Rita Carsetti studies how the immune system reacts to vaccines, especially in young people with juvenile idiopathic arthritis (JIA) who are on specific medications that affect their immune function. She also investigates how the absence of the spleen impacts immune memory after vaccinations in both adults and children. Her research sheds light on the vaccine responses in these unique populations, identifying potential risks and needs for enhanced vaccination strategies.
Key findings
43% of young patients with juvenile idiopathic arthritis on TNF inhibitors had reduced levels of high-quality memory B cells and neutralizing antibodies after three COVID-19 vaccine doses.
Adults without a spleen showed a significant decrease in memory B and T cells one year after vaccination, despite having normal antibody levels.
The GRAd-COV2 vaccine generated strong immune responses with higher levels of antibodies and T-cells after a second shot, indicating durable immunity against SARS-CoV-2 variants.
Frequently asked questions
Does Dr. Carsetti study juvenile idiopathic arthritis?
Yes, she studies how juvenile idiopathic arthritis and its treatment impact vaccine effectiveness.
What vaccines has Dr. Carsetti researched?
She has researched the effectiveness of the GRAd-COV2 COVID-19 vaccine and its immune responses.
Is Dr. Carsetti's work relevant to patients without a spleen?
Yes, her research specifically addresses the increased infection risks and vaccination needs for patients who have had their spleens removed or were born without one.
Publications in plain English
Impaired Generation of High-Affinity Memory B Cells and Neutralizing Antibodies Against SARS-CoV-2 in Adolescents and Young Adults With Juvenile Idiopathic Arthritis Treated With Tumor Necrosis Factor Inhibitors.
2026
ACR open rheumatology
Aquilani A, Marinaro F, Tarantino G, Caiello I, Nobili L +8 more
Plain English This study looked at how well SARS-CoV-2 vaccines work in young people with juvenile idiopathic arthritis (JIA) who are treated with certain medications called tumor necrosis factor inhibitors (TNFi). It found that 43% of these patients had fewer high-quality memory B cells and neutralizing antibodies after three vaccine doses, indicating a weaker immune response compared to healthy individuals. This matters because it shows that young patients with JIA who are on TNFi may not be getting enough protection from COVID-19, suggesting they might need extra help with vaccinations, like booster shots.
Who this helps: This helps patients with juvenile idiopathic arthritis and their doctors understand vaccination needs better.
T and B cell responses in different immunization scenarios for COVID-19: a narrative review.
2025
Frontiers in immunology
Piano Mortari E, Ferrucci F, Zografaki I, Carsetti R, Pacelli L
Plain English This paper looked at how different vaccine strategies against COVID-19 trigger immune responses. It found that mRNA vaccines like Moderna and Pfizer produce stronger and longer-lasting immune responses compared to adenovirus-based vaccines. Combining different types of vaccines (heterologous vaccination) or having both vaccination and a prior COVID-19 infection (hybrid immunity) can lead to better protection against the virus and its variants.
Who this helps: This helps patients by improving their vaccine effectiveness and immunity against COVID-19.
Inflammatory signatures and immunomodulation in neonates: a pilot study.
2025
La Clinica terapeutica
Leonardi L, Pennetta V, Laitano R, Carsetti R, Duse M +5 more
Plain English This study looked at how newborns' immune systems respond to infections compared to adults. Researchers found that full-term newborns had higher levels of important inflammation markers, IL-6 and TNF-α, when their blood was stimulated, indicating stronger inflammatory responses than in preterm newborns or those with other conditions. These findings highlight the differences in immune responses among newborns and suggest that certain treatments targeting inflammation could improve care for vulnerable infants.
Who this helps: This helps newborns, especially preterm infants or those with infections.
Profile of Selected MicroRNAs as Markers of Sex-Specific Anti-S/RBD Response to COVID-19 mRNA Vaccine in Health Care Workers.
2025
International journal of molecular sciences
Anticoli S, Dorrucci M, Iessi E, Zaffina S, Carsetti R +3 more
Plain English This study looked at how the immune response to the COVID-19 mRNA vaccine differs between men and women, focusing on certain microRNAs in health care workers. Researchers found that women had higher levels of miR-221-3p and miR-148a-3p, while men had more miR-155-5p after vaccination. These differences could help us understand how to tailor vaccines for better effectiveness in different sexes, as it showed that women had a specific link between miR-148a-3p levels and their immune response to the vaccine.
Who this helps: This helps patients, particularly women, in getting vaccines that work better for them.
Mutations in the Key Autophagy Tethering Factor EPG5 Link Neurodevelopmental and Neurodegenerative Disorders Including Early-Onset Parkinsonism.
