Evidence map›Paper›PMID 34606134›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society2021

Antibody response to two doses of inactivated SARS-CoV-2 vaccine (CoronaVac) in kidney transplant recipients.

Rezzan Eren Sadioğlu, Erol Demir, Ebru Evren, Merve Aktar, Seda Şafak, Ayşe Serra Artan, Sevim Meşe, Ali Ağaçfidan, Güle Çınar, Mustafa Önel and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 11% 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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. 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
  2. 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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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 2 institutions in 1 country.

Rezzan Eren SadioğluDepartment of Nephrology, Ankara University School of Medicine, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0001-9761-0320
Erol DemirDepartment of Nephrology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-0128-5645
Ebru EvrenDepartment of Medical Microbiology, Ibni Sina Hospital Central Microbiology Laboratory, Ankara University School of Medicine, Ankara University, Ankara, Turkey.
Merve AktarDepartment of Nephrology, Ankara University School of Medicine, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0001-7040-6987
Seda ŞafakDepartment of Nephrology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey.
Ayşe Serra ArtanDepartment of Nephrology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-6461-3178
Sevim MeşeDepartment of Medical Microbiology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey.
Ali AğaçfidanDepartment of Medical Microbiology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey.
Güle ÇınarDepartment of Infectious Diseases and Clinical Microbiology, Ankara University School of Medicine, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-7635-0088
Mustafa ÖnelDepartment of Medical Microbiology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey.
Zeynep Ceren KarahanDepartment of Medical Microbiology, Ibni Sina Hospital Central Microbiology Laboratory, Ankara University School of Medicine, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0001-7727-3363
Şule ŞengülDepartment of Nephrology, Ankara University School of Medicine, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-2831-2682
Kenan KevenDepartment of Nephrology, Ankara University School of Medicine, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-3250-8998
Aydın TürkmenDepartment of Nephrology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-3664-8469
Ankara University · TRIstanbul University · TR

Funding

(Transplantasyon İmmünolojisi ve Genetiği Derneği)Turkish Transplantation Immunology and Genetics Association
6 · The paper itself

Abstract

backgroundCoronavirus Disease-19 (COVID-19) has high mortality in kidney transplant recipients (KTR), and vaccination against severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) is vital for this population. Although the humoral response to messenger RNA vaccines was shown to be impaired in KTR, there is a lack of data regarding the antibody response to inactivated vaccines. We investigated the antibody response to two consequent doses of the inactivated SARS-CoV-2 vaccine (CoronaVac; Sinovac Biotech, China).

methodsA total of 118 patients from two centers were included. The levels of anti-SARS-CoV-2 immunoglobulin-G antibodies against the nucleocapsid and spike antigens were determined with enzyme immunoassay (DIA.PRO; Milano, Italy) before the vaccine and one month after the second dose of the vaccine. Thirty-three patients were excluded due to antibody positivity in the serum samples obtained before vaccination.

resultsEighty-five patients, 47 of whom were female, with a mean age of 46 ± 12, were included in the statistical analysis. The maintenance immunosuppressive therapy comprised tacrolimus (88.2%), mycophenolate (63.6%), and low-dose steroids (95.3%) in the majority of the patients. After a median of 31 days following the second dose of the vaccine, only 16 (18.8%) patients developed an antibody response. The median (IQR) antibody level was 52.5 IU/ml (21.5-96). Age (48 vs. 38, p = .005) and serum creatinine levels (1.14 vs. 0.91, p = .04) were higher in non-responders and were also found to be independently associated with the antibody response (odds ratio (OR): 0.93, p = 0.012 and 0.15, p = 0.045, respectively) in multivariate analysis.

conclusionIn this study, we found the antibody response to the inactivated vaccine to be considerably low (18.8%) in KTR. Increased age and impaired renal function were associated with worse antibody response. Based on the knowledge that mRNA vaccines yield better humoral responses, this special population might be considered for additional doses of mRNA vaccination.

Indexed as

COVID-19Kidney TransplantationAdultAntibodies, ViralAntibody FormationCOVID-19 VaccinesFemaleHumansMiddle AgedmRNA VaccinesSARS-CoV-2Transplant RecipientsVaccines, InactivatedAntibodies, ViralCOVID-19 VaccinesmRNA VaccinesVaccines, Inactivatedantibody responseCOVID-19inactivated vaccinerenal transplantationSARS-CoV-2

Identifiers

PMID34606134
PMCPMC8646873
OpenAlexW3203576957

What OpenQuestion holds

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Registered trials

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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.