Evidence map›Paper›PMID 36613655›Full record

ArticleInternational journal of molecular sciences2022

Longitudinal Analysis of Antiphospholipid Antibody Dynamics after Infection with SARS-CoV-2 or Vaccination with BNT162b2.

Manca Ogrič, Polona Žigon, Snezna Sodin-Semrl, Mirjana Zlatković-Švenda, Marija Zdravković, Milica Ovuka, Tinka Švec, Katja Lakota, Peter Radšel, Žiga Rotar and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Review
  5. 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

11 authors at 5 institutions in 3 countries.

Manca OgričDepartment of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Polona ŽigonDepartment of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Snezna Sodin-SemrlDepartment of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Mirjana Zlatković-ŠvendaInstitute of Rheumatology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0002-7123-140X
Marija ZdravkovićUniversity Hospital Medical Center Bezanijska kosa, 11080 Belgrade, Serbia.
Milica OvukaGeneral Hospital Pančevo, 26000 Pančevo, Serbia.
Tinka ŠvecDepartment of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Katja LakotaDepartment of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Peter RadšelDepartment of Intensive Internal Medicine, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Žiga RotarDepartment of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Saša ČučnikDepartment of Rheumatology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
University of Ljubljana · SIUniversity of Primorska · SILjubljana University Medical Centre · SIUniversity of Belgrade · RSUniversity of East Sarajevo · BA

Funding

Slovenian Research Agency P3-0314University Medical Centre Ljubljana 20210003
6 · The paper itself

Abstract

Antiphospholipid antibodies (aPL) comprise a group of autoantibodies that reflect prothrombotic risk in antiphospholipid syndrome (APS) but may also be present in a small proportion of healthy individuals. They are often transiently elevated in infections, including SARS-CoV-2, and may also be associated with vaccine-induced autoimmunity. Therefore, we aimed to investigate the dynamics of aPL in COVID-19 patients and in individuals (healthcare professionals-HCPs) after receiving BNT162b2 vaccine and to compare aPL levels and positivity with those found in APS patients. We measured solid-phase identifiable aPL, including anticardiolipin (aCL), anti-β2 glycoprotein I (anti-β2GPI), and anti-prothrombin/phosphatidylserine (aPS/PT) antibodies in 58 HCPs before and after vaccination (at 3 weeks, 3, 6, and 9 months after the second dose, and 3 weeks after the third booster dose), in 45 COVID-19 patients hospitalized in the ICU, in 89 COVID-19 patients hospitalized in the non-ICU (at admission, at hospital discharge, and at follow-up), and in 52 patients with APS. The most frequently induced aPL in COVID-19 patients (hospitalized in non-ICU) were aCL (50.6% of patients had positive levels at at least one time point), followed by anti-β2GPI (21.3% of patients had positive levels at at least one time point). In 9/89 COVID-19 patients, positive aPL levels persisted for three months. One HCP developed aCL IgG after vaccination but the persistence could not be confirmed, and two HCPs developed persistent anti-β2GPI IgG after vaccination with no increase during a 1-year follow-up period. Solid-phase aPL were detected in 84.6% of APS patients, in 49.4% of COVID-19 patients hospitalized in the non-ICU, in 33.3% of COVID-19 patients hospitalized in the ICU, and in only 17.2% of vaccinated HCPs. aPL levels and multiple positivity were significantly lower in both infected groups and in vaccinated individuals compared with APS patients. In conclusion, BNT162b2 mRNA vaccine may have induced aPL in a few individuals, whereas SARS-CoV-2 infection itself results in a higher percentage of aPL induction, but the levels, persistence, and multiple positivity of aPL do not follow the pattern observed in APS.

Indexed as

Antibodies, AntiphospholipidAntiphospholipid SyndromeBNT162 VaccineCOVID-19beta 2-Glycoprotein IHumansImmunoglobulin GSARS-CoV-2VaccinationAntibodies, Antiphospholipidbeta 2-Glycoprotein IBNT162 VaccineImmunoglobulin Gantiphospholipid antibodiesAPSautoantibodiesBNT162b2 vaccineCOVID-19healthcare professionalsSARS-CoV-2

Identifiers

PMID36613655
PMCPMC9820546
OpenAlexW4312173686

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.