2025
Annals of neurology
Dafsari HS, Deneubourg C, Singh K, Maroofian R, Suprenant Z +136 more
Plain English This study looked at how mutations in the EPG5 gene, important for a process called autophagy that helps clear damaged cells, affect brain development and lead to disorders like early-onset Parkinson's disease. Researchers analyzed the data from 211 patients with EPG5 mutations and found that symptoms varied widely, from severe developmental issues to milder neurological problems that can start in adolescence, affecting movement and cognitive function. The research also showed that these mutations cause cell defects that may explain the neurodegenerative symptoms, underscoring the link between developmental and degenerative brain diseases.
Who this helps: This helps patients with EPG5 mutations and their families by providing insights into their conditions.
Advocating mucosal immunization: A global need in a viewpoint from China.
2025
Innovation (Cambridge (Mass.))
Boraschi D, Carsetti R, Chen L, Tagliabue A, Tan AT +1 more
Plain English This paper explores the benefits of mucosal immunization, like nasal or oral vaccines, which can improve disease prevention by generating immune responses right where viruses and bacteria enter the body. In China, there's been a push to develop these types of vaccines, especially after the COVID-19 pandemic, but challenges remain due to a lack of understanding about how mucosal immunity works. Global collaboration among scientists, health organizations, and governments is essential to improve these vaccines and make them more accessible to everyone.
Who this helps: This helps patients, especially those in need of effective and easily administered vaccines.
Mapping B cells and the immune landscape of tertiary lymphoid structures reveals their clinical impact in neuroblastoma.
2025
Journal for immunotherapy of cancer
Melaiu O, Chierici M, Gragera P, Lazzaro N, Petrilli LL +16 more
Plain English This study looked at the role of B cells and special immune structures called tertiary lymphoid structures (TLS) in children with neuroblastoma, a type of cancer. Researchers found that B cells in tumors were connected to a better chance of survival; specifically, 87 tumor samples showed that well-organized TLSs with active B cells were common in localized tumors and linked to better outcomes, while immature TLSs in metastatic tumors were associated with poor immune response. These results indicate that B cells and TLSs could be important markers for predicting patient outcomes and developing new treatments for pediatric cancers.
Who this helps: Patients with neuroblastoma and their doctors.
From discovery to complexity: the evolving role of age-associated B cells in immunity, aging, and disease.
2025
Journal of immunology (Baltimore, Md. : 1950)
Carsetti R
Plain English This research examines the role of a specific type of immune cell, called age-associated B cells, in older individuals and their response to diseases. The study discusses findings that show these B cells increase in number as mice age and may play a crucial part in how the immune system functions in older populations. Understanding these cells is important because they can impact how age affects immunity and the body's ability to fight off diseases.
Who this helps: This helps patients, especially older adults at risk for infections and age-related diseases.
Impairment of Innate Immunity and Depletion of Vaccine-Induced Memory B and T Cells in the Absence of the Spleen.
2025
American journal of hematology
Bordoni V, Cinicola BL, Piano Mortari E, Castilletti C, Guarracino F +17 more
Plain English This study looked at how the absence of the spleen, either from surgery or being born without one, affects the immune system in both adults and children. Researchers found that adults without a spleen had significantly fewer memory B and T cells a year after vaccination, even though they had normal antibody levels. This decline in immune memory can increase the risk of infections and shows that the spleen plays a crucial role in keeping our immune systems functioning well.
Who this helps: This research benefits doctors and patients who have had their spleens removed or were born without one, helping them understand their increased infection risks and potential need for additional vaccinations.
Non-apoptotic FAS signaling controls mTOR activation and extrafollicular maturation in human B cells.
2024
Science immunology
Staniek J, Kalina T, Andrieux G, Boerries M, Janowska I +39 more
Plain English This study looked at how a certain signaling process, called FAS signaling, is not working properly in patients with a genetic condition known as autoimmune lymphoproliferative syndrome (ALPS). The researchers found that patients with ALPS have low numbers of memory B cells (the immune cells that remember past infections) and an unusually high activity of extrafollicular B cells, which are a different type of immune response. They discovered that a malfunction in FAS signaling leads to increased activity of a pathway (the mTOR pathway) that results in this imbalance, potentially causing the higher antibody levels seen in these patients (hypergammaglobulinemia).
Who this helps: This research benefits patients with ALPS and can inform doctors about their immune system issues.
Hyperactivation and altered selection of B cells in patients with paediatric Sjogren's syndrome.
