Evidence map›Paper›PMID 36894554›Full record

ArticleNature communications2023

SARS-CoV-2 mRNA vaccines decouple anti-viral immunity from humoral autoimmunity.

Jillian R Jaycox, Carolina Lucas, Inci Yildirim, Yile Dai, Eric Y Wang, Valter Monteiro, Sandra Lord, Jeffrey Carlin, Mariko Kita, Jane H Buckner and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 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

18 authors at 4 institutions in 1 country.

Jillian R Jaycox *Department of Immunobiology, Yale School of Medicine, New Haven, CT, USA.
Carolina Lucas *Department of Immunobiology, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0003-4590-2756
Inci Yildirim *Department of Pediatrics, Section of Infectious Diseases and Global Health, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-8631-0020
Yile DaiDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA.
Eric Y WangDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-6120-5136
Valter MonteiroDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0003-1785-6713
Sandra LordCenter for Interventional Immunology, Benaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Jeffrey CarlinVirginia Mason Medical Center, Seattle, WA, USA.
Mariko KitaVirginia Mason Medical Center, Seattle, WA, USA.
Jane H BucknerTranslational Research Program, Benaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Shuangge MaDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, USA.
Melissa CampbellDepartment of Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT, USA.
Albert KoDepartment of Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0001-9023-2339
Saad OmerYale Institute for Global Health, Yale University, New Haven, CT, USA.ORCID 0000-0002-5383-3474
Carrie L LucasDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-5754-0820
Cate SpeakeCenter for Interventional Immunology, Benaroya Research Institute at Virginia Mason, Seattle, WA, USA. cspeake@benaroyaresearch.org.ORCID 0000-0003-1480-4272
Akiko IwasakiDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA. akiko.iwasaki@yale.edu.ORCID 0000-0002-7824-9856
Aaron M RingDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA. aaron.ring@yale.edu.ORCID 0000-0003-3699-2446
Yale University · USVirginia Mason Medical Center · USHoward Hughes Medical Institute · USPearson (United States) · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007205 · NIGMS · YALE UNIVERSITY · PI KAZMIERCZAK, BARBARA I · 1985 to 2019
$42.9M
NCI NIH HHS P30 CA016359NIGMS NIH HHS T32 GM007205
6 · The paper itself

Abstract

mRNA-based vaccines dramatically reduce the occurrence and severity of COVID-19, but are associated with rare vaccine-related adverse effects. These toxicities, coupled with observations that SARS-CoV-2 infection is associated with autoantibody development, raise questions whether COVID-19 vaccines may also promote the development of autoantibodies, particularly in autoimmune patients. Here we used Rapid Extracellular Antigen Profiling to characterize self- and viral-directed humoral responses after SARS-CoV-2 mRNA vaccination in 145 healthy individuals, 38 patients with autoimmune diseases, and 8 patients with mRNA vaccine-associated myocarditis. We confirm that most individuals generated robust virus-specific antibody responses post vaccination, but that the quality of this response is impaired in autoimmune patients on certain modes of immunosuppression. Autoantibody dynamics are remarkably stable in all vaccinated patients compared to COVID-19 patients that exhibit an increased prevalence of new autoantibody reactivities. Patients with vaccine-associated myocarditis do not have increased autoantibody reactivities relative to controls. In summary, our findings indicate that mRNA vaccines decouple SARS-CoV-2 immunity from autoantibody responses observed during acute COVID-19.

Indexed as

Autoimmune DiseasesCOVID-19COVID-19 VaccinesImmunity, HumoralmRNA VaccinesVaccines, SyntheticAntibodies, ViralAutoantibodiesAutoimmunityDrug-Related Side Effects and Adverse ReactionsHumansMyocarditisRNA, MessengerSARS-CoV-2VaccinationAntibodies, ViralAutoantibodiesCOVID-19 VaccinesmRNA VaccinesRNA, MessengerVaccines, Synthetic

Identifiers

PMID36894554
PMCPMC9996559
OpenAlexW4323661939

What OpenQuestion holds

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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.