Evidence map›Paper›PMID 34991929›Full record

ArticleVaccine2022

Modulation of immunosuppressant drug treatment to improve SARS-CoV-2 vaccine efficacy in mice.

Amy V Paschall, Ahmet Ozdilek, Sydney L Briner, Melinda A Brindley, Fikri Y Avci

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

5 authors at 1 institution in 1 country.

Amy V PaschallDepartment of Biochemistry and Molecular Biology, University of Georgia, Athens, GA 30602, United States; Center for Molecular Medicine, University of Georgia, Athens, GA 30602, United States.
Ahmet OzdilekDepartment of Biochemistry and Molecular Biology, University of Georgia, Athens, GA 30602, United States; Center for Molecular Medicine, University of Georgia, Athens, GA 30602, United States.
Sydney L BrinerDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens 30602, United States.
Melinda A BrindleyDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens 30602, United States; Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens 30602, United States.
Fikri Y AvciDepartment of Biochemistry and Molecular Biology, University of Georgia, Athens, GA 30602, United States; Center for Molecular Medicine, University of Georgia, Athens, GA 30602, United States. Electronic address: avci@uga.edu.
University of Georgia · US

Funding

Molecular Mechanisms for Carbohydrate Presentation to CD4+ T cells by MHCII PathwayR01AI123383 · NIAID · UNIVERSITY OF GEORGIA · PI Fikri Y Avci · 2016 to 2026
$4.2M
Glycopeptide-specific helper T cells eliciting protective humoral immunity against HIV - ResubmissionR01AI152766 · NIAID · UNIVERSITY OF GEORGIA · PI Fikri Y Avci · 2021 to 2026
$2.6M
NIAID NIH HHS R01 AI123383NIAID NIH HHS R01 AI152766
6 · The paper itself

Abstract

The COVID-19 pandemic dramatically demonstrated the need for improved vaccination strategies and therapeutic responses to combat infectious diseases. However, the efficacy of vaccines has not yet been demonstrated in combination with commonly used immunosuppressive drug regimens. We sought to determine how common pharmaceutical drugs used in autoimmune disorders can alter immune responses to the SARS-CoV-2 spike protein vaccination. We treated mice with five immunosuppressant drugs (cyclophosphamide, leflunomide, methotrexate, methylprednisolone, and mycophenolate mofetil), each with various mechanisms of action prior to and following immunization with SARS-CoV-2 spike protein. We assessed the functionality of antibody responses to spike protein and compared immune cell populations in mice that received no treatment with those that received continuous or temporarily suspended immune suppressive therapy. All tested immunosuppressants significantly reduced the antibody titers in serum and functional antibody response against SARS-CoV-2 spike protein in immunized mice. Temporarily halting selected immunosuppressants (methylprednisolone and methotrexate, but not cyclophosphamide) improved antibody responses significantly. Through proof-of-principle experiments utilizing a mouse model, we demonstrated that immune suppression in autoimmune disorders through pharmaceutical treatments may impair vaccine response to SARS-CoV-2, and temporary suspension of immunosuppressant treatment may be necessary to mount an effective antibody vaccine response. This work provides feasibility for future clinical assessment of the impact of immunosuppressants on vaccine efficacy in humans.

Indexed as

COVID-19 Drug TreatmentPharmaceutical PreparationsAnimalsAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesHumansImmunosuppressive AgentsMicePandemicsSARS-CoV-2Spike Glycoprotein, CoronavirusVaccinationVaccine EfficacyAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesImmunosuppressive AgentsPharmaceutical PreparationsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2COVID-19Immune suppressionImmunosuppressant drugsSARS-CoV-2Spike proteinVaccination

Identifiers

PMID34991929
PMCPMC8718886
OpenAlexW4226087627

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.