Evidence map›Paper›PMID 38791279›Full record

ArticleInternational journal of molecular sciences2024

Effect of Immunosuppression on the Immune Response to SARS-CoV-2 Infection and Vaccination.

Emma J Leacy, Jia Wei Teh, Aoife M O'Rourke, Gareth Brady, Siobhan Gargan, Niall Conlon, Jennifer Scott, Jean Dunne, Thomas Phelan, Matthew D Griffin and 17 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Persistent COVID-19 Pneumonia in a Patient on Rituximab.Journal of investigative medicine high impact case reports
    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

27 authors.

Emma J LeacyTrinity Kidney Centre, Trinity Translational Medicine Institute, School of Medicine, Trinity College Dublin, D08 W9RT Dublin, Ireland.ORCID 0000-0002-0623-1593
Jia Wei TehDepartment of Nephrology, Galway University Hospital, H91 YR71 Galway, Ireland.ORCID 0000-0003-3846-142X
Aoife M O'RourkeSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, D02 R590 Dublin, Ireland.ORCID 0000-0001-9882-2907
Gareth BradyTrinity Kidney Centre, Trinity Translational Medicine Institute, School of Medicine, Trinity College Dublin, D08 W9RT Dublin, Ireland.
Siobhan GarganDepartment of Clinical Medicine, School of Medicine, Trinity Translational Medicine Institute, Trinity College Dublin, D08 W9RT Dublin, Ireland.
Niall ConlonDepartment of Immunology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Jennifer ScottTrinity Kidney Centre, Trinity Translational Medicine Institute, School of Medicine, Trinity College Dublin, D08 W9RT Dublin, Ireland.
Jean DunneDepartment of Immunology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Thomas PhelanTrinity Kidney Centre, Trinity Translational Medicine Institute, School of Medicine, Trinity College Dublin, D08 W9RT Dublin, Ireland.
Matthew D GriffinDepartment of Nephrology, Galway University Hospital, H91 YR71 Galway, Ireland.ORCID 0000-0002-8701-8056
Julie PowerVasculitis Ireland Awareness, Belfast & Dublin, Ireland.
Aoife MooneyDepartment of Immunology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Aifric NaughtonDepartment of Immunology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Rachel KierseyDepartment of Immunology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Mary GardinerDepartment of Immunology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Caroline O'BrienDepartment of Immunology, St. James's Hospital, D08 NHY1 Dublin, Ireland.
Ronan MullanDepartment of Clinical Medicine, School of Medicine, Trinity Translational Medicine Institute, Trinity College Dublin, D08 W9RT Dublin, Ireland.
Rachael FloodDepartment of Clinical Medicine, School of Medicine, Trinity Translational Medicine Institute, Trinity College Dublin, D08 W9RT Dublin, Ireland.
Michael ClarksonDepartment of Nephrology, Cork University Hospital, T12 DC4A Cork, Ireland.ORCID 0000-0003-4975-1385
Liam TownsendDepartment of Infectious Diseases, St. James's Hospital, D08 NHY1 Dublin, Ireland.ORCID 0000-0002-7089-0665
Michelle O'ShaughnessyDepartment of Nephrology, Galway University Hospital, H91 YR71 Galway, Ireland.
Adam H DyerDiscipline of Medical Gerontology, School of Medicine, Trinity College Dublin, D08 W9RT Dublin, Ireland.ORCID 0000-0003-1356-510X
Barry MoranSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, D02 R590 Dublin, Ireland.
Jean M FletcherSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, D02 R590 Dublin, Ireland.
Lina ZgagaDepartment of Public Health and Primary Care, Institute of Population Health, Trinity College Dublin, D02 PN40 Dublin, Ireland.ORCID 0000-0003-4089-9703
Mark A LittleTrinity Kidney Centre, Trinity Translational Medicine Institute, School of Medicine, Trinity College Dublin, D08 W9RT Dublin, Ireland.ORCID 0000-0001-6003-397X
RITA Ireland Vasculitis Biobank

Funding

Health Research Board rapid response grant COV19-2020-071, by Science Foundation Ireland 20/SPP/3685
6 · The paper itself

Abstract

Immunosuppressive treatment in patients with rheumatic diseases can maintain disease remission but also increase risk of infection. Their response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination is frequently blunted. In this study we evaluated the effect of immunosuppression exposure on humoral and T cell immune responses to SARS-CoV-2 infection and vaccination in two distinct cohorts of patients; one during acute SARS-CoV-2 infection and 3 months later during convalescence, and another prior to SARS-CoV-2 vaccination, with follow up sampling 6 weeks after vaccination. Results were compared between rituximab-exposed (in previous 6 months), immunosuppression-exposed (in previous 3 months), and non-immunosuppressed groups. The immune cell phenotype was defined by flow cytometry and ELISA. Antigen specific T cell responses were estimated using a whole blood stimulation interferon-γ release assay. A focused post-vaccine assessment of rituximab-treated patients using high dimensional spectral cytometry was conducted. Acute SARS-CoV-2 infection was characterised by T cell lymphopenia, and a reduction in NK cells and naïve CD4 and CD8 cells, without any significant differences between immunosuppressed and non-immunosuppressed patient groups. Conversely, activated CD4 and CD8 cell counts increased in non-immunosuppressed patients with acute SARS-CoV-2 infection but this response was blunted in the presence of immunosuppression. In rituximab-treated patients, antigen-specific T cell responses were preserved in SARS-CoV-2 vaccination, but patients were unable to mount an appropriate humoral response.

Indexed as

COVID-19COVID-19 VaccinesRituximabSARS-CoV-2VaccinationAdultAgedAntibodies, ViralCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleHumansImmunity, CellularImmunity, HumoralImmunosuppression TherapyImmunosuppressive AgentsAntibodies, ViralCOVID-19 VaccinesImmunosuppressive AgentsRituximabCOVID-19immune responseimmunosuppressionrituximabSARS-CoV-2vaccine

Identifiers

PMID38791279
PMCPMC11120762

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.