2024
RMD open
Boni A, Nicolai R, Caiello I, Marinaro F, Farina L +5 more
Plain English This study looked at B and T cells in children with pediatric Sjögren's syndrome (pSS), a rare autoimmune illness that causes gland inflammation. The researchers found that children with pSS had higher levels of a protein called BAFF and more autoreactive B cells—cells that mistakenly attack the body—compared to healthy kids. Specifically, the number of certain B cells was skewed, indicating that these immune cells are overly active in pSS patients, which may not improve with current treatments.
Who this helps: This research benefits children with pediatric Sjögren's syndrome and their doctors by highlighting the need for better-targeted therapies.
SARS-CoV-2-specific mucosal immune response in vaccinated versus infected children.
2024
Frontiers in cellular and infection microbiology
Conti MG, Piano Mortari E, Nenna R, Pierangeli A, Sorrentino L +12 more
Plain English This study looked at how children's immune systems respond to COVID-19 vaccination versus natural infection. It found that 28% of children tested had immunity in their saliva from previous undiagnosed infections before getting vaccinated, and those who had COVID-19 were better at producing specific saliva antibodies after infection than those who were just vaccinated. This matters because understanding how children's immune responses differ can help improve vaccines to better protect them.
Who this helps: This helps children, their parents, and healthcare providers.
TLR2/4 are novel activating receptors for SARS-CoV-2 spike protein on NK cells.
2024
Frontiers in immunology
Landolina N, Ricci B, Veneziani I, Alicata C, Mariotti FR +9 more
Plain English This study looked at how the spike protein of the SARS-CoV-2 virus affects natural killer (NK) cells, which are important for the immune response. The researchers found that the spike protein from different virus strains could activate NK cells by binding to specific receptors called TLR2 and TLR4. They observed that these spike proteins significantly increased the activity of NK cells in most patients, especially those who had recovered from COVID-19, which is important because it shows how NK cells might play a role in fighting the virus.
Who this helps: Patients recovering from COVID-19 and healthcare providers managing their care.
B Cells Isolated from Individuals Who Do Not Respond to the HBV Vaccine Are Characterized by Higher DNA Methylation-Estimated Aging Compared to Responders.
2024
Vaccines
Kwiatkowska KM, Anticoli S, Salvioli S, Calzari L, Gentilini D +6 more
Plain English This study looked at how the biological age of B cells relates to the body’s response to the hepatitis B vaccine in healthcare workers, particularly those who do and do not respond well to the vaccine. Researchers found that B cells from non-responders were biologically older, with an accelerated aging rate, particularly in females. Specifically, they observed that non-responders had higher estimates of biological aging and certain health markers that suggest they may not effectively respond to the vaccination.
Who this helps: This research benefits healthcare workers and patients who may struggle to develop immunity from the hepatitis B vaccine.
Antibodies in breast milk: Pro-bodies designed for healthy newborn development.
2024
Immunological reviews
Verhasselt V, Tellier J, Carsetti R, Tepekule B
Plain English This study looked at how antibodies in a mother’s breast milk help newborns develop a strong immune system and fight off diseases. The research showed that these antibodies not only protect against infections but also play a role in reducing the risk of allergies and may improve the baby’s gut health. Understanding how these milk antibodies support healthy development could lead to better healthcare practices for newborns.
Who this helps: This benefits newborns and their mothers, as well as healthcare providers.
Pediatric brain tumor patients display altered immune activation and reduced lymphopoiesis at the onset of disease.
2024
NPJ precision oncology
Rosichini M, Del Baldo G, De Luca CD, Benini F, Genah S +10 more
Plain English This study looked at the immune systems of 83 children with brain tumors when they were first diagnosed. Researchers found that children with high-grade gliomas had fewer immune cells and their T-cell function was impaired, while those with low-grade gliomas had increased T-cell activity but still showed issues with B-cell formation. Understanding these immune changes is important because it can lead to better treatment strategies for these young patients.
Who this helps: This helps pediatric patients with brain tumors and their doctors.
Humoral and cellular immune response after mRNA SARS-CoV-2 vaccine in children on treatment for cancer: A pilot observational study.
2024
Heliyon
Mastronuzzi A, Carsetti R, De Ioris MA, Agrati C, Del Baldo G +17 more
Plain English This study examined how effective the COVID-19 vaccine is in children with cancer and those who have had stem cell transplants. Among 35 children vaccinated, 79.3% developed antibodies after two doses, with the best response seen in those who had stem cell transplants (100%). The findings show that a significant number of children with solid tumors (18.2%) and blood cancers (33.3%) didn't respond well to the vaccine, which highlights the need for more targeted protections for these vulnerable groups.
