Evidence map›Paper›PMID 34787773›Full record

ArticleJournal of clinical immunology2022

Immunogenicity of Anti-SARS-CoV-2 Vaccines in Common Variable Immunodeficiency.

Daniel Arroyo-Sánchez, Oscar Cabrera-Marante, Rocío Laguna-Goya, Patricia Almendro-Vázquez, Octavio Carretero, Francisco Javier Gil-Etayo, Patricia Suàrez-Fernández, Pilar Pérez-Romero, Edgard Rodríguez de Frías, Antonio Serrano and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

40 citing papers in PubMed, 62 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Daniel Arroyo-SánchezDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0002-7902-0527
Oscar Cabrera-MaranteDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain. oscar.cabrera@salud.madrid.org.ORCID http://orcid.org/0000-0001-9859-9012
Rocío Laguna-GoyaDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0003-3446-1991
Patricia Almendro-VázquezDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0002-4362-1996
Octavio CarreteroNational Center for Microbiology, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.ORCID http://orcid.org/0000-0003-1839-3853
Francisco Javier Gil-EtayoDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0002-6152-0080
Patricia Suàrez-FernándezDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0003-1601-6464
Pilar Pérez-RomeroNational Center for Microbiology, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.ORCID http://orcid.org/0000-0003-3026-7905
Edgard Rodríguez de FríasDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0001-7688-0495
Antonio SerranoDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0003-1993-640X
Luis M AllendeDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0001-9586-8539
Daniel PleguezueloDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0003-2211-9881
Estela Paz-ArtalDepartment of Immunology, Hospital Universitario, 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0002-9520-8255
Research Institute Hospital 12 de Octubre · ESInstituto de Salud Carlos III · ESUniversidad Complutense de Madrid · ES

Funding

consejería de sanidad, comunidad de madrid 2020/0082instituto de salud carlos iii COV20/00181
6 · The paper itself

Abstract

Common variable immunodeficiency (CVID) is characterized by hypogammaglobulinemia and/or a defective antibody response to T-dependent and T-independent antigens. CVID response to immunization depends on the antigen type, the vaccine mechanism, and the specific patient immune defect. In CVID patients, humoral and cellular responses to the currently used COVID-19 vaccines remain unexplored. Eighteen CVID subjects receiving 2-dose anti-SARS-CoV-2 vaccines were prospectively studied. S1-antibodies and S1-specific IFN-γ T cell response were determined by ELISA and FluoroSpot, respectively. The immune response was measured before the administration and after each dose of the vaccine, and it was compared to the response of 50 healthy controls (HC). The development of humoral and cellular responses was slower in CVID patients compared with HC. After completing vaccination, 83% of CVID patients had S1-specific antibodies and 83% had S1-specific T cells compared with 100% and 98% of HC (p = 0.014 and p = 0.062, respectively), but neutralizing antibodies were detected only in 50% of the patients. The strength of both humoral and cellular responses was significantly lower in CVID compared with HC, after the first and second doses of the vaccine. Absent or discordant humoral and cellular responses were associated with previous history of autoimmunity and/or lymphoproliferation. Among the three patients lacking humoral response, two had received recent therapy with anti-B cell antibodies. Further studies are needed to understand if the response to COVID-19 vaccination in CVID patients is protective enough. The 2-dose vaccine schedule and possibly a third dose might be especially necessary to achieve full immune response in these patients.

Indexed as

AdultAgedAntibodies, NeutralizingAntibodies, ViralCommon Variable ImmunodeficiencyCOVID-19COVID-19 VaccinesFemaleHumansImmunity, CellularImmunity, HumoralImmunizationImmunogenicity, VaccineImmunoglobulin GMaleMiddle AgedAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesImmunoglobulin GSpike Glycoprotein, CoronavirusCommon variable immunodeficiencyCOVID-19ImmunogenicityPrimary immunodeficiency diseasesSARS-CoV-2Vaccination

Identifiers

PMID34787773
PMCPMC8596355
OpenAlexW3211989315

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.