Evidence map›Paper›PMID 34997611›Full record

ArticleJournal of medical virology2022

Induction of humoral and cellular immune responses to COVID-19 mRNA and vector vaccines: A prospective cohort study in Bulgarian healthcare workers.

Maria Nikolova, Yana Todorova, Radoslava Emilova, Iva Trifonova, Teodora Gladnishka, Nina Petrova-Yancheva, Tatyana Chervenyakova, Elena Dragusheva, Georgi Popov, Iva Christova

Open access · greenAbstract read
In one paragraph

Article in Journal of medical virology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Students' Attitudes toward COVID-19 Vaccination: An Inter-University Study from Bulgaria.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. 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

10 authors at 2 institutions in 1 country.

Maria NikolovaDepartment of Immunology, National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Yana TodorovaDepartment of Immunology, National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Radoslava EmilovaDepartment of Immunology, National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Iva TrifonovaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Teodora GladnishkaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Nina Petrova-YanchevaDepartment for Treatment of Acquired Immune Deficiencies, Specialized Hospital for Active Treatment of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Tatyana ChervenyakovaDepartment for Treatment of Acquired Immune Deficiencies, Specialized Hospital for Active Treatment of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Elena DragushevaDepartment of Infectious Diseases, Military Medical Academy, Sofia, Bulgaria.
Georgi PopovDepartment of Infectious Diseases, Military Medical Academy, Sofia, Bulgaria.
Iva ChristovaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria.ORCID http://orcid.org/0000-0002-7878-3995
National Center of Infectious and Parasitic Diseases · BGMilitary Medical Academy · BG

Funding

European Regional Development Fund through Operational Program Science and Education for Smart Growth 2014 - 2020
6 · The paper itself

Abstract

Installing efficient protective immunity by anti-SARS-CoV-2 vaccines is the only current means to overcome coronavirus disease 2019 pandemics. The cellular and humoral immune responses induced with an messenger RNA (mRNA) (BNT162b2) or with a vector (ChAdOx1nCoV-19) vaccine among Bulgarian healthcare workers (n = 123, aged 23-71 years) were studied in the course of 16 weeks after priming. Receptor-binding domain (RBD)-blocking Abs and SARS-CoV-2 RBD immunoglobulin A  (IgA) were evaluated in parallel with interferon gamma (IFNγ)-producing virus-specific T cells. Both vaccines induced RBD-blocking Abs in 100% of the participants after complete immunization while the levels of protection after a single dose largely varied (22%-98%). Advanced age had a negative impact on the level and longevity of virus-neutralizing activity induced by one dose mRNA, but not by the vector vaccine. RBD-binding IgA was detected in 100% of tested donors from the mRNA vaccine cohort, and in 67% of tested from the vector vaccine cohort, at least 1 month after completed immunization. One month after completing mRNA immunization, the number of IFNγ-producing T cells correlated significantly with the levels of RBD-specific IgA and virus-neutralizing activity induced after priming. Enumeration of circulating virus-specific IFNγ+ T cells is not recommended for evaluation of protective immunity as their detection may require longer stimulation beyond the firstmonth postimmunization. In conclusion, BNT162B2 and ChAdOx1nCoV-19 induced potent and comparable humoral and cellular anti-SARS-CoV-2 immune responses, peaking between 10 and 30 days after complete immunization. A single dose of any vaccine did not induce adequate protection in a great part of donors, making the shorter interval between mRNA vaccine doses preferable in the settings of increased risk of infection.

Indexed as

COVID-19AdultAgedAntibodies, ViralBNT162 VaccineBulgariaCohort StudiesHealth PersonnelHumansImmunity, CellularImmunity, HumoralMiddle AgedmRNA VaccinesProspective StudiesRNA, MessengerSARS-CoV-2Antibodies, ViralBNT162 VaccinemRNA VaccinesRNA, MessengerVaccines, SyntheticCOVID-19 vaccineimmunitySARS-CoV-2 specific T-cellvirus-neutralizing antibody

Identifiers

PMID34997611
PMCPMC9015328
OpenAlexW4206701610

What OpenQuestion holds

Textmetadata
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.