Evidence map›Paper›PMID 39937891›Full record

ArticleScience advances2025

Humoral responses to SARS-CoV-2 vaccine in vasculitis-related immune suppression.

Kimia Kamelian, Benjamin Sievers, Michael Chen-Xu, Sam Turner, Mark Tsz Kin Cheng, Mazharul Altaf, Steven A Kemp, Adam Abdullahi, Kata Csiba, Dami A Collier and 10 more

Abstract read
In one paragraph

Article in Science advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

20 authors.

Kimia KamelianSchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0000-0003-3465-1285
Benjamin SieversCambridge Institute of Therapeutic Immunology and Infectious Disease (CITIID), Cambridge, Cambridgeshire, UK.ORCID 0000-0002-9681-9082
Michael Chen-XuSchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.
Sam TurnerCenter for Pathogen Evolution, Department of Zoology, University of Cambridge, Cambridge CB2 3EJ, UK.
Mark Tsz Kin ChengSchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0000-0003-4323-5574
Mazharul AltafSchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0009-0006-0557-5489
Steven A KempCambridge Institute of Therapeutic Immunology and Infectious Disease (CITIID), Cambridge, Cambridgeshire, UK.ORCID 0000-0001-7077-6793
Adam AbdullahiCambridge Institute of Therapeutic Immunology and Infectious Disease (CITIID), Cambridge, Cambridgeshire, UK.ORCID 0000-0001-9703-8264
Kata CsibaSchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.
Dami A CollierSchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0000-0001-5446-4423
Petra MlcochovaCambridge Institute of Therapeutic Immunology and Infectious Disease (CITIID), Cambridge, Cambridgeshire, UK.
Bo MengCambridge Institute of Therapeutic Immunology and Infectious Disease (CITIID), Cambridge, Cambridgeshire, UK.
Rachel B JonesCambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, Cambridgeshire, UK.ORCID 0000-0003-4790-283X
CITIID-NIHR BioResource COVID-19 Collaboration
Derek SmithCenter for Pathogen Evolution, Department of Zoology, University of Cambridge, Cambridge CB2 3EJ, UK.ORCID 0000-0002-2393-1890
John BradleySchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0000-0002-7774-8805
Kenneth G C SmithThe Walter and Eliza Hall Institute of Medical Research (WEHI), Parkville, VIC 3052, Australia.ORCID 0000-0003-3829-4326
Rainer DoffingerDepartment of Clinical Biochemistry and Immunology, Addenbrooke's Hospital, Cambridge, UK.ORCID 0000-0002-9841-3617
Rona M SmithSchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.
Ravindra K GuptaSchool of Clinical Medicine, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0000-0001-9751-1808

Funding

Wellcome Trust
6 · The paper itself

Abstract

Immune suppression poses a challenge to vaccine immunogenicity. We show that serum antibody neutralization against SARS-CoV-2 Omicron descendants was largely absent post-doses 1 and 2 in individuals with vasculitis treated with rituximab. Detectable and increasing neutralizing titers were observed post-doses 3 and 4, except for XBB. Rituximab in vasculitis exacerbates neutralization deficits over standard immunosuppressive therapy, although impairment resolves over time since dosing. We observed discordance between detectable IgG binding and neutralizing activity specifically in the context of rituximab use, with high proportions of individuals showing reasonable IgG titer but no neutralization. ADCC response was more frequently detectable compared to neutralization in the context of rituximab, indicating that a notable proportion of binding antibodies are non-neutralizing. Therefore, use of rituximab is associated with severe impairment in neutralization against Omicron descendants despite repeated vaccinations, with better preservation of non-neutralizing antibody activity.

Indexed as

COVID-19COVID-19 VaccinesImmunity, HumoralSARS-CoV-2VasculitisAdultAgedAntibodies, NeutralizingAntibodies, ViralFemaleHumansImmunoglobulin GImmunosuppressive AgentsMaleMiddle AgedRituximabAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesImmunoglobulin GImmunosuppressive AgentsRituximab

Identifiers

PMID39937891
PMCPMC11817922

What OpenQuestion holds

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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.