lukas GraalmannDepartment for Respiratory Medicine, Hanover Medical School, Hanover, Germany.
Mario KosterDepartment of Gene Regulation and Differentiation, Helmholtz Centre for Infection Research, Brunswick, Germany.
Murielle VerboomInstitute for Transfusion Medicine and Transplant Engineering, Hanover Medical School, Hanover, Germany.
Michael HallenslebenInstitute for Transfusion Medicine and Transplant Engineering, Hanover Medical School, Hanover, Germany.
Carlos Alberto GuzmánDepartment of Vaccinology and Applied Microbiology, Helmholtz Centre for Infection Research, Brunswick, Germany.
Gerd SutterDivision of Virology, Institute for Infectious Diseases and Zoonoses, Ludwig-Maximilians-Universität München, Munich, Germany.
Reinhold E SchmidtDepartment for Rheumatology and Immunology, Hanover Medical School, Hanover, Germany.
Torsten WitteDepartment for Rheumatology and Immunology, Hanover Medical School, Hanover, Germany.
Ulrich KalinkeInstitute for Experimental Infection Research, TWINCORE, Centre for Experimental and Clinical Infection Research, a joint venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hanover, Germany ulrich.kalinke@twincore.de.ORCID 0000-0003-0503-9564
Medizinische Hochschule Hannover · DEHelmholtz Centre for Infection Research · DELudwig-Maximilians-Universität München · DEUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe monoclonal anti-CD20 antibody rituximab is frequently applied in the treatment of lymphoma as well as autoimmune diseases and confers efficient depletion of recirculating B cells. Correspondingly, B cell-depleted patients barely mount de novo antibody responses during infections or vaccinations. Therefore, efficient immune responses of B cell-depleted patients largely depend on protective T cell responses.

methodsCD8

resultsRituximab-treated RA patients vaccinated with Influvac showed reduced expansion of influenza-specific CD8

conclusionsDepending on the stimulus, B cells can modulate CD8

Indexed as

AnimalsAntirheumatic AgentsArthritis, RheumatoidB-LymphocytesCase-Control StudiesCD8-Positive T-LymphocytesCytokinesHistocompatibility Antigens Class IHumansImmunogenicity, VaccineInfluenza, HumanInfluenza VaccinesInterferon Type IMiceOrthomyxoviridaeOrthomyxoviridae InfectionsAntirheumatic AgentsCytokinesHistocompatibility Antigens Class IInfluenza VaccinesinfluvacInterferon Type IRituximabArthritisB-LymphocytesRheumatoidRituximabT-Lymphocyte subsetsVaccination

Identifiers

PMID34226189
PMCPMC8600602
OpenAlexW3182350146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.