Evidence map›Paper›PMID 34768356›Full record

ArticleJournal of clinical medicine2021

Comparing Humoral and Cellular Adaptive Immunity during Convalescent Phase of COVID-19 in Hemodialysis Patients and Kidney Transplant Recipients.

Dorota Kamińska, Hanna Augustyniak-Bartosik, Katarzyna Kościelska-Kasprzak, Marcelina Żabińska, Dorota Bartoszek, Paweł Poznański, Magdalena Kuriata-Kordek, Mariusz Kusztal, Oktawia Mazanowska, Magdalena Krajewska

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 39% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. 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

10 authors at 1 institution in 1 country.

Dorota KamińskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0003-2400-9328
Hanna Augustyniak-BartosikDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0003-3969-396X
Katarzyna Kościelska-KasprzakDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0002-3216-438X
Marcelina ŻabińskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0003-1810-3131
Dorota BartoszekDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Paweł PoznańskiDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0003-1235-3551
Magdalena Kuriata-KordekDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Mariusz KusztalDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0002-6502-0374
Oktawia MazanowskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0001-7669-7543
Magdalena KrajewskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Wroclaw Medical University · PL

Funding

National Centre for Research and Development SZPITALE-JEDNOIMIENNE/30/2020
6 · The paper itself

Abstract

backgroundIt is still unclear whether COVID-19 convalescent kidney transplant recipients (KTR) and hemodialysis (HD) patients can develop anti-SARS-CoV-2 adaptive immunity. The aim was to characterize and compare the immune response to the virus in HD patients and KTR.

methodsThe study included 26 HD patients and 54 KTR-both convalescent (14 HD, 25 KTR) and unexposed. The immune response was assessed by determining the anti-SARS-CoV-2 antibodies in serum and specific T cell response via the interferon-gamma release assay (IGRA). Moreover, blood-morphology-derived parameters, immune cell phenotypes, and acute phase reactants were evaluated.

resultsKRT and HD convalescents presented similar serum levels of anti-SARS-CoV-2 IgG and IgA. A negative correlation occurred between IgG and time after the infection was observed. There was a strong relationship between the prevalence of anti-SARS-CoV-2 cellular and humoral responses in both groups. Convalescent IGRA response was significantly higher in HD patients compared to KTR.

conclusionsHD patients and KTR develop humoral and cellular responses after COVID-19. The antibodies levels are similar in both groups of patients. SARS-CoV-2-reactive T cell response is stronger in HD patients compared to KTR. The SARS-CoV-2-specific IgG level decreases with time while IgA and a cellular response are maintained. IGRA proved to be a valuable test for the assessment of specific cellular immunity in immunocompromised HD patients and KTR.

Indexed as

antibodiescellular immunityCOVID-19hemodialysishumoral immunityinterferon-gamma release assay (IGRA)kidney transplantationSARS-CoV-2

Identifiers

PMID34768356
PMCPMC8585082
OpenAlexW3207039842

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.