Evidence map›Paper›PMID 42188791›Full record

ReviewVaccines2026

Vaccine-Induced Immunity in Children and Adolescents After Chemotherapy for Acute Lymphoblastic Leukemia: A Systematic Review.

Cláudia F C Valente, Heloisa Ihle Garcia Giamberardino, Tânia Cristina de Mattos Barros Petraglia, Cristiane Feitosa Salviano, Priscilla Lemos Gomes, Roberia Mendonça de Pontes, Maria Eduarda Canellas de Castro, Lis R V Antonelli, Olindo Assis Martins-Filho, Cleandro Pires de Albuquerque and 1 more

Abstract readReview
In one paragraph

Review in Vaccines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Cláudia F C ValenteHospital da Criança de Brasília José Alencar, Brasília 70684-831, Brazil.ORCID 0000-0003-0515-6971
Heloisa Ihle Garcia GiamberardinoHospital Pequeno Príncipe, Curitiba 80250-060, Brazil.ORCID 0000-0002-6638-6642
Tânia Cristina de Mattos Barros PetragliaSaúde da Criança e do Adolescente, Faculdade de Medicina Estácio de Sá, Rio de Janeiro 20071-004, Brazil.
Cristiane Feitosa SalvianoHospital da Criança de Brasília José Alencar, Brasília 70684-831, Brazil.ORCID 0000-0002-0221-6011
Priscilla Lemos GomesHospital Materno-Infantil de Brasília, Brasília 70684-831, Brazil.
Roberia Mendonça de PontesHospital da Criança de Brasília José Alencar, Brasília 70684-831, Brazil.
Maria Eduarda Canellas de CastroFaculdade de Medicina, Universidade de Brasília, Brasília 70684-831, Brazil.
Lis R V AntonelliInstituto René Rachou, Fundação Oswaldo Cruz-FIOCRUZ-Minas, Belo Horizonte 30190-003, Brazil.
Olindo Assis Martins-FilhoInstituto René Rachou, Fundação Oswaldo Cruz-FIOCRUZ-Minas, Belo Horizonte 30190-003, Brazil.ORCID 0000-0002-5494-4889
Cleandro Pires de AlbuquerquePrograma de Pós-Graduação em Ciências Médicas, Universidade de Brasília, Brasília 70684-831, Brazil.ORCID 0000-0002-9245-7504
Licia Maria Henrique da MotaPrograma de Pós-Graduação em Ciências Médicas, Universidade de Brasília, Brasília 70684-831, Brazil.ORCID 0000-0002-8182-5121

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute lymphoblastic leukemia is the most prevalent childhood cancer and the leading cause of cancer mortality before the age of 20. Although therapeutic advances have significantly improved survival, children and adolescents treated for acute lymphoblastic leukemia remain vulnerable to infections, largely preventable by vaccination, due to humoral and cellular immune dysfunction induced by disease and treatment. MATERIALS AND

methodsThis systematic review, based on electronic databases, aims to evaluate antibody levels associated with potential protective immunity against vaccine antigens for diphtheria, pertussis, tetanus, poliomyelitis,

resultsA total of twenty-four studies published between 1981 and 2023 were included, comprising 1110 children and adolescents. Protective antibody levels ranged from 11% to 97% for diphtheria, 0% to 90% for pertussis, 20% to 100% for tetanus, and 11% to 95% for poliomyelitis.

conclusionsThis review found a consistent and clinically relevant loss of vaccine-induced immunity in children and adolescents treated for acute lymphoblastic leukemia. The recommendation of vaccine booster doses for this vulnerable population, irrespective of serological status, may represent a more practical approach to ensuring adequate post-chemotherapy treatment protection.

Indexed as

acute lymphoblastic leukemiachemotherapyimmunosuppressionvaccine

Identifiers

PMID42188791
PMCPMC13211610

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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.