Evidence map›Paper›PMID 41425555›Full record

ReviewFrontiers in immunology2025

Secondary antibody deficiencies: what's around the corner?

Gianluca Lagnese, Carla Messuri, Remo Poto, Gilda Varricchi, Giuseppe Spadaro

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Gianluca LagneseDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Carla MessuriDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Remo PotoDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Gilda VarricchiDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Giuseppe SpadaroWorld Allergy Organization (WAO) Center of Excellence, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Secondary antibody deficiencies (SADs) are characterized by impaired humoral immunity, which can cause recurrent and severe infections. Several factors may contribute to SAD development, making it difficult to establish a clear etiological classification. This heterogeneity also leads to clinical variability, further complicating patient management and treatment strategies. Various diagnostic and therapeutic algorithms are often adapted from those used in primary antibody deficiencies, potentially resulting in under- or over-treatment. Key points include the decision to initiate Immunoglobulin Replacement Therapy (IgRT) and the duration of the treatment. Given the increasing prevalence of SADs and the limited availability of immunoglobulin products, it is important to clarify when IgRT should be started. In this review, we summarize and update the different etiologies of SADs and propose a diagnostic algorithm applicable regardless of the underlying cause. We also examine the possible treatment options and diagnostic tools that can assist in making the correct therapeutic choice.

Indexed as

Immunologic Deficiency SyndromesAlgorithmsHumansImmunity, HumoralImmunization, PassiveImmunoglobulinsImmunoglobulinsalgorithm decisionantibodydeficiencyhematological abnormalityhypogammaglobulinemiaimmunologysecondary

Identifiers

PMID41425555
PMCPMC12711868

What OpenQuestion holds

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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.