Evidence map›Paper›PMID 35214683›Full record

ArticleVaccines2022

Human Milk Antibodies after BNT162b2 Vaccination Exhibit Reduced Binding against SARS-CoV-2 Variants of Concern.

Jia Ming Low, Yue Gu, Melissa Shu Feng Ng, Liang Wei Wang, Zubair Amin, Youjia Zhong, Paul A MacAry

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
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 3 institutions in 1 country.

Jia Ming LowDepartment of Neonatology, Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore 119074, Singapore.
Yue GuDepartment of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117585, Singapore.
Melissa Shu Feng NgSingapore Immunology Network, Agency for Science, Technology and Research, Immunos Building, Singapore 138648, Singapore.ORCID 0000-0003-3826-2746
Liang Wei WangSingapore Immunology Network, Agency for Science, Technology and Research, Immunos Building, Singapore 138648, Singapore.ORCID 0000-0002-0324-8744
Zubair AminDepartment of Neonatology, Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore 119074, Singapore.ORCID 0000-0002-4430-5012
Youjia ZhongDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117585, Singapore.ORCID 0000-0002-3795-6319
Paul A MacAryDepartment of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117585, Singapore.
National University of Singapore · SGAgency for Science, Technology and Research · SGNational University Health System · SG

Funding

Agency for Science, Technology and Research, Singapore Career Development AwardKhoo Teck Puat-National University Children's Medical Institute (KTP-NUCMI) Seed GrantNational Medical Research Council Open Fund-Young Investigator Research Grant from the Ministry of Health, Singapore Project ID: MOH-000545-00NUS Yong Loo Lin School of Medicine Pitch For Funds GrantReimagine research fund R-571-001-093-114SARS-CoV-2 antibody initiative R-571-000-081-213
6 · The paper itself

Abstract

SARS-CoV-2-specific antibody responses are engendered in human milk after BNT162b2 vaccination. However, the emergence of variants of concern (VOCs) raises concerns about the specificity of and potential cross-protection mediated by milk antibody responses, which are crucial for passive immunity transferred from breastfeeding mothers to their infants. In this study, we collected milk samples at three different time points pre- and post-vaccination, and measured milk IgA antibody binding to the receptor binding domain (RBD) of the original Wuhan-Hu-1 strain, and the four VOCs, namely Alpha, Beta, Gamma and Delta. We report a significant level of anti-RBD IgA in milk collected at 4-6 weeks after the second dose of vaccination compared to pre-vaccination. We observed around a 30% reduction in binding to most VOCs, including the major circulating Delta variant, compared to the original Wuhan-Hu-1 strain. As COVID-19 vaccines may take some time to be approved for infants, these individuals remain at risk for severe disease and rely mainly on transferred passive immunity. Our findings support the current recommendations for vaccinating lactating women with the aim of transferring mucosal immunity to breastfeeding infants.

Indexed as

BNT162b2breast milk antibodiesComirnatyCOVID-19immunoglobin Apassive immunityPfizer vaccinationtozinameran

Identifiers

PMID35214683
PMCPMC8880232
OpenAlexW4210333362

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.