Evidence map›Paper›PMID 36152939›Full record

ArticleTransplant immunology2022

Development of donor specific antibodies after SARS-CoV-2 vaccination in kidney and heart transplant recipients.

Thomas R McCune, Robert A Bray, David A Baran, Angela J Toepp, Steven J Forte, Lauren T Gilgannon, Troy Williams, Shirui Chen, Hooman Sadr, Howard M Gebel and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Transplant immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 10 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.

Thomas R McCuneEastern Virginia Medical School, Division of Nephrology, Norfolk, VA 23501-1980, USA; Sentara Norfolk General Hospital, Kidney/Pancreas Transplant Program, Norfolk, VA 23507, USA; Eastern Virginia Medical School, Department of Internal Medicine, Norfolk, VA 23501-1980, USA. Electronic address: mccunetr@evms.edu.
Robert A BrayEmory Univ Hosp, Dept of Pathology Rm F149, 1364 Clifton Rd NE, Atlanta, GA 30322, USA. Electronic address: rbray@emory.edu.
David A BaranEastern Virginia Medical School, Division of Cardiology, Norfolk, VA 23501-1980, USA; Sentara Norfolk General Hospital, Advanced Heart Failure and Transplantation, Norfolk, VA 23507-1999, USA; Eastern Virginia Medical School, Department of Internal Medicine, Norfolk, VA 23501-1980, USA.
Angela J ToeppSentara Healthcare, Quality Research Institute, Virginia Beach, VA 23462, USA; Enterprise Analytics, Sentara Healthcare, Norfolk, VA 23501, USA. Electronic address: ajtoepp@sentara.com.
Steven J ForteEastern Virginia Medical School, School of Medicine, Norfolk, VA 23501-1980, USA. Electronic address: fortesj@evms.edu.
Lauren T GilgannonEastern Virginia Medical School, School of Medicine, Norfolk, VA 23501-1980, USA. Electronic address: GilganLT@evms.edu.
Troy WilliamsEnterprise Analytics, Sentara Healthcare, Norfolk, VA 23501, USA. Electronic address: WilliaT2@evms.edu.
Shirui ChenEastern Virginia Medical School, Division of Nephrology, Norfolk, VA 23501-1980, USA.
Hooman SadrSentara Norfolk General Hospital, Kidney/Pancreas Transplant Program, Norfolk, VA 23507, USA.
Howard M GebelEmory Univ Hosp, Dept of Pathology Rm F149, 1364 Clifton Rd NE, Atlanta, GA 30322, USA. Electronic address: hgebel@emory.edu.
John M HerreEastern Virginia Medical School, Division of Cardiology, Norfolk, VA 23501-1980, USA; Sentara Norfolk General Hospital, Advanced Heart Failure and Transplantation, Norfolk, VA 23507-1999, USA; Eastern Virginia Medical School, Department of Internal Medicine, Norfolk, VA 23501-1980, USA. Electronic address: JMHERRE@sentara.com.
Eastern Virginia Medical School · USEmory and Henry College · USSentara Norfolk General Hospital · USSentara Virginia Beach General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examined the development of new or changes in donor specific antibodies (DSA) mean-fluorescence intensity (MFI) after SARS-CoV-2 vaccination in 100 kidney and 50 heart transplant recipients. The study was performed when the Center for Disease Control and Prevention (CDC) recommended two doses of Pfizer/BioNTech [BNT162b2] and Moderna [mRNA-1273 SARS-CoV-2] vaccine or 1 dose Johnson & Johnson/Janssen [Ad26.COV2·S] vaccines for full vaccination in transplant recipients. A novel assay bead-based platform for detecting antibodies against 4 domains of the SARS-CoV-2 spike protein to determine vaccine response (SA) and one nucleocapsid protein (NC) to determine prior SARS-CoV-2 infection was utilized. These assays were performed on the multiplex, bead-based platform utilized to assay DSA levels. 61/150 patients (40.7%) had successful vaccination. 18 patients had confirmed SARS-CoV-2 infection based on positive NC assay or previous Covid-19 oropharyngeal swab. 138 patients had no DSA prior to vaccination but 3 heart recipients developed new DSA's. Among 12 patients with known DSA prior to vaccination, 4 developed new DSA's or increased MFI. All 7 patients with new or increased DSA had stable graft function without rejection and had no changes in immunosuppression. All 8 patients with stable post vaccine DSA had stable graft function and immunosuppression was not changed. The presence of DSA before vaccination was associated with subsequent development of increased MFI or new DSA's (p = 0.001). There was no association between pre-vaccine DSA and positive vaccine response (NS). There was no association with successful vaccination or prior SARS-CoV-2 infection and DSA changes (NS).

Indexed as

COVID-19COVID-19 VaccinesHeart TransplantationIsoantibodiesKidney TransplantationAd26COVS1Antibodies, ViralBNT162 VaccineGraft RejectionGraft SurvivalHistocompatibility TestingHLA AntigensHumansKidneySARS-CoV-2Spike Glycoprotein, CoronavirusAd26COVS1Antibodies, ViralBNT162 VaccineCOVID-19 VaccinesHLA AntigensIsoantibodiesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Acute rejectionCovid-19 infectionDSAHeart transplantKidney transplantSARS-CoV-2 vaccine

Identifiers

PMID36152939
PMCPMC9492402
OpenAlexW4296986547

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.