Evidence map›Paper›PMID 35199966›Full record

ArticleInfluenza and other respiratory viruses2022

Anti-SARS-CoV-2 IgG antibody levels among Thai healthcare providers receiving homologous and heterologous COVID-19 vaccination regimens.

Wanitchaya Kittikraisak, Taweewun Hunsawong, Somsak Punjasamanvong, Thanapat Wongrapee, Patama Suttha, Phunlerd Piyaraj, Chaniya Leepiyasakulchai, Chuleeekorn Tanathitikorn, Pornsak Yoocharoen, Anthony R Jones and 5 more

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 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
1.2field-weighted citation impact, top 21% 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, 12 citations in OpenAlex.

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  9. Sinopharm Vaccine, SARS-CoV-2 Breakthrough Infections and Hemoglobinopathies.Mediterranean journal of hematology and infectious diseases · 2022
    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

15 authors at 8 institutions in 2 countries.

Wanitchaya KittikraisakInfluenza Program, Thai Ministry of Public Health - U.S. Centers for Disease Control and Prevention, Nonthaburi, Thailand.ORCID 0000-0002-2295-4388
Taweewun HunsawongVirology Department, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Somsak PunjasamanvongInternal Medicine Department, Rayong Hospital, Rayong, Thailand.
Thanapat WongrapeeInternal Medicine Department, Phaholpolpayuhasena Hospital, Kanchanaburi, Thailand.
Patama SutthaInternal Medicine Department, Bamrasnaradura Infectious Diseases Institute, Nonthaburi, Thailand.
Phunlerd PiyarajParasitology Department, Phramongkutklao College of Medicine, Bangkok, Thailand.
Chaniya LeepiyasakulchaiFaculty of Medical Technology, Mahidol University, Nakhon Pathom, Thailand.
Chuleeekorn TanathitikornDepartment of Disease Control, Ministry of Public Health, Nonthaburi, Thailand.
Pornsak YoocharoenDepartment of Disease Control, Ministry of Public Health, Nonthaburi, Thailand.
Anthony R JonesVirology Department, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Duangrat MongkolsirichaikulVirology Department, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Matthew WestercampDivision of Healthcare Quality Promotion, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Eduardo Azziz-BaumgartnerInfluenza Division, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-0298-5814
Joshua A MottInfluenza Program, Thai Ministry of Public Health - U.S. Centers for Disease Control and Prevention, Nonthaburi, Thailand.ORCID 0000-0001-6474-8390
Suthat ChottanapundDepartment of Disease Control, Ministry of Public Health, Nonthaburi, Thailand.
Ministry of Public Health · THArmed Forces Research Institute of Medical Science · THCenters for Disease Control and Prevention · USBamrasnaradura Infectious Diseases Institute · THKanchanaburi Rajabhat University · THMahidol University · THPhramongkutklao Hospital · THRangsit University · TH

Funding

CGH CDC HHS U01 GH000152
6 · The paper itself

Abstract

backgroundWe examined SARS-CoV-2 anti-spike 1 IgG antibody levels following COVID-19 vaccination (AstraZeneca [AZ], Sinovac [SV], Pfizer-BioNTech [PZ]) among Thai healthcare providers.

methodsBlood specimens were tested using enzyme-linked immunosorbent assay. We analyzed seven vaccination regimens: (1) one dose of AZ or SV, (2) two doses of homologous (2AZ, 2SV) or heterologous (1AZ + 1PZ) vaccines, and (3) three doses of heterologous vaccines (2SV + 1AZ, 2SV + 1PZ). Differences in antibody levels were assessed using Kruskal-Wallis statistic, Mann-Whitney test, or Wilcoxon matched-pairs signed-rank test. Antibody kinetics were predicted using fractional polynomial regression.

resultsThe 563 participants had median age of 39 years; 92% were female; 74% reported no underlying medical condition. Antibody levels peaked at 22-23 days in both 1AZ and 2SV vaccinees and dropped below assay's cutoff for positive (35.2 binding antibody units/ml [BAU/ml]) in 55 days among 1AZ vaccinees compared with 117 days among 2SV vaccinees. 1AZ + 1PZ vaccination regimen was highly immunogenic (median 2279 BAU/ml) 1-4 weeks post vaccination. 2SV + 1PZ vaccinees had significantly higher antibody levels than 2SV + 1AZ vaccinees 4 weeks post vaccination (3423 vs. 2105 BAU/ml; p-value < 0.01), and during weeks 5-8 (3656 vs. 1072 BAU/ml; p-value < 0.01). Antibodies peaked at 12-15 days in both 2SV + 1PZ and 2SV + 1AZ vaccinees, but those of 2SV + 1AZ declined more rapidly and dropped below assay's cutoff in 228 days while those of 2SV + 1PZ remained detectable.

conclusions1AZ + 1PZ, 2SV + 1AZ, and 2SV + 1PZ vaccinees had substantial IgG levels, suggesting that these individuals likely mounted sufficient anti-S1 IgG antibodies for possible protection against SARS-CoV-2 infection.

Indexed as

COVID-19COVID-19 VaccinesAdultAntibodies, ViralFemaleHealth PersonnelHumansImmunoglobulin GMaleSARS-CoV-2ThailandVaccinationAntibodies, ViralCOVID-19 VaccinesImmunoglobulin GCOVID-19healthcare providerIgG antibodySARS-CoV-2Thailandvaccination

Identifiers

PMID35199966
PMCPMC9111827
OpenAlexW4213427867

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.