Who this helps: This research helps children with cancer and their doctors by providing important insights into their COVID-19 vaccine responses.
Epigenetic Drift Is Involved in the Efficacy of HBV Vaccination.
2024
Vaccines
Ferraresi F, Anticoli S, Salvioli S, Pirazzini C, Calzari L +8 more
Plain English This study looked at why some people do not develop enough protection from the hepatitis B vaccine. Researchers found that in a group of 30 people who didn’t respond well to the vaccine, there was a buildup of specific DNA changes linked to their immune response. They discovered that these changes were more common in older individuals and were connected to areas of DNA that help the immune system work properly.
Who this helps: This research benefits patients who receive the HBV vaccine, especially older adults, by helping to identify those who might need additional support.
COVID-19 Severity, Cardiological Outcome, and Immunogenicity of mRNA Vaccine on Adult Patients With 22q11.2 DS.
2023
The journal of allergy and clinical immunology. In practice
Pulvirenti F, Mortari EP, Putotto C, Terreri S, Fernandez Salinas A +10 more
Plain English This study looked at how COVID-19 affected adults with 22q11.2 deletion syndrome and how well these patients responded to the mRNA vaccine. Out of 60 patients, 21 caught COVID-19, mostly after vaccination, but the illness was mild for all except one unvaccinated person who died (a 5% death rate). The researchers found that while most patients had a good immune response to the vaccine, those with low white blood cell counts may need extra doses to ensure better protection.
Who this helps: This information benefits patients with 22q11.2 deletion syndrome and their doctors by helping to guide vaccination strategies.
Dual stimulation by autoantigen and CpG fosters the proliferation of exhausted rheumatoid factor-specific CD21B cells in hepatitis C virus-cured mixed cryoglobulinemia.
2023
Frontiers in immunology
Del Padre M, Marrapodi R, Minafò YA, Piano Mortari E, Radicchio G +10 more
Plain English The study looked at how certain immune cells, specifically a type of B cell that is involved in mixed cryoglobulinemia (a health issue linked to hepatitis C), behave when stimulated with two molecules: a specific autoantigen and a substance called CpG. Researchers found that when these two were used together, the exhausted B cells were able to grow again, showing a significant restoration of their ability to proliferate. Understanding this interaction is important because it could help explain why some immune cells remain active after treatment for hepatitis C, potentially leading to ongoing health issues.
Who this helps: This research can benefit patients recovering from hepatitis C and their doctors by providing insights into their ongoing treatment and care.
Inflammatory and senescence-associated mediators affect the persistence of humoral response to COVID-19 mRNA vaccination in transfusion-dependent beta-thalassemic patients.
2023
American journal of hematology
Bordoni V, Casale M, Pinto VM, Carsetti R, Gianesin B +16 more
Influence of Defatting and Pasteurization on Nutrients and Oxidative Stress Markers in Human Milk.
2023
Journal of human lactation : official journal of International Lactation Consultant Association
D'Alessandro A, Pastore A, Amadio P, D'Agostini M, Terreri S +7 more
Plain English This study looked at how a technique called defatting, which removes fat from human milk, affects the nutrients and safety of the milk when it’s prepared for babies with specific health issues. Researchers found that, using a low-temperature method, they could reduce the fat content by 85% without harming most nutrients, though iron levels dropped by 36%. This matters because it means that infants needing low-fat milk can still receive almost all the essential nutrients safely.
Who this helps: This helps babies with fat transport disorders and their caregivers.
Persistently active interferon-γ pathway and expansion of T-betB cells in a subset of patients with childhood-onset systemic lupus erythematosus.
2023
European journal of immunology
Moneta GM, Bracaglia C, Caiello I, Farroni C, Pires Marafon D +11 more
Plain English This study focused on understanding how certain proteins, specifically IFN-γ and IFN-α, affect the immune system in children with systemic lupus erythematosus (SLE), an autoimmune disease. Researchers found that levels of proteins associated with IFN-γ, including CXCL9 and CXCL10, were higher in patients with childhood SLE, and these levels remained elevated even after starting immunosuppressive treatment. This is important because it highlights that IFN-γ is particularly active in these patients and suggests that targeting this pathway could lead to better treatments.
Who this helps: This helps patients with childhood-onset systemic lupus erythematosus.
Natural killer cells and innate lymphoid cells 1 tune anxiety-like behavior and memory in mice via interferon-γ and acetylcholine.
