Evidence map›Paper›PMID 37965328›Full record

Observational studyFrontiers in immunology2023

Effect of anti-SARS-CoV-2 BNT162b2 mRNA vaccination on thrombin generation in children with inflammatory bowel disease.

Vivien Stercel, Linda Lóczi, Orsolya Kadenczki, Éva Nemes, Béla Nagy, Rebeka Hodossy-Takács, Attila Ádám Szabó, Miklós Fagyas, János Kappelmayer, Tamás Szabó and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Frontiers in immunology, 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
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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 2 institutions in 1 country.

Vivien Stercel *Department of Pediatrics, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Linda Lóczi *Kálmán Laki Doctoral School, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Orsolya KadenczkiDepartment of Pediatrics, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Éva NemesDepartment of Pediatrics, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Béla NagyDivision of Clinical Laboratory Sciences, Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Rebeka Hodossy-TakácsDivision of Clinical Laboratory Sciences, Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Attila Ádám SzabóKálmán Laki Doctoral School, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Miklós FagyasDivision of Clinical Physiology, Department of Cardiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
János KappelmayerDivision of Clinical Laboratory Sciences, Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Tamás SzabóDepartment of Pediatrics, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Zsuzsa BagolyDivision of Clinical Laboratory Sciences, Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
University of Debrecen · HUHungarian Research Network · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inflammatory bowel disease (IBD) including Crohn's disease (CD) and ulcerative colitis (UC), are associated with higher thrombotic risk and enhanced thrombin generation (TG) in adults. Despite encouraging data reporting vaccine safety and low IBD flare rates in adults with IBD, vaccine hesitancy was demonstrated to be high in families of children with IBD. We aimed to find out whether TG is increased in children with IBD as compared to healthy controls and whether TG parameters show significant changes following SARS-CoV-2 mRNA vaccination. Patients and methods: In this observational case-control study, 38 children with IBD (CD:18, UC: 20) aged 12-18 years and 62 healthy age-and sex-matched children were enrolled. Blood was collected before the first dose and 2-6 weeks after the second dose of BNT162b2 (Pfizer-BioNTech) mRNA vaccine dose. Blood cell counts, fibrinogen, inflammatory markers (hsCRP, ferritin), anti-SARS-CoV-2 antibody levels were investigated, TG assay was carried-out using platelet-poor plasma. Detailed clinical parameters including disease activity scores (PUCAI, PCDAI) were registered pre-and post- vaccination. A guided questionnaire was used to collect data on adverse reactions (AEs) post- vaccination. Results: Baseline TG parameters did not differ between patients and controls. Endogenous thrombin potential showed a significant positive correlation with markers of inflammation and with PCDAI. Inflammatory parameters and TG did not increase in patients and controls post-vaccination. Vaccination significantly increased antibody levels in all three investigated groups, but post-vaccination anti-SARS-CoV-2 S IgG/IgM levels were below the 5 Conclusion: Our study is the first to support the safety and efficacy of anti-SARS-CoV-2 BNT162b2 vaccination in children with IBD with detailed pre-and post-vaccination laboratory data including TG. Results of this study may further increase confidence and reduce vaccine hesitancy in caretakers of pediatric IBD patients.

Indexed as

Colitis, UlcerativeCOVID-19Crohn DiseaseInflammatory Bowel DiseasesAntibodies, ViralBNT162 VaccineCase-Control StudiesChildHumansImmunoglobulin GImmunoglobulin MRNA, MessengerSARS-CoV-2ThrombinAntibodies, ViralBNT162 VaccineImmunoglobulin GImmunoglobulin MRNA, MessengerThrombinCOVID-19Crohn’s diseaseinflammatory bowel diseasesevere acute respiratory syndrome coronavirus-2thrombin generationulcerative colitis

Identifiers

PMID37965328
PMCPMC10642915
OpenAlexW4388023130

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.