Evidence map›Paper›PMID 38940313›Full record

ArticleBrain and behavior2024

The effect of COVID-19 vaccination on multiple sclerosis activity as reflected by MRI.

Esther Ganelin-Cohen, Chen Buxbaum, Noam Bosak, Shani Sobol, Adi Vaknin-Dembinsky, Mark A Hellmann, Adi Wilf-Yarkoni, Keren Regev, Elizaveta Pustovoyt, Alla Shifrin and 2 more

Abstract read
In one paragraph

Article in Brain and behavior, 2024. 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
–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

1 citing paper in PubMed.

  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

12 authors.

Esther Ganelin-CohenNeuroimmunological Clinic, Institute of Pediatric Neurology, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
Chen BuxbaumDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Noam BosakDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Shani SobolDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Adi Vaknin-DembinskyUnit for Neuro-Immunology, Multiple Sclerosis & Cell Therapy, Department of Neurology, Hadassah Medical Center, Jerusalem, Israel.
Mark A HellmannSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Adi Wilf-YarkoniSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Keren RegevThe Neuroimmunology and Multiple Sclerosis Unit, Neurology Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Elizaveta PustovoytThe Neuroimmunology and Multiple Sclerosis Unit, Neurology Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Alla ShifrinDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.
Yair WexlerSchool of Neurobiology, Biochemistry and Biophysics, The George S. Wise Faculty of Life Sciences, Tel-Aviv University, Tel Aviv, Israel.
Ayal RozenbergDepartment of Neurology, Rambam Health Care Campus, Haifa, Israel.ORCID 0000-0002-9914-9715

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionExamining the safety of theBNT162b2 mRNA vaccine in multiple sclerosis (MS) patients remains inconclusive, particularly regarding the potential for disease exacerbations. This study aims to assess the effects of BNT162b2 COVID-19 vaccination on disease activity in MS patients through sequential MRI imaging.

methodsA retrospective study of 84 MS patients from five Israeli hospitals was conducted. MS lesion load was determined from three brain MRI scans, one postvaccination and two prevaccination scans. A post hoc analysis compared subgroups featuring vaccinated and unvaccinated patients respectively, with early onset MS.

resultsThe cohort included 70 women with early onset (mean age 16.4 ± 0.8 years) and adult onset (mean age 34.9 ± 1.1 years) MS. Among the early onset group, vaccinated patients showed an increased risk of new lesions (p = .00026), while there was no increased risk among adult-onset patients. Additionally, a comparison between early onset vaccinated and nonvaccinated groups revealed a higher risk of increased lesions in the vaccinated group (p = .024). DISCUSSION: Overall, the study suggests that the BNT162b2 vaccine is generally safe in MS patients, with no association found between vaccination and new lesions in most patients. However, close MRI follow-up is recommended for early-onset MS cases to monitor lesion development.

Indexed as

BNT162 VaccineCOVID-19COVID-19 VaccinesMagnetic Resonance ImagingMultiple SclerosisAdolescentAdultBrainFemaleHumansIsraelMaleRetrospective StudiesVaccinationYoung AdultBNT162 VaccineCOVID-19 VaccinesCOVID‐19disease‐modifying therapyexpanded disability status scalemRNA vaccinerelapsing‐remitting multiple sclerosis

Identifiers

PMID38940313
PMCPMC11212002

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Registered trials

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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.