2023
Nature communications
Garofalo S, Cocozza G, Mormino A, Bernardini G, Russo E +15 more
Plain English This study investigated how specific immune cells in mice influence brain functions related to anxiety and memory. Researchers discovered that immune cells produce substances that affect how neurons communicate, impacting behaviors like anxiety and memory formation. For instance, one substance, interferon-γ, helps with memory, while another, acetylcholine, affects anxiety-related behavior. Understanding this connection is important because it reveals how the immune system can influence our brain and mental health.
Who this helps: This helps researchers and doctors understand potential new ways to treat anxiety and memory issues.
Functional CVIDs phenotype clusters identified by the integration of immune parameters after BNT162b2 boosters.
2023
Frontiers in immunology
Piano Mortari E, Pulvirenti F, Marcellini V, Terreri S, Salinas AF +22 more
Plain English This study looked at how patients with Common Variable Immune Deficiencies (CVIDs) respond to COVID-19 vaccines by examining their immune responses after getting boosters. They analyzed 47 patients and discovered that while 63.8% had antibodies, only 30% showed strong immune memory, leading to different responses among four identified patient groups. This matters because understanding these immune responses can help tailor vaccination strategies for CVIDs patients, ensuring better protection against infections.
Who this helps: This helps patients with CVIDs and their healthcare providers.
Age and memory B cells at baseline are associated with risk of relapse and memory B-cell reappearance following anti-CD20 treatment in pediatric frequently-relapsing/steroid-dependent nephrotic syndrome.
2023
Kidney international
Colucci M, Angeletti A, Zotta F, Carsetti R, Lugani F +5 more
Plain English This study looked at 102 children with a kidney condition called frequently-relapsing/steroid-dependent nephrotic syndrome, who were treated with a specific medication that reduces certain immune cells. The researchers found that about 61% of these children relapsed within two years after treatment, and those older than 9.8 years had a lower chance of relapse. Additionally, higher levels of certain immune cells, called memory B cells, at the time of treatment were linked to a higher relapse risk and faster recovery of these cells.
Who this helps: This information is valuable for doctors treating children with this kidney condition, allowing them to better assess relapse risks based on age and memory B cell levels.
Lower magnitude and faster waning of antibody responses to SARS-CoV-2 vaccination in anti-TNF-α-treated IBD patients are linked to lack of activation and expansion of cTfh1 cells and impaired B memory cell formation.
2023
EBioMedicine
Garner-Spitzer E, Wagner A, Gudipati V, Schoetta AM, Orola-Taus M +14 more
Plain English This study looked at how well patients with inflammatory bowel disease (IBD) who are treated with anti-TNF-α medications respond to COVID-19 vaccinations compared to other groups. It found that these patients had much lower levels of antibodies and their protection decreased faster; specifically, their antibody levels dropped to undetectable levels six months after vaccination, while higher levels were maintained in other groups. This matters because it shows that IBD patients on anti-TNF-α treatment may need different vaccination strategies to ensure they are adequately protected against COVID-19.
Who this helps: This helps patients with inflammatory bowel disease and their healthcare providers.
SARS-CoV-2 pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) provides protection in inborn errors of immunity with antibody defects: a real-world experience.
2023
Frontiers in immunology
Pulvirenti F, Garzi G, Milito C, Sculco E, Sciannamea M +9 more
Plain English This study looked at how effective a preventive treatment called tixagevimab/cilgavimab (AZD7442) was in protecting patients with specific immune system defects from severe COVID-19 during the Omicron wave. Out of 33 patients receiving AZD7442, only 6 (18%) got infected compared to 54 out of 170 (32%) who did not receive the treatment, showing that those on AZD7442 were 85% less likely to get infected. Although the protection decreased over time, it shows that this treatment could be helpful in preventing severe COVID-19 for patients with compromised immune systems.
Who this helps: This benefits patients with inborn errors of immunity and their doctors.
Immunological characterization of an Italian PANDAS cohort.
2023
Frontiers in pediatrics
Leonardi L, Lorenzetti G, Carsetti R, Piano Mortari E, Guido CA +5 more
Plain English In this study, researchers examined 26 children diagnosed with PANDAS, a condition linked to strep infections, and compared them to 11 children with throat infections. They found that PANDAS patients had higher levels of certain immune markers (TNF-alpha and IL-17) and lower levels of another marker (C3), which suggests a connection between inflammation and ongoing neuropsychiatric symptoms in these children. This matters because understanding the immune profile of PANDAS can lead to better management of the condition and its symptoms.
Who this helps: This helps patients with PANDAS and their families, as well as doctors treating them.
Defective peripheral B cell selection in common variable immune deficiency patients with autoimmune manifestations.
