Evidence map›Paper›PMID 38280060›Full record

Observational studyClinical and experimental medicine2024

Humoral and cellular immune response in patients of liver cirrhosis and immunocompetent recipient of ChAdOx1nCoV-19 Vaccine (Covishield).

Himanshu Dandu, Amit Goel, Manish Kumar, Hardeep Singh Malhotra, Harshita Katiyar, Monica Agarwal, Neeraj Kumar, Pragya Pandey, Shivani Rani, Geeta Yadav

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Clinical and experimental medicine, 2024. 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
1.6field-weighted citation impact, top 20% 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, 4 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

10 authors at 2 institutions in 1 country.

Himanshu DanduDepartment of Internal Medicine, King George's Medical University, Lucknow, 226003, India.
Amit GoelDepartment of Hepatology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, 226014, India.
Manish KumarDepartment of Pathology, King George's Medical University, Lucknow, 226003, India.
Hardeep Singh MalhotraDepartment of Neurology, King George's Medical University, Lucknow, 226003, India.
Harshita KatiyarDepartment of Hepatology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, 226014, India.
Monica AgarwalDepartment of Community Medicine, King George's Medical University, Lucknow, 226003, India.
Neeraj KumarDepartment of Neurology, King George's Medical University, Lucknow, 226003, India.
Pragya PandeyDepartment of Conservative Dentistry and Endodontics, King George's Medical University, Lucknow, 226003, India.
Shivani RaniDepartment of Internal Medicine, King George's Medical University, Lucknow, 226003, India.
Geeta YadavDepartment of Pathology, King George's Medical University, Lucknow, 226003, India. drgeetayadav6@gmail.com.ORCID http://orcid.org/0000-0001-8193-8436
King George's Medical University · INSanjay Gandhi Post Graduate Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the effectiveness of COVID-19 vaccination in reducing the severity of the disease, the demand for booster is increasing in vulnerable populations like elderly and immunocompromised individuals especially with each new wave of COVID-19 in different countries. There is limited data on the sustained immunity against COVID-19 in patients with liver cirrhosis. The study was aimed to compare the T cell and humoral immune response after 1 year of ChAdOx1nCoV-19 Vaccine in patients with liver cirrhosis and healthy health care workers (HCW). This was a prospective observational study including 36 HCW, 19 liver cirrhosis patients and 10 unvaccinated individuals. Anti-SARS-CoV-2S antibody, neutralizing antibody and memory T cell subsets were evaluated by ELISA and flow cytometry, respectively, in all three groups after 1 year of initial vaccination. Compared to HCW and unvaccinated individuals, liver cirrhosis patients had significantly depleted T cells, although CD4:CD8 + T cell ratio was normal. Both cirrhotic patients and HCW developed memory T cell subset [effector memory RA (P = 0.141, P < 0.001), effector memory (P < 0.001, P < 0.001), central memory (P < 0.001, P < 0.01), stem cell memory (P = 0.009, P = 0.08) and naïve (P < 0.001, P = 0.02)] compared to unvaccinated unexposed individuals of CD4 + T and CD8 + T, respectively. However, among HCW and cirrhotic group no difference was noted on central memory and stem cell memory cells on T cells. Patients with liver cirrhosis developed comparable memory T cells after vaccination which can evoke sustainable immune response on reinfection. Therefore, additional vaccine doses may not be necessary for cirrhosis patients.

Indexed as

COVID-19VaccinesAgedChAdOx1 nCoV-19COVID-19 VaccinesHumansImmunity, CellularLiver CirrhosisProspective StudiesVaccinationChAdOx1 nCoV-19COVID-19 VaccinesVaccinesCirrhosisCOVID-19Flow cytometryMemory cellT cellVaccine

Identifiers

PMID38280060
PMCPMC10821839
OpenAlexW4391277549

What OpenQuestion holds

Textmetadata
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.