Evidence map›Paper›PMID 35187002›Full record

ArticleFrontiers in medicine2022

B Cell Composition Is Altered After Kidney Transplantation and Transitional B Cells Correlate With SARS-CoV-2 Vaccination Response.

Max Schuller, Verena Pfeifer, Alexander H Kirsch, Konstantin A Klötzer, Agnes A Mooslechner, Alexander R Rosenkranz, Philipp Stiegler, Peter Schemmer, Harald Sourij, Philipp Eller and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

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  8. Pre-Transplant Frequencies of FoxP3Transplant international : official journal of the European Society for Organ Transplantation · 2024
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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

12 authors at 2 institutions in 1 country.

Max SchullerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Verena PfeiferCenter for Biomarker Research in Medicine, CBmed GmbH, Graz, Austria.
Alexander H KirschDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Konstantin A KlötzerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Agnes A MooslechnerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Alexander R RosenkranzDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Philipp StieglerGeneral, Visceral, and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Peter SchemmerGeneral, Visceral, and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Harald SourijDivision of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Philipp EllerIntensive Care Unit, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Barbara PrietlCenter for Biomarker Research in Medicine, CBmed GmbH, Graz, Austria.
Kathrin EllerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATCenter For Biomarker Research In Medicine · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has major implications on kidney transplant recipients (KTRs) since they show increased mortality due to impaired immune responses to SARS-CoV-2 infection and a reduced efficacy of SARS-CoV-2 vaccination. Surprisingly, dialysis patients have shown superior seroconversion rates after vaccination compared to KTRs. Therefore, we investigated peripheral blood B cell (BC) composition before and after kidney transplantation (KT) and aimed to screen the BC compartment to explain impaired antibody generation.

methodsA total of 105 patients were recruited, and multicolor flow cytometric phenotyping of peripheral venous blood BC subpopulations was performed before and 1 year after KT. Complete follow-up was available for 71 individuals. Anti-SARS-CoV-2 antibodies were collected retrospectively and were available for 40 subjects, who had received two doses of an mRNA-based vaccine (BNT162b2 or mRNA-1273).

resultsOverall, relative BC frequencies within lymphocytes decreased, and their absolute counts trended in the same direction 1 year after KT as compared to CKD G5 patients. Frequencies and absolute numbers of naïve BCs remained stable. Frequencies of double negative BCs, a heterogeneous subpopulation of antigen experienced BCs lacking CD27 expression, were increased after KT, yet their absolute counts were similar at both time points. Transitional BCs (TrBCs) and plasmablasts were significantly reduced after KT in absolute and relative terms. Memory BCs were affected differently since class-switched and IgM-only subsets decreased after KT, but unswitched and IgD-only memory BCs remained unchanged. CD86

conclusionTogether, after 1 year, KTRs showed persistent and profound compositional changes within the BC compartment. Low TrBCs, 1 year after KT, may account for the low serological response to SARS-CoV-2 vaccination in KTRs compared to dialysis patients. Our findings need confirmation in further studies as they may guide vaccination strategies.

Indexed as

B cellsCKD G5COVID-19kidney transplantationSARS-CoV-2 vaccination

Identifiers

PMID35187002
PMCPMC8847739
OpenAlexW4210752616

What OpenQuestion holds

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LicenceCC BY
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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.