Evidence map›Paper›PMID 35381395›Full record

ArticleThe journal of allergy and clinical immunology. In practice2022

Response to Severe Acute Respiratory Syndrome Coronavirus 2 Initial Series and Additional Dose Vaccine in Patients With Predominant Antibody Deficiency.

Sara Barmettler, Daniel V DiGiacomo, Nancy J Yang, Tiffany Lam, Vivek Naranbhai, Anand S Dighe, Kristin E Burke, Kimberly G Blumenthal, Morris Ling, Paul E Hesterberg and 13 more

Open access · greenAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 22 citations in OpenAlex.

  1. Observational
  2. Disparities in Genetic Testing for Inborn Errors of Immunity.The journal of allergy and clinical immunology. In practice · 2025
    Article
  3. Review
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  11. Immunizing the imperfect immune system: Coronavirus disease 2019 vaccination in patients with inborn errors of immunity.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    Review
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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

23 authors at 5 institutions in 1 country.

Sara BarmettlerDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass. Electronic address: sbarmettler@mgh.harvard.edu.
Daniel V DiGiacomoDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass.
Nancy J YangDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass.
Tiffany LamDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass.
Vivek NaranbhaiHarvard Medical School, Boston, Mass; Dana-Farber Cancer Institute, Boston, Mass.
Anand S DigheHarvard Medical School, Boston, Mass; Department of Pathology, Massachusetts General Hospital, Boston, Mass.
Kristin E BurkeGastroenterology Unit, Department of Medicine, Massachusetts General Hospital, Boston, Mass; Clinical and Translational Epidemiology Unit, Massachusetts General Hospital, Boston, Mass.
Kimberly G BlumenthalDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Morris LingDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass; Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, Mass.
Paul E HesterbergDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Rebecca R SaffDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
James MacLeanMass General Brigham Salem Hospital, Salem, Mass.
Onosereme OfomanDepartment of Pathology, Massachusetts General Hospital, Boston, Mass.
Cristhian BerriosDepartment of Pathology, Massachusetts General Hospital, Boston, Mass.
Kerri J St DenisRagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Department of Medicine, Harvard University, Cambridge, Mass.
Evan C LamRagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Department of Medicine, Harvard University, Cambridge, Mass.
David GregoryDivision of Infectious Diseases Medicine, Department of Medicine, Vaccine and Immunotherapy Center, Massachusetts General Hospital, Boston, Mass; Pediatric Infectious Disease Unit, Department of Pediatrics, Massachusetts General Hospital, Boston, Mass.
Anthony John IafrateDepartment of Pathology, Massachusetts General Hospital, Boston, Mass.
Mark PoznanskyDivision of Infectious Diseases Medicine, Department of Medicine, Vaccine and Immunotherapy Center, Massachusetts General Hospital, Boston, Mass.
Hang LeeHarvard Medical School, Boston, Mass.
Alejandro BalazsRagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Department of Medicine, Harvard University, Cambridge, Mass.
Shiv PillaiHarvard Medical School, Boston, Mass; Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Department of Medicine, Harvard University, Cambridge, Mass.
Jocelyn R FarmerDivision of Rheumatology, Department of Medicine, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass; Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Department of Medicine, Harvard University, Cambridge, Mass.
Massachusetts General Hospital · USHarvard University · USRagon Institute of MGH, MIT and Harvard · USDana-Farber Cancer Institute · USSalem Hospital · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Mark Joseph Daly · 1991 to 2026
$35.3M
Engineering Humoral Immunity to Functionally Cure HIV InfectionDP2DA040254 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI BALAZS, ALEJANDRO BENJAMIN · 2015 to 2015
$2.6M
Modeling Risk for Hypogammaglobulinemia, Infections, and Mortality with Chimeric Antigen Receptor (CAR) T-cell TherapyK23AI163350 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI BARMETTLER, SARA · 2021 to 2025
$1.1M
NIAID NIH HHS K23 AI163350NIDA NIH HHS DP2 DA040254NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

backgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in patients with predominant antibody deficiency (PAD) is associated with high morbidity, yet data regarding the response to SARS-CoV-2 immunization in PAD patients, including additional dose vaccine, are limited.

objectiveTo characterize antibody response to SARS-CoV-2 vaccine in PAD patients and define correlates of vaccine response.

methodsWe assessed the levels and function of anti-SARS-CoV-2 antibodies in 62 PAD patients compared with matched healthy controls at baseline, at 4 to 6 weeks after the initial series of immunization (a single dose of Ad26.COV2.S [Janssen] or two doses of BNT162b2 [Pfizer-BioNTech] or mRNA-1273 [Moderna]), and at 4 to 6 weeks after an additional dose immunization, if received.

resultsAfter the initial series of SARS-CoV-2 vaccination, PAD patients had lower mean anti-spike antibody levels compared with matched healthy controls (140.1 vs 547.3 U/mL; P = .02). Patients with secondary PAD (eg, B-cell depletion therapy was used) and those with severe primary PAD (eg, common variable immunodeficiency with autoinflammatory complications) had the lowest mean anti-spike antibody levels. Immune correlates of a low anti-spike antibody response included low CD4

conclusionsPatients with secondary and severe primary PAD, characterized by low T helper cells, low B cells, and/or low class-switched memory B cells, were at risk for low antibody response to SARS-CoV-2 immunization, which improved after an additional dose vaccination in most patients.

Indexed as

COVID-19Viral VaccinesAd26COVS1BNT162 VaccineCOVID-19 VaccinesHumansmRNA VaccinesSARS-CoV-2Vaccines, SyntheticAd26COVS1BNT162 VaccineCOVID-19 VaccinesmRNA VaccinesVaccines, SyntheticViral VaccinesAdditional doseAnti-nucleocapsid antibodyAnti-spike antibodyCommon variable immunodeficiencyCOVID-19CVIDHumoral immunodeficiencyHypogammaglobulinemiaIgG subclass deficiencyNeutralization assayPredominant antibody deficiencySARS-CoV-2Specific antibody deficiencyVaccine response

Identifiers

PMID35381395
PMCPMC8976568
OpenAlexW4225139418

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.