Evidence map›Paper›PMID 34547496›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Differential pre-pandemic breast milk IgA reactivity against SARS-CoV-2 and circulating human coronaviruses in Ugandan and American mothers.

Thomas G Egwang, Tonny Jimmy Owalla, Emmanuel Okurut, Gonzaga Apungia, Alisa Fox, Claire De Carlo, Rebecca L Powell

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Thomas G EgwangHuman Milk and Lactation Research Center, Med Biotech Laboratories, Kampala, Uganda. Electronic address: tgegwang@gmail.com.
Tonny Jimmy OwallaHuman Milk and Lactation Research Center, Med Biotech Laboratories, Kampala, Uganda.
Emmanuel OkurutHuman Milk and Lactation Research Center, Med Biotech Laboratories, Kampala, Uganda.
Gonzaga ApungiaHuman Milk and Lactation Research Center, Med Biotech Laboratories, Kampala, Uganda.
Alisa FoxDepartment of Medicine, Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, USA.
Claire De CarloDepartment of Medicine, Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, USA.
Rebecca L PowellDepartment of Medicine, Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, USA. Electronic address: Rebecca.Powell@mssm.edu.
Icahn School of Medicine at Mount Sinai · USMildmay Uganda · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUganda has registered fewer coronavirus disease 2019 (COVID-19) cases and deaths per capita than Western countries. The lower numbers of cases and deaths might be due to pre-existing cross-immunity induced by circulating common cold human coronaviruses (HCoVs) before the COVID-19 pandemic. To investigate pre-existing mucosal antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of COVID-19, a comparison was performed of IgA reactivity to SARS-CoV-2 and HCoVs in milk from mothers collected in 2018.

methodsUgandan and United States milk samples were run on an ELISA to measure specific IgA to SARS-CoV-2 and HCoVs NL63, OC43, HKU1, and 229E spike proteins. Pooled plasma from United States SARS-CoV-2-positive and negative cases were positive and negative controls, respectively.

resultsOne Ugandan mother had high milk IgA reactivity against all HCoVs and SARS-CoV-2 spike proteins. Ugandan mothers had significantly higher IgA reactivity against the betacoronavirus HCoV-OC43 than United States mothers (P = 0.018). By contrast, United States mothers had significantly higher IgA reactivity against the alphacoronaviruses HCoV-229E and HCoV-NL63 than Ugandan mothers (P < 0.0001 and P = 0.035, respectively).

conclusionSome Ugandan mothers have pre-existing HCoV-induced IgA antibodies against SARS-CoV-2, which may be passed to infants via breastfeeding.

Indexed as

COVID-19SARS-CoV-2Antibodies, ViralCross ReactionsFemaleHumansImmunoglobulin AMilk, HumanMothersPandemicsUgandaUnited StatesAntibodies, ViralImmunoglobulin ABreast milk IgACOVID-19Cross-reactivityHuman coronavirusesSARS-CoV-2Spike proteins

Identifiers

PMID34547496
PMCPMC8450224
OpenAlexW3199394488

What OpenQuestion holds

Textmetadata
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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.