Evidence map›Paper›PMID 34981122›Full record

ArticlePediatrics2022

Human Milk SARS-CoV-2 Antibodies up to 6 Months After Vaccination.

Stephanie E Perez, Luis Diego Luna Centeno, Wesley A Cheng, Carolyn Jennifer Marentes Ruiz, Yesun Lee, Zion Congrave-Wilson, Rebecca L Powell, Lisa Stellwagen, Pia S Pannaraj

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Unique Kinetics of the Human Milk Antibody Response to JYNNEOS Vaccine for Prevention of Monkey Pox: A Case Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024
    Article
  7. Review
  8. The global status of human milk banking.Maternal & child nutrition · 2024
    Review
  9. Review
  10. Review
  11. A narrative review of COVID-19 vaccination in pregnancy and breastfeeding.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  12. Viruses and Human Milk: Transmission or Protection?Advances in nutrition (Bethesda, Md.) · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
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

9 authors at 4 institutions in 1 country.

Stephanie E PerezDivision of Infectious Diseases, Children's Hospital Los Angeles, Los Angeles, California.
Luis Diego Luna CentenoDivision of Infectious Diseases, Children's Hospital Los Angeles, Los Angeles, California.
Wesley A ChengDivision of Infectious Diseases, Children's Hospital Los Angeles, Los Angeles, California.
Carolyn Jennifer Marentes RuizDivision of Infectious Diseases, Children's Hospital Los Angeles, Los Angeles, California.
Yesun LeeDivision of Infectious Diseases, Children's Hospital Los Angeles, Los Angeles, California.
Zion Congrave-WilsonDivision of Infectious Diseases, Children's Hospital Los Angeles, Los Angeles, California.
Rebecca L PowellDivision of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Lisa StellwagenDepartment of Pediatrics, University of California, San Diego and University of California Health Milk Bank, San Diego.
Pia S PannarajDivision of Infectious Diseases, Children's Hospital Los Angeles, Los Angeles, California.
Children's Hospital of Los Angeles · USIcahn School of Medicine at Mount Sinai · USUniversity of California, San Diego · USUniversity of Southern California · US

Funding

Household Respiratory Virus SARS-CoV-2 Transmission and Immunity Sub-Study (HRTS)U01AI144616 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI GORDON, AUBREE L, THOMAS, PAUL G. · 2019 to 2025
$43.7M
Longitudinal SARS-CoV-2 mRNA vaccine-induced mucosal, serological, and cellular immunity in children and human milkR01AI173194 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Pia S Pannaraj · 2022 to 2026
$4.0M
NIAID NIH HHS R01 AI173194NIAID NIH HHS U01 AI144616
6 · The paper itself

Abstract

backgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific antibodies have been detected in human milk up to 6 weeks post-coronavirus disease 2019 (COVID-19) vaccination. We evaluated SARS-CoV-2-specific antibodies, neutralization activity, effect of pasteurization, and persistence through 6 months after vaccination.

methodsThis prospective longitudinal study enrolled 30 pregnant or lactating women. SARS-CoV-2 antibodies and neutralization capacity were analyzed using an enzyme-linked immunosorbent assay compared at prevaccination and 1, 3, and 6 months postvaccination, and through Holder pasteurization.

resultsHuman milk SARS-CoV-2-specific IgG levels peaked at 1 month postvaccination and persisted above prevaccination levels for at least 6 months (P = .005). SARS-CoV-2-specific IgA was detected at 1 and 3 months (both P < .001) but waned by 6 months compared with baseline (P = .07). Milk SARS-CoV-2-specific IgG and IgA correlated with serum IgG at the same time point (R2 = 0.37, P < .001 and R2 = 0.19, P < .001). Neutralization activity was seen in 83.3%, 70.4%, and 25.0% of milk samples at 1, 3, and 6 months postvaccination. Neutralization most strongly correlated with SARS-CoV-2-specific IgG (R2 = 0.57, P < .001). Pre- and postpasteurization samples showed similar IgG (0.84 vs 1.07, P = .36) and neutralizing activity (57.7% vs 58.7% inhibition, P = .27), but lower IgM and IgA levels postpasteurization (0.09 vs 0.06, P = .004 and 0.21 vs 0.18, P = .043).

conclusionsThe data suggest that human milk SARS-CoV-2-specific antibodies may be available to milk-fed infants for up to 6 months. In addition, donor milk from vaccinated mothers retain IgG and neutralizing activity.

Indexed as

COVID-19 VaccinesAdultAntibodies, ViralBreast FeedingFemaleHumansImmunoglobulin AImmunoglobulin GInfantInfant, NewbornLactationLongitudinal StudiesMilk, HumanPasteurizationProspective StudiesSARS-CoV-2Antibodies, ViralCOVID-19 VaccinesImmunoglobulin AImmunoglobulin G

Identifiers

PMID34981122
PMCPMC9159346
OpenAlexW4205370487

What OpenQuestion holds

Textmetadata
LicenceTDM
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.