2023
Cell reports
Friman V, Quinti I, Davydov AN, Shugay M, Farroni C +22 more
Plain English This study looked at how certain immune cells, called B cells, function in patients with Common Variable Immune Deficiency (CVID) who also have autoimmune issues. Researchers found that while some aspects of B cell development are working well, other parts are not—especially for those with autoimmune symptoms, who have trouble activating their immune responses. Specifically, they noticed that these patients have more abnormal B cells but less effective selection of mature B cells, which may contribute to their autoimmune problems.
Who this helps: This research benefits both patients with CVID and their doctors by providing insights into why some patients develop autoimmune diseases.
GRAd-COV2 vaccine provides potent and durable humoral and cellular immunity to SARS-CoV-2 in randomized placebo-controlled phase 2 trial.
2023
Cell reports. Medicine
Capone S, Fusco FM, Milleri S, Borrè S, Carbonara S +34 more
Plain English This study tested a new COVID-19 vaccine called GRAd-COV2 to see how well it works and how safe it is. Researchers found that one shot of the vaccine generated strong immune responses, and giving a second shot boosted the effectiveness, particularly in creating antibodies and T-cells that fight virus variants. This is important because it shows that this vaccine could provide strong and lasting protection against COVID-19.
Who this helps: This helps patients who need effective COVID-19 vaccination options.
Severe Acute Respiratory Syndrome Coronavirus 2 Monoclonal Antibody Combination Therapy in Patients With Coronavirus Disease 2019 and Primary Antibody Deficiency.
2022
The Journal of infectious diseases
Pulvirenti F, Milito C, Cinetto F, Fernandez Salinas A, Terreri S +9 more
Plain English This study looked at the effects of special antibody treatments on patients who have COVID-19 and a condition that makes their immune system weaker. The findings showed that patients who received these antibody treatments had a shorter time testing positive for the virus, just 22 days compared to 37 days for those who only got standard care. This is important because it indicates that these antibody therapies can help patients with immune deficiencies recover faster from COVID-19.
Who this helps: Patients with primary antibody deficiencies.
Comprehensive phenotyping of human peripheral blood B lymphocytes in pathological conditions.
2022
Cytometry. Part A : the journal of the International Society for Analytical Cytology
Carsetti R, Corrente F, Capponi C, Mirabella M, Cascioli S +5 more
Plain English This study looked at how different diseases affect a type of immune cell called B lymphocytes in the blood. Researchers found that understanding the various types of B cells can help in diagnosing diseases early. They provided methods to identify these B cell types in healthy people, which is crucial because some illnesses can disrupt B cell levels and functions.
Who this helps: This helps patients by improving early disease diagnosis and doctors by giving them better tools for assessment.
COVID-19-Associated Multisystem Inflammatory Syndrome in a Neonate with Atypical Coronary Artery Involvement.
2022
American journal of perinatology
Costa S, Delogu AB, Bottoni A, Purcaro V, D'Andrea V +10 more
Plain English This study focused on a newborn with a serious condition linked to COVID-19 that caused inflammation affecting multiple organs, including the heart. The baby showed unusual thickening of the walls of the coronary arteries, even though typical measures of the arteries' size appeared normal. This discovery is important because it highlights that neonates with COVID-19-related inflammation can have complex heart issues that standard imaging might miss, necessitating multiple imaging tests for accurate diagnosis.
Who this helps: This research benefits pediatricians and cardiologists treating infants.
Persistent B cell memory after SARS-CoV-2 vaccination is functional during breakthrough infections.
2022
Cell host & microbe
Terreri S, Piano Mortari E, Vinci MR, Russo C, Alteri C +25 more
Plain English This study looked at how well the immune system's memory B cells work after people are vaccinated against COVID-19, even when they later catch the virus despite being vaccinated. Researchers found that while the levels of antibodies in the blood decreased over time, the memory B cells continued to stick around and actually increased in numbers up to nine months after vaccination. Importantly, these memory B cells quickly responded to infections by producing specific antibodies to fight the virus, showing that even after breakthrough infections, the immune system remains capable of responding effectively.
Who this helps: This helps patients who have been vaccinated against COVID-19, especially those experiencing breakthrough infections.
Case Report: Precision COVID-19 Immunization Strategy to Overcome Individual Fragility: A Case of Generalized Lipodystrophy Type 4.
