Evidence map›Paper›PMID 37632120›Full record

Observational studyViruses2023

BA.1/BA.5 Immunogenicity, Reactogenicity, and Disease Activity after COVID-19 Vaccination in Patients with ANCA-Associated Vasculitis: A Prospective Observational Cohort Study.

Claudius Speer, Maximilian Töllner, Louise Benning, Marie Bartenschlager, Heeyoung Kim, Christian Nusshag, Florian Kälble, Marvin Reineke, Paula Reichel, Paul Schnitzler and 7 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

17 authors at 3 institutions in 1 country.

Claudius SpeerDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Maximilian TöllnerDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Louise BenningDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0002-8366-2100
Marie BartenschlagerDepartment of Infectious Diseases, Molecular Virology, Center for Integrative Infectious Disease Research, Medical Faculty Heidelberg, Heidelberg University, 68167 Heidelberg, Germany.
Heeyoung KimDepartment of Infectious Diseases, Molecular Virology, Center for Integrative Infectious Disease Research, Medical Faculty Heidelberg, Heidelberg University, 68167 Heidelberg, Germany.
Christian NusshagDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0001-7776-3784
Florian KälbleDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Marvin ReinekeDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0001-6749-3426
Paula ReichelDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Paul SchnitzlerDepartment of Infectious Diseases, Virology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Martin ZeierDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Christian MorathDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Wilhelm SchmittCenter for Renal Diseases, 69469 Weinheim, Germany.
Raoul BergnerDepartment of Internal Medicine A, Clinical Center Ludwigshafen, 67071 Ludwigshafen, Germany.ORCID 0000-0002-7965-1273
Ralf BartenschlagerDepartment of Infectious Diseases, Molecular Virology, Center for Integrative Infectious Disease Research, Medical Faculty Heidelberg, Heidelberg University, 68167 Heidelberg, Germany.ORCID 0000-0001-5601-9307
Hanns-Martin LorenzDivision of Rheumatology, Department of Medicine V, University of Heidelberg, 69120 Heidelberg, Germany.
Matthias SchaierDepartment of Nephrology, University Hospital Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0003-1040-1150
Heidelberg University · DEEuropean Molecular Biology Organization · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging omicron subtypes with immune escape lead to inadequate vaccine response with breakthrough infections in immunocompromised individuals such as Anti-neutrophil Cytoplasmic Antibody (ANCA)-associated vasculitis (AAV) patients. As AAV is considered an orphan disease, there are still limited data on SARS-CoV-2 vaccination and prospective studies that have focused exclusively on AAV patients are lacking. In addition, there are safety concerns regarding the use of highly immunogenic mRNA vaccines in autoimmune diseases, and further studies investigating reactogenicity are urgently needed. In this prospective observational cohort study, we performed a detailed characterization of neutralizing antibody responses against omicron subtypes and provided a longitudinal assessment of vaccine reactogenicity and AAV disease activity. Different vaccine doses were generally well tolerated and no AAV relapses occurred during follow-up. AAV patients had significantly lower anti-S1 IgG and surrogate-neutralizing antibodies after first, second, and third vaccine doses as compared to healthy controls, respectively. Live-virus neutralization assays against omicron subtypes BA.1 and BA.5 revealed that previous SARS-CoV-2 vaccines result in an inadequate neutralizing immune response in immunocompromised AAV patients. These data demonstrate that new vaccination strategies including adapted mRNA vaccines against epitopes of emerging variants are needed to help protect highly vulnerable individuals such as AAV patients.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisCOVID-19Antibodies, NeutralizingCOVID-19 VaccinesHumansmRNA VaccinesProspective StudiesSARS-CoV-2VaccinationAntibodies, NeutralizingCOVID-19 VaccinesmRNA VaccinesANCA-associated vasculitisCOVID-19neutralizing antibodiesomicron subtypesvaccination

Identifiers

PMID37632120
PMCPMC10458303
OpenAlexW4386050882

What OpenQuestion holds

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LicenceCC BY
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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.