Evidence map›Paper›PMID 35893835›Full record

ArticleVaccines2022

Anti-TNFα Treatment Impairs Long-Term Immune Responses to COVID-19 mRNA Vaccine in Patients with Inflammatory Bowel Diseases.

Keren Masha Rabinowitz, Michal Navon, Hadar Edelman-Klapper, Eran Zittan, Ariella Bar-Gil Shitrit, Idan Goren, Irit Avni-Biron, Jacob E Ollech, Lev Lichtenstein, Hagar Banai-Eran and 32 more

Abstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Vaccination Update and Specific Concerns for RA.Current rheumatology reports · 2025
    Review
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  9. Transcriptomic profile ofFrontiers in immunology · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
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

42 authors.

Keren Masha RabinowitzDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Michal NavonDepartment of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Hadar Edelman-KlapperDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Eran ZittanThe Abraham and Sonia Rochlin IBD Unit, Department of Gastroenterology, Emek Medical Center, Afula 1834111, Israel.ORCID 0000-0003-3378-4932
Ariella Bar-Gil ShitritShaare Zedek Medical Center, Digestive Diseases Institute, Jerusalem 9103102, Israel.
Idan GorenDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.ORCID 0000-0002-2162-2840
Irit Avni-BironDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Jacob E OllechDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Lev LichtensteinClalit Health Services, Petah Tikva 4933355, Israel.
Hagar Banai-EranDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Henit YanaiDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Yifat SnirDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Maor H PaukerDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Adi FriedenbergDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Adva Levy-BardaBiobank, Rabin Medical Center, Department of Pathology, Petah Tikva 4941492, Israel.
Arie SegalThe Institute of Gastroenterology and Hepatology, Soroka University Medical Center, Beer-Sheva 84101, Israel.
Yelena BroitmanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Eran MaozClalit Health Services, Tel Aviv 4940612, Israel.
Baruch OvadiaDepartment of Gastroenterology and Hepatology, Hillel Yaffe Medical Center, Hadera 38100, Israel.
Maya Aharoni GolanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Eyal ShacharSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Shomron Ben-HorinSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Nitsan MaharshakSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Michal MorClalit Health Services, Tel Aviv 4940612, Israel.
Haim Ben ZviSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Rami EliakimSackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Revital BarkanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Tali Sharar-FischlerDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Sophy GorenSackler Faculty of Medicine, School of Public Health, Tel Aviv University, Tel Aviv 69978, Israel.
Noy KrugliakDepartment of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Edward PichinukBlavatnik Center for Drug Discovery, Tel Aviv University, Tel Aviv 69978, Israel.
Michael MorDepartment of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.ORCID 0000-0003-1361-4151
Michal WerbnerMolecular Virology Laboratory, The Azrieli Faculty of Medicine, Bar-Ilan University, Safed 1311502, Israel.
Joel AlterThe Laboratory of Structural Biology of Infectious Diseases, The Azrieli Faculty of Medicine, Bar-Ilan University, Safed 1311502, Israel.
Hanan Abu-TahaDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Kawsar KaboubDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Moshe DessauThe Laboratory of Structural Biology of Infectious Diseases, The Azrieli Faculty of Medicine, Bar-Ilan University, Safed 1311502, Israel.ORCID 0000-0002-1954-3625
Meital Gal-TanamyMolecular Virology Laboratory, The Azrieli Faculty of Medicine, Bar-Ilan University, Safed 1311502, Israel.ORCID 0000-0001-7831-6847
Dani CohenSackler Faculty of Medicine, School of Public Health, Tel Aviv University, Tel Aviv 69978, Israel.ORCID 0000-0003-2664-2303
Natalia T FreundDepartment of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Iris DotanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva 4941492, Israel.
On Behalf Of The Responses To Covid-Vaccine Israeli Ibd

Funding

Israel Science Foundation 1422/18Israel Science Foundation 2475/19Israel Science Foundation 3711/20Israel Science Foundation 401/18Leona M. and Harry B. Helmsley Charitable Trust G-2101-04950
6 · The paper itself

Abstract

Patients with inflammatory bowel disease (IBD) treated with anti-tumor-necrosis factor-alpha (TNFα) exhibited lower serologic responses one-month following the second dose of the COVID-19 BNT162b2 vaccine compared to those not treated with anti-TNFα (non-anti-TNFα) or to healthy controls (HCs). We comprehensively analyzed long-term humoral responses, including anti-spike (S) antibodies, serum inhibition, neutralization, cross-reactivity and circulating B cell six months post BNT162b2, in patients with IBD stratified by therapy compared to HCs. Subjects enrolled in a prospective, controlled, multi-center Israeli study received two BNT162b2 doses. Anti-S levels, functional activity, specific B cells, antigen cross-reactivity, anti-nucleocapsid levels, adverse events and IBD disease score were detected longitudinally. In total, 240 subjects, 151 with IBD (94 not treated with anti-TNFα and 57 treated with anti-TNFα) and 89 HCs participated. Six months after vaccination, patients with IBD treated with anti-TNFα had significantly impaired BNT162b2 responses, specifically, more seronegativity, decreased specific circulating B cells and cross-reactivity compared to patients untreated with anti-TNFα. Importantly, all seronegative subjects were patients with IBD; of those, >90% were treated with anti-TNFα. Finally, IBD activity was unaffected by BNT162b2. Altogether these data support the earlier booster dose administration in these patients.

Indexed as

anti-SARS-CoV-2 antibodiescirculating B cellsCOVID-19cross-reactivitymRNA-BNT162b2serologic response longevityvaccine

Identifiers

PMID35893835
PMCPMC9330864

What OpenQuestion holds

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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.