2022
Frontiers in immunology
Zaffina S, Piano Mortari E, Di Prinzio RR, Cappa M, Novelli A +6 more
Plain English A 48-year-old patient with a rare condition called generalized lipodystrophy type 4 did not have a proper immune response to two doses of a standard COVID-19 vaccine. To improve the situation, the doctors gave the patient an additional dose of a different vaccine, which led to a significant increase in antibodies and immune memory cells about ten days later, bringing their levels close to those seen in healthy healthcare workers. This matter because it shows that using a different type of vaccine can help individuals with specific health challenges respond better to immunization.
Who this helps: This helps patients with rare genetic disorders affecting their immune response.
Severe Acute Respiratory Syndrome Coronavirus 2 Infection Versus Vaccination in Pregnancy: Implications for Maternal and Infant Immunity.
2022
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Conti MG, Terreri S, Terrin G, Natale F, Pietrasanta C +6 more
Plain English This study looked at how COVID-19 infection and vaccination during pregnancy affect the immune responses of mothers and their babies. Researchers found that mothers vaccinated late in pregnancy had much higher levels of protective antibodies in their blood compared to those infected with the virus, while those who were infected produced more antibodies in breastmilk. This matters because it shows that getting vaccinated during pregnancy can better protect both the mother and the baby from COVID-19.
Who this helps: Pregnant women and their infants.
Mortality in Severe Antibody Deficiencies Patients during the First Two Years of the COVID-19 Pandemic: Vaccination and Monoclonal Antibodies Efficacy.
2022
Biomedicines
Milito C, Cinetto F, Palladino A, Garzi G, Punziano A +9 more
Plain English This study looked at how severe antibody deficiencies affected COVID-19 infection and death rates during the first two years of the pandemic in 471 adult patients. It found that 41 patients got infected in the first year and 84 in the second year, with those who died primarily having serious lung diseases. However, the overall death rate remained the same as in the previous ten years, and the use of monoclonal antibodies helped reduce hospitalizations and severe cases.
Who this helps: This research benefits patients with severe antibody deficiencies and their healthcare providers.
CD21CD27Atypical B Cells in a Pediatric Cohort Study: An Extensive Single Center Flow Cytometric Analysis.
2022
Frontiers in pediatrics
Corrente F, Terreri S, Palomba P, Capponi C, Mirabella M +2 more
Plain English This study looked at a type of immune cell called atypical B cells in children and how their numbers relate to various health issues. Researchers analyzed blood samples from 1,180 pediatric patients and found that atypical B cells made up more than 5% of B cells in many cases, especially in kids with immune disorders, autoimmune diseases, and other inflammatory conditions. This finding is important because it helps understand how these cells might be involved in children's health problems and could lead to better treatment options.
Who this helps: This helps pediatricians and healthcare providers working with children who have immune and autoimmune conditions.
T-Cell Defects Associated to Lack of Spike-Specific Antibodies after BNT162b2 Full Immunization Followed by a Booster Dose in Patients with Common Variable Immune Deficiencies.
2022
Cells
Pulvirenti F, Di Cecca S, Sinibaldi M, Piano Mortari E, Terreri S +9 more
Plain English This study looked at patients with Common Variable Immune Deficiencies (CVID) who received three doses of the mRNA COVID-19 vaccine. Researchers found that 36% of these patients did not produce antibodies against the virus, and those who didn’t respond had certain problems with their immune cells. Notably, 35% of the non-responders caught COVID-19 after being vaccinated, compared to 20% of those who did produce antibodies.
Who this helps: This research helps doctors and patients better understand the risks faced by those with CVID after vaccination.
The immune response as a double-edged sword: The lesson learnt during the COVID-19 pandemic.
2022
Immunology
Agrati C, Carsetti R, Bordoni V, Sacchi A, Quintarelli C +3 more
Plain English This research paper examines the immune response to COVID-19, showing that while our immune system can protect us, it can also worsen the disease. Scientists found that some parts of the immune response can help fight the virus, but others can trigger harmful inflammation and tissue damage. This understanding is crucial for improving vaccines and treatments and for managing how our bodies react to future infections.
Who this helps: This benefits patients and healthcare providers by informing better treatment and prevention strategies.
Hydroxytyrosol Recovers SARS-CoV-2-PLpro-Dependent Impairment of Interferon Related Genes in Polarized Human Airway, Intestinal and Liver Epithelial Cells.
2022
Antioxidants (Basel, Switzerland)
Crudele A, Smeriglio A, Ingegneri M, Panera N, Bianchi M +7 more
Plain English This study looked at how a specific protein (PLpro) from the SARS-CoV-2 virus affects human airway, intestinal, and liver cells, particularly in relation to long-COVID symptoms. It found that this protein can trigger inflammation and cell damage, but treating the cells with a natural antioxidant called hydroxytyrosol (HXT) almost completely reversed these harmful effects when given at a dose of 10 micromoles. This matters because it suggests that natural compounds like HXT might help reduce the negative impacts of long-COVID on the body.
