Evidence map›Paper›PMID 36524267›Full record

ArticleBMJ case reports2022

Early riser specific immune cell response by delayed-type hypersensitivity in a kidney transplant patient vaccinated against COVID-19.

Yvelise Barrios, Cristina Alava-Cruz, Domingo Marrero-Miranda, Victor Matheu

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

4 authors.

Yvelise BarriosImmunology, Hospital Universitario de Canarias, La Laguna, Spain.
Cristina Alava-CruzAllergy, Hospital Universitario de Canarias, La Laguna, Spain.
Domingo Marrero-MirandaNephrology, Hospital Universitario de Canarias, La Laguna, Spain.
Victor MatheuAllergy, Hospital Universitario de Canarias, La Laguna, Spain vmatheu@ull.edu.es.ORCID http://orcid.org/0000-0002-0469-800X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a female kidney transplant patient under conventional immunosuppression therapy. Her humoral immunity study (anti-spike-specific antibodies) was negative after the initial regimen and the third dose of vaccination against COVID-19. The specific ex vivo cellular immune study against spike of SARS-CoV-2 by interferon gamma release assay (IGRA) also remained at non-response levels at different time points despite an optimal non-specific cell immune response assessment. However, the cellular immunity test by delayed-type hypersensitivity (DTH) with spike of SARS-CoV-2 was always positive since the vaccination scheme began. Only after COVID-19 infection has there been a seroconversion of the patient's antibody tests along with IGRA positivity. The use of DTH test to measure the immune response could be a better and earlier parameter of the actual immune status that helps us to predict the immune response in real life. Hybrid immunity combining vaccine and natural infection could be a stronger stimulator of the specific global immune response.

Indexed as

COVID-19Kidney TransplantationAntibodies, ViralFemaleHumansImmunity, CellularImmunity, HumoralPatientsSARS-CoV-2VaccinationAntibodies, ViralCOVID-19Immunological products and vaccinesRenal transplantationVaccination/immunisation

Identifiers

PMID36524267
PMCPMC9748959

What OpenQuestion holds

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LicenceCC BY-NC
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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.