Evidence map›Paper›PMID 39295862›Full record

ArticleFrontiers in immunology2024

The immune response to Covid-19 mRNA vaccination among Lymphoma patients receiving anti-CD20 treatment.

Edina Komlodi-Pasztor, Marta Escarra-Senmarti, Danielle A Bazer, Aastha Bhatnagar, Carlos A Perez Heydrich, Marcus Messmer, Richard F Ambinder, Douglas E Gladstone, Laura Clayton, Amy Goodrich and 6 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 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. Review
  2. Observational
  3. 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

16 authors.

Edina Komlodi-PasztorDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Marta Escarra-SenmartiDepartment of Pathology, Division of Clinical Immunology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Danielle A BazerDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Aastha BhatnagarDepartment of Neurology, MedStar Georgetown University Hospital, Washington, DC, United States.
Carlos A Perez HeydrichDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Marcus MessmerDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Richard F AmbinderDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Douglas E GladstoneDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Laura ClaytonDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Amy GoodrichDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Laura SchochDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Nina Wagner-JohnstonDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Christopher J VandenBusscheDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Peng HuangDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Matthias Holdhoff *Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Maximillian Rosario *Department of Pathology, Division of Clinical Immunology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI ALAN KEITH MEEKER · 1985 to 2026
$208.6M
NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

The monoclonal antibody rituximab improves clinical outcome in the treatment of CD20-positive lymphomatous neoplasms, and it is an established drug for treatment of these cancers. Successful mRNA COVID-19 (SARS-CoV-2) vaccination is extremely important for lymphoma patients because they tend to be elderly with comorbidities which leaves them at increased risk of poor outcomes once infected by Coronavirus. Anti-CD20 therapies such as rituximab, deplete B-cell populations and can affect vaccine efficacy. Therefore, a knowledge of the effect of COVID-19 vaccination in this group is critical. We followed a cohort of 28 patients with CD20-positive lymphomatous malignancies treated with rituximab that started prior to their course of COVID-19 vaccination, including boosters. We assayed for vaccine "take" in the humoral (IgG and IgA) and cellular compartment. Here, we show that short-term and long-term development of IgG and IgA antibodies directed toward COVID-19 spike protein are reduced in these patients compared to healthy controls. Conversely, the robustness and breath of underlying T-cell response is equal to healthy controls. This response is not limited to specific parts of the spike protein but spans the spike region, including response to the conserved Receptor Binding Domain (RBD). Our data informs on rational vaccine design and bodes well for future vaccination strategies that require strong induction of T-cell responses in these patients.

Indexed as

Antibodies, ViralCOVID-19COVID-19 VaccinesLymphomaRituximabSARS-CoV-2AgedAged, 80 and overAntigens, CD20FemaleHumansImmunoglobulin AImmunoglobulin GMaleMiddle AgedmRNA VaccinesAntibodies, ViralAntigens, CD20COVID-19 VaccinesImmunoglobulin AImmunoglobulin GmRNA VaccinesRituximabSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2CD20COVID - 19lymphomamRNArituximabTcellvaccination

Identifiers

PMID39295862
PMCPMC11408186

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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.