Who this helps: This helps patients suffering from long-COVID symptoms.
An inflammatory Signature of Glucose Impairment in Cystic Fibrosis.
2022
Journal of inflammation research
Montemari AL, Manco M, Fiocchi AG, Bartoli M, Facchiano F +8 more
Plain English This study examined young adults with cystic fibrosis (CF) to find out if specific inflammatory markers in their blood are linked to problems with blood sugar regulation and the development of cystic fibrosis-related diabetes (CFRD). Researchers analyzed blood samples from 64 patients and found that certain inflammatory substances, like PDGF-AA and IL13, were significantly higher in those with impaired glucose tolerance, indicating a direct connection between inflammation and diabetes risk. This matters because identifying these markers could help predict and manage CFRD more effectively in CF patients.
Who this helps: Patients with cystic fibrosis who are at risk of developing diabetes.
Lenti MV, Luu S, Carsetti R, Osier F, Ogwang R +6 more
Plain English This paper studies asplenia, which is when someone is born without a spleen or has had it removed, and hyposplenism, where the spleen doesn’t work properly. Researchers found that these conditions make people more at risk for severe infections, especially from certain bacteria, and highlight the need for better vaccination and antibiotic strategies to protect these patients. Improving early detection and education for those at risk can help lower the chance of dangerous post-surgery infections.
Who this helps: This helps patients who are at risk for infections due to spleen issues and their healthcare providers.
Evaluation of humoral and cellular response to four vaccines against COVID-19 in different age groups: A longitudinal study.
2022
Frontiers in immunology
Fedele G, Trentini F, Schiavoni I, Abrignani S, Antonelli G +26 more
Plain English This study examined how well four COVID-19 vaccines work in different age groups by tracking immune responses over six months. Researchers looked at nearly 2,500 people who received vaccines like Comirnaty and Spikevax and found that mRNA vaccines led to stronger immune responses compared to others. However, older adults showed weaker responses and had more trouble fighting off newer variants like Delta and Omicron.
Who this helps: This helps patients, especially older adults, understand the effectiveness of their COVID-19 vaccinations.
The BNT162b2 vaccine induces humoral and cellular immune memory to SARS-CoV-2 Wuhan strain and the Omicron variant in children 5 to 11 years of age.
2022
Frontiers in immunology
Cinicola BL, Piano Mortari E, Zicari AM, Agrati C, Bordoni V +15 more
Plain English This study looked at how the BNT162b2 vaccine affects the immune responses of children aged 5 to 11 against the original SARS-CoV-2 virus and the Omicron variant. Researchers found that all 27 children who received the vaccine developed strong immune responses, including antibodies and memory cells. Notably, 50% of the children had signs of a past infection they didn't know about, which helped them produce even more antibodies and immune cells targeting both virus types.
Who this helps: This benefits children, especially those in the 5 to 11 age group, by enhancing their protection against COVID-19.
B Cell Response Induced by SARS-CoV-2 Infection Is Boosted by the BNT162b2 Vaccine in Primary Antibody Deficiencies.
2021
Cells
Pulvirenti F, Fernandez Salinas A, Milito C, Terreri S, Piano Mortari E +13 more
Plain English This study looked at how patients with a specific immune condition called common variable immunodeficiency (CVID) respond to SARS-CoV-2 infection and the BNT162b2 COVID-19 vaccine. Researchers found that 82% of patients who had COVID-19 developed strong antibody responses, compared to only 34% of those who were just vaccinated. Vaccination after infection improved the immune response further, indicating that additional vaccine doses could enhance protection for these patients.
Who this helps: This research benefits patients with primary antibody deficiencies like CVID by identifying ways to strengthen their immune responses to COVID-19.
The Immune Response to SARS-CoV-2 Vaccination: Insights Learned From Adult Patients With Common Variable Immune Deficiency.
2021
Frontiers in immunology
Quinti I, Locatelli F, Carsetti R
Plain English This study looked at how patients with Common Variable Immune Deficiency (CVID) respond to COVID-19 vaccinations. Researchers found that while these patients generated some immune responses, such as certain types of antibodies and T-cells, the responses were often weaker compared to healthy individuals. Notably, after vaccination, many CVID patients did not develop the typical memory B cells that are crucial for long-term immunity.
Who this helps: This helps patients with CVID, as well as their doctors, by highlighting the need for tailored vaccination strategies.