Evidence map›Paper›PMID 34595968›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2021

Humoral immune response after COVID-19 in multiple sclerosis: A nation-wide Austrian study.

Gabriel Bsteh, Sophie Dürauer, Hamid Assar, Harald Hegen, Bettina Heschl, Fritz Leutmezer, Franziska Di Pauli, Christiane Gradl, Gerhard Traxler, Gudrun Zulehner and 6 more

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines 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

16 authors.

Gabriel BstehDepartment of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.ORCID 0000-0002-0825-0851
Sophie DürauerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Hamid AssarDepartment of Neurology, Kepler University Hospital, Linz, Austria.
Harald HegenDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Bettina HeschlDepartment of Neurology, Medical University of Graz, Graz, Austria.
Fritz LeutmezerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Franziska Di PauliDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Christiane GradlDepartment of Neurology, Medical University of St. Pölten, St. Pölten, Austria.
Gerhard TraxlerDepartment of Neurology 2, Med Campus III, Kepler University Hospital GmbH, Linz, Austria.
Gudrun ZulehnerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Paulus RommerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5209-6647
Peter WipflerDepartment of Neurology, Paracelsus Medical University of Salzburg, Salzburg, Austria.
Michael GugerDepartment of Neurology 2, Med Campus III, Kepler University Hospital GmbH, Linz, Austria.ORCID 0000-0001-8219-781X
Romana HöftbergerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Christian EnzingerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5626-1144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnowledge on immunity after SARS-CoV-2 infection in patients with multiple sclerosis (pwMS) and the impact of disease-modifying treatment (DMT) is limited.

objectiveTo evaluate degree, duration and potential predictors of specific humoral immune response in pwMS with prior COVID-19.

methodsAnti-SARS-CoV-2 antibody testing was performed in pwMS with PCR-confirmed diagnosis of symptomatic COVID-19 from a nation-wide registry. Predictors of seropositivity were identified by multivariate regression models.

resultsIn 125 pwMS (mean age = 42.4 years (SD = 12.3 years), 70% female), anti-SARS-CoV-2 antibodies were detected in 76.0% after a median of 5.2 months from positive PCR. Seropositivity rate was significantly lower in patients on IS-DMT (61.4%,

conclusionsHumoral immunity is stable after SARS-CoV-2 infection in MS, but is reduced by immunosuppressive DMT, particularly anti-CD20 monoclonal antibodies. This provides important evidence for advising pwMS as well as for planning and prioritizing vaccination.

Indexed as

COVID-19Multiple SclerosisAdultAustriaFemaleHumansImmunity, HumoralMaleSARS-CoV-2antibodyCOVID-19disease-modifying treatmenthumoral responseMultiple sclerosisSARS-CoV-2seropositivity

Identifiers

PMID34595968
PMCPMC8597187

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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.