Evidence map›Paper›PMID 37338983›Full record

ArticleJCI insight2023

Diminished responses to mRNA-based SARS-CoV-2 vaccines in individuals with rheumatoid arthritis on immune-modifying therapies.

Samuel D Klebanoff, Lauren B Rodda, Chihiro Morishima, Mark H Wener, Yevgeniy Yuzefpolskiy, Estelle Bettelli, Jane H Buckner, Cate Speake, Marion Pepper, Daniel J Campbell

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  5. Review
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  8. Naturally acquired adaptive immunity toClinical & translational immunology · 2024
    Article
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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

10 authors at 2 institutions in 1 country.

Samuel D KlebanoffBenaroya Research Institute, Seattle, Washington, USA.
Lauren B RoddaDepartment of Immunology and.
Chihiro MorishimaDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, Washington, USA.
Mark H WenerDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, Washington, USA.
Yevgeniy YuzefpolskiyBenaroya Research Institute, Seattle, Washington, USA.
Estelle BettelliBenaroya Research Institute, Seattle, Washington, USA.
Jane H BucknerBenaroya Research Institute, Seattle, Washington, USA.
Cate SpeakeBenaroya Research Institute, Seattle, Washington, USA.
Marion PepperDepartment of Immunology and.
Daniel J CampbellBenaroya Research Institute, Seattle, Washington, USA.
Benaroya Research InstituteUniversity of Washington · US

Funding

Regulation of cutaneous immunity and tissue-repair by a specialized population of CD4+ T cellsR01AI127726 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI CAMPBELL, DANIEL J, GRATZ, IRIS KARINA · 2017 to 2021
$2.8M
NIAID NIH HHS R01 AI127726
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder that causes debilitating swelling and destruction of the joints. People with RA are treated with drugs that actively suppress one or more parts of their immune system, and these may alter the response to vaccination against SARS-CoV-2. In this study, we analyzed blood samples from a cohort of patients with RA after receiving a 2-dose mRNA COVID-19 vaccine regimen. Our data show that individuals on the cytotoxic T lymphocyte antigen 4-Ig therapy abatacept had reduced levels of SARS-CoV-2-neutralizing antibodies after vaccination. At the cellular level, these patients showed reduced activation and class switching of SARS-CoV-2-specific B cells, as well as reduced numbers and impaired helper cytokine production by SARS-CoV-2-specific CD4+ T cells. Individuals on methotrexate showed similar but less severe defects in vaccine response, whereas individuals on the B cell-depleting therapy rituximab had a near-total loss of antibody production after vaccination. These data define a specific cellular phenotype associated with impaired response to SARS-CoV-2 vaccination in patients with RA on different immune-modifying therapies and help inform efforts to improve vaccination strategies in this vulnerable population.

Indexed as

Arthritis, RheumatoidCOVID-19Antibodies, ViralCOVID-19 VaccinesHumansRNA, MessengerSARS-CoV-2Antibodies, ViralCOVID-19 VaccinesRNA, MessengerAdaptive immunityAutoimmunityCostimulationVaccines

Identifiers

PMID37338983
PMCPMC10445680
OpenAlexW4381431597

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.