Evidence map›Paper›PMID 36074641›Full record

ArticleBlood cancer discovery2022

Anti-spike T-cell and Antibody Responses to SARS-CoV-2 mRNA Vaccines in Patients with Hematologic Malignancies.

Lee M Greenberger, Larry A Saltzman, Lore M Gruenbaum, Jun Xu, Sneha T Reddy, Jonathon W Senefeld, Patrick W Johnson, Paul A Fields, Catherine Sanders, Louis J DeGennaro and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Blood cancer discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Lee M GreenbergerThe Leukemia and Lymphoma Society, Rye Brook, New York.ORCID 0000-0002-9583-6614
Larry A SaltzmanThe Leukemia and Lymphoma Society, Rye Brook, New York.ORCID 0000-0001-6772-3084
Lore M GruenbaumThe Leukemia and Lymphoma Society, Rye Brook, New York.ORCID 0000-0002-7928-5496
Jun XuThe Leukemia and Lymphoma Society, Rye Brook, New York.ORCID 0000-0001-9285-158X
Sneha T ReddyThe Leukemia and Lymphoma Society, Rye Brook, New York.ORCID 0000-0002-4643-8652
Jonathon W SenefeldDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-8116-3538
Patrick W JohnsonDepartment of Quantitative Health Sciences, Mayo Clinic, Jacksonville, Florida.ORCID 0000-0001-8365-1375
Paul A FieldsAdaptive Biotechnologies Corp, Seattle, Washington.ORCID 0000-0002-9608-6464
Catherine SandersAdaptive Biotechnologies Corp, Seattle, Washington.ORCID 0000-0001-5058-0486
Louis J DeGennaroThe Leukemia and Lymphoma Society, Rye Brook, New York.ORCID 0000-0002-2145-8382
Gwen L NicholsThe Leukemia and Lymphoma Society, Rye Brook, New York.ORCID 0000-0002-3714-4927
Leukemia and Lymphoma Society · USAdaptive Biotechnologies (United States) · USJacksonville College · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The anti-spike T-cell and antibody responses to SARS-CoV-2 mRNA vaccines in patients with B-cell malignancies were examined in a real-world setting. A next-generation sequencing (NGS)-based molecular assay was used to assess SARS-CoV-2-specific T-cell responses. After the second dose, 58% (166/284) of seropositive and 45% (99/221) of seronegative patients display anti-spike T cells. The percentage of patients who displayed T-cell response was higher among patients receiving mRNA-1273 vaccines compared with those receiving BNT162b2 vaccines. After the third vaccination, 40% (137/342) of patients seroconverted, although only 22% displayed sufficient antibody levels associated with the production of neutralizing antibodies. 97% (717/738) of patients who were seropositive before the third dose had markedly elevated anti-spike antibody levels. Anti-spike antibody levels, but not T-cell responses, were depressed by B cell-directed therapies. Vaccinated patients with B-cell malignancies with a poor response to SARS-CoV-2 vaccines may remain vulnerable to COVID-19 infections. SIGNIFICANCE: This study represents the first investigation of SARS-CoV-2-specific immune responses to vaccination in a patient registry using an NGS-based method for T-cell receptor repertoire-based analysis combined with anti-spike antibody assessments. Vaccinated patients with B cell-derived hematologic malignancies are likely at higher risk of infection or severe COVID-19. This article is highlighted in the In This Issue feature, p. 476.

Indexed as

COVID-19Hematologic NeoplasmsAntibodies, ViralAntibody FormationBNT162 VaccineCOVID-19 VaccinesHumansmRNA VaccinesSARS-CoV-2Spike Glycoprotein, CoronavirusT-LymphocytesAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesmRNA VaccinesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID36074641
PMCPMC9894565
OpenAlexW4294991153

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.