Evidence map›Paper›PMID 36016169›Full record

ArticleVaccines2022

Effectiveness of Booster Dose of Anti SARS-CoV-2 BNT162b2 in Cirrhosis: Longitudinal Evaluation of Humoral and Cellular Response.

Vincenzo Giambra, Annarita Valeria Piazzolla, Giovanna Cocomazzi, Maria Maddalena Squillante, Elisabetta De Santis, Beatrice Totti, Chiara Cavorsi, Francesco Giuliani, Nicola Serra, Alessandra Mangia

Open access · goldAbstract 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.7field-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, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  4. Observational
  5. How does geographical diversity shape vaccine efficacy?Clinical and experimental vaccine research · 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

10 authors at 2 institutions in 1 country.

Vincenzo GiambraInstitute for Stem Cell Biology, Regenerative Medicine and Innovative Therapies, Fondazione IRCCS "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.ORCID 0000-0003-2607-2080
Annarita Valeria PiazzollaLiver Unit, Fondazione IRCCS Ospedale "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Giovanna CocomazziLiver Unit, Fondazione IRCCS Ospedale "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Maria Maddalena SquillanteLiver Unit, Fondazione IRCCS Ospedale "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Elisabetta De SantisInstitute for Stem Cell Biology, Regenerative Medicine and Innovative Therapies, Fondazione IRCCS "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Beatrice TottiInstitute for Stem Cell Biology, Regenerative Medicine and Innovative Therapies, Fondazione IRCCS "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Chiara CavorsiLiver Unit, Fondazione IRCCS Ospedale "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Francesco GiulianiICT Innovation and Research Unit, Fondazione IRCCS Ospedale "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.ORCID 0000-0002-5707-2158
Nicola SerraDepartment of Public Health, University "Federico II", 80138 Napoli, Italy.ORCID 0000-0001-8086-6362
Alessandra MangiaLiver Unit, Fondazione IRCCS Ospedale "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Casa Sollievo della Sofferenza · ITFederico II University Hospital · IT

Funding

Ministry of Health of Italy COVID-2020-12371619
6 · The paper itself

Abstract

Background: LC has been associated with hyporesponsiveness to several vaccines. Nonetheless, no data on complete serological and B- and T-cell immune response are currently available. Aims: To assess, in comparison with healthy controls of the same age and gender, both humoral and cellular immunoresponses of patients with LC after two or three doses of the mRNA Pfizer-BioNTech vaccine against SARS-CoV-2 and to investigate clinical features associated with non-response. Material and methods: 179 patients with LC of CTP class A in 93.3% and viral etiology in 70.1% of cases were longitudinally evaluated starting from the day before the first dose to 4 weeks after the booster dose. Their antibody responses were compared to those of healthcare workers without co-morbidities. In a subgroup of 40 patients, B- and T-cell responses were also compared to controls. Results: At d31, d90 and d180 after BNT162b2 vaccine, no detectable SARS-CoV-2 IgG response was observed in 5.9%, 3.9% and 7.2% of LC patients as compared to 0 controls (p < 0.03). A delay in B-cell and lack of prompt T-cell response compared to healthcare workers was also registered. A significant correlation between antibody titers and cellular response was observed. A MELD score > 8 was the only independent predictor of poor d31 response (p = 0.028). Conclusions: Our results suggest that cirrhotic patients have a slower and in <10% suboptimal immune response to SARS-CoV-2 vaccination. Rates of breakthrough infections were comparable between cirrhotics and controls. The booster dose was critical in inducing both humoral and cellular responses comparable to controls.

Indexed as

liver cirrhosisMELD scoremRNA vaccineSARS-CoV-2

Identifiers

PMID36016169
PMCPMC9415026
OpenAlexW4292513108

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.