Evidence map›Paper›PMID 36769731›Full record

ArticleJournal of clinical medicine2023

Humoral and T-Cell Mediated Response after the Third Dose of mRNA Vaccines in Patients with Systemic Lupus Erythematosus on Belimumab.

Luca Quartuccio, Ginevra De Marchi, Rossana Domenis, Nicola Cabas, Silvia Guella, Antonella Paradiso, Cinzia Fabro, Antonio Paolo Beltrami, Salvatore De Vita, Francesco Curcio

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Luca QuartuccioDivision of Rheumatology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.ORCID 0000-0002-0134-6439
Ginevra De MarchiDivision of Rheumatology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.ORCID 0000-0002-3087-8477
Rossana DomenisInstitute of Clinical Pathology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Nicola CabasDivision of Rheumatology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Silvia GuellaDivision of Rheumatology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Antonella ParadisoInstitute of Clinical Pathology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Cinzia FabroDivision of Rheumatology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Antonio Paolo BeltramiInstitute of Clinical Pathology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Salvatore De VitaDivision of Rheumatology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Francesco CurcioInstitute of Clinical Pathology, Academic Hospital "Santa Maria della Misericordia", ASUFC, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate humoral and T-cell cellular-mediated immune response after three doses of SARS-CoV-2 mRNA vaccines in patients with systemic lupus erythematosus (SLE) under Belimumab. PATIENTS AND

methods12 patients on Belimumab and 13 age-matched healthy volunteers were recruited. Patients were in remission or in low disease activity, and they were taking no corticosteroids or only low doses. None of the patients and controls had detectable anti-SARS-CoV-2 antibodies due to previous exposure to the virus. All the patients received three doses of mRNA anti-SARS-CoV-2 vaccines and the humoral and cellular-mediated response were tested 4 weeks after the second dose (T0), 6 months after the second dose (T1) and 4 weeks after the third dose (T2). Comparison with the control group was performed at time T0 (i.e., 4 weeks after the second dose). Total anti-SARS-CoV-2 RBD antibodies were analyzed using a diagnostic assay, while cellular-mediated response was evaluated using the interferon-gamma release assay (IGRA).

resultsA humoral response was documented in all the patients at T0 (median 459; IQR 225.25-758.5), but the antibody titer significantly declined from T0 to T1 (median 44.7; IQR: 30.3-202;

conclusionThe third dose of mRNA COVID-19 vaccine can restore both humoral and cellular immune response in SLE patients on Belimumab.

Indexed as

belimumabcoronavirusCOVID-19immunitylupusvaccine

Identifiers

PMID36769731
PMCPMC9917399

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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.