Evidence map›Paper›PMID 34483021›Full record

ArticleVaccine2021

Characterization of humoral response to COVID mRNA vaccines in multiple sclerosis patients on disease modifying therapies.

Ahya Ali, Deanna Dwyer, Qi Wu, Qin Wang, Catherine A Dowling, David A Fox, Dinesh Khanna, Gregory A Poland, Yang Mao-Draayer

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 pooled it
2.8field-weighted citation impact, top 8% 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

30 citing papers in PubMed, 5 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  5. Systematic review of risk of SARS-CoV-2 infection and severity of COVID-19 with therapies approved to treat multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
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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

9 authors at 2 institutions in 1 country.

Ahya AliDepartment of Neurology, University of Michigan Medical School, USA.
Deanna DwyerDepartment of Neurology, University of Michigan Medical School, USA.
Qi WuDepartment of Neurology, University of Michigan Medical School, USA; Autoimmunity Center of Excellence, University of Michigan Medical School, USA.
Qin WangDepartment of Neurology, University of Michigan Medical School, USA; Autoimmunity Center of Excellence, University of Michigan Medical School, USA.
Catherine A DowlingDepartment of Neurology, University of Michigan Medical School, USA; Autoimmunity Center of Excellence, University of Michigan Medical School, USA.
David A FoxDivision of Rheumatology and Clinical Autoimmunity Center of Excellence, University of Michigan Medical School, USA; Graduate Program in Immunology, Program in Biomedical Sciences, University of Michigan Medical School, USA.
Dinesh KhannaDivision of Rheumatology and Clinical Autoimmunity Center of Excellence, University of Michigan Medical School, USA.
Gregory A PolandMayo Vaccine Research Group, Department of Internal Medicine, Mayo Clinic and Foundation, USA.
Yang Mao-DraayerDepartment of Neurology, University of Michigan Medical School, USA; Autoimmunity Center of Excellence, University of Michigan Medical School, USA; Graduate Program in Immunology, Program in Biomedical Sciences, University of Michigan Medical School, USA. Electronic address: maodraay@med.umich.edu.
University of Michigan · USMayo Clinic · US

Funding

University of Michigan Clinical Autoimmunity Center of ExcellenceUM1AI144298 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FOX, DAVID ALAN, KHANNA, DINESH · 2019 to 2023
$546k
University of Michigan Autoimmunity Center of Excellence, Clinical Research ProgrUM1AI110557 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FOX, DAVID ALAN · 2014 to 2018
$543k
NIAID NIH HHS UM1 AI110557NIAID NIH HHS UM1 AI144298NIH HHS UM1 AI110557-05NIH HHS UM1 AI144298-01
6 · The paper itself

Abstract

Little is known about COVID-19 mRNA vaccine humoral immune responses in patients with central nervous system autoimmune demyelinating diseases, multiple sclerosis (MS) and neuromyelitis optica (NMO), who are on B-cell depleting therapies (BCDT) and other disease modifying therapies (DMTs). We conducted a single center prospective study to identify the clinical and immunological features associated with vaccine-induced antibody response in 53 participants before and after COVID-19 mRNA vaccination. This is the first report on the anti-spike RBD and anti-nucleocapsid antibody response, along with pre- and post-vaccine absolute lymphocyte counts (ALC) and flow cytometry analysis of CD19 and CD20 lymphocytes in patients with MS and NMO. We tested the hypothesis that patients on BCDT may have impaired COVID-19 vaccine humoral responses. Among patients on BCDT, 36.4% demonstrated a positive antibody response to spike RBD, in comparison to 100% in all other groups such as healthy controls, untreated MS, and patients on non-B cell depleting DMTs (p < 0.0001). Immunological data revealed lower baseline (pre-vaccination) levels of IgM in patients on BCDT (p = 0.003). Low CD19 and CD20 counts and a shorter interval from the last B cell depleting therapy infusion to the first vaccine dose were associated with a negative spike RBD antibody response (non-seroconverter) in patients on BCDT. Age, body mass index (BMI) and total treatment duration did not differ between seroconverters and non-seroconverters.

Indexed as

COVID-19Multiple SclerosisCOVID-19 VaccinesHumansProspective StudiesRNA, MessengerSARS-CoV-2COVID-19 VaccinesRNA, MessengerCOVID-19Demyelinating DiseasesHumoral ResponseImmune TherapiesMultiple Sclerosis

Identifiers

PMID34483021
PMCPMC8411370
OpenAlexW3197124451

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.