Evidence map›Paper›PMID 34586068›Full record

ArticleeLife2021

mRNA vaccination in people over 80 years of age induces strong humoral immune responses against SARS-CoV-2 with cross neutralization of P.1 Brazilian variant.

Helen Parry, Gokhan Tut, Rachel Bruton, Sian Faustini, Christine Stephens, Philip Saunders, Christopher Bentley, Katherine Hilyard, Kevin Brown, Gayatri Amirthalingam and 15 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.5field-weighted citation impact, top 8% 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

35 citing papers in PubMed, 41 citations in OpenAlex.

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  19. Covid-19 vaccines and variants of concern: A review.Reviews in medical virology · 2022
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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

25 authors at 2 institutions in 2 countries.

Helen ParryInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Gokhan TutInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Rachel BrutonInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Sian FaustiniInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Christine StephensInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Philip SaundersClinical Lead, Quinton and Harborne PCN, Ridgacre House Surgery, Quinton, United Kingdom.
Christopher BentleyInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Katherine HilyardVaccine Taskforce, Department for Business, Energy and Industrial Strategy, London, United Kingdom.
Kevin BrownNational infection Service, Public Health England, London, United Kingdom.
Gayatri AmirthalingamNational infection Service, Public Health England, London, United Kingdom.
Sue CharltonNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Stephanie LeungNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.ORCID 0000-0002-8880-2977
Emily ChiplinNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Naomi S CoombesNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Kevin R BewleyNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Elizabeth J PennNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Cathy RoweNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Ashley OtterNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Rosie WattsNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Silvia D'ArcangeloNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Bassam HallisNational infection Service, Public Health England, Porton Down, Salisbury, United Kingdom.
Andrew MakinOxford Immunotec Ltd, Abingdon, United Kingdom.
Alex RichterInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Jianmin ZuoInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-6895-1967
Public Health England · GBInstitute of Immunology · HR

Funding

Medical Research Council MC_PC_20031Medical Research Council MC_PC_20060
6 · The paper itself

Abstract

Age is the major risk factor for mortality after SARS-CoV-2 infection and older people have received priority consideration for COVID-19 vaccination. However, vaccine responses are often suboptimal in this age group and few people over the age of 80 years were included in vaccine registration trials. We determined the serological and cellular response to spike protein in 100 people aged 80-96 years at 2 weeks after the second vaccination with the Pfizer BNT162b2 mRNA vaccine. Antibody responses were seen in every donor with high titers in 98%. Spike-specific cellular immune responses were detectable in only 63% and correlated with humoral response. Previous SARS-CoV-2 infection substantially increased antibody responses after one vaccine and antibody and cellular responses remained 28-fold and 3-fold higher, respectively, after dual vaccination. Post-vaccine sera mediated strong neutralization of live Victoria infection and although neutralization titers were reduced 14-fold against the P.1 variant first discovered in Brazil they remained largely effective. These data demonstrate that the mRNA vaccine platform delivers strong humoral immunity in people up to 96 years of age and retains broad efficacy against the P.1 variant of concern.

Indexed as

Aged, 80 and overAge FactorsAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineBroadly Neutralizing AntibodiesCOVID-19COVID-19 VaccinesFemaleHumansImmunity, CellularImmunity, HumoralMaleRNA, MessengerSARS-CoV-2Spike Glycoprotein, CoronavirusAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineBroadly Neutralizing AntibodiesCOVID-19 VaccinesRNA, MessengerSpike Glycoprotein, CoronavirusCOVID-19humanimmunosenescenceinfectious diseasemicrobiologyvaccination

Identifiers

PMID34586068
PMCPMC8500710
OpenAlexW3203293048

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.