Evidence map›Paper›PMID 35836002›Full record

ArticleNature microbiology2022

Neutralizing antibody activity against 21 SARS-CoV-2 variants in older adults vaccinated with BNT162b2.

Joseph Newman, Nazia Thakur, Thomas P Peacock, Dagmara Bialy, Ahmed M E Elrefaey, Carlijn Bogaardt, Daniel L Horton, Sammy Ho, Thivya Kankeyan, Christine Carr and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Nature microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
7.6field-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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Designing 5' UTR sequences improves the capacity of mRNA therapeutics in preclinical models of aging and obesity.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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  18. Predicting pathogen evolution and immune evasion in the age of artificial intelligence.Computational and structural biotechnology journal · 2025
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Joseph Newman *The Pirbright Institute, Guildford, UK.ORCID http://orcid.org/0000-0003-0717-8672
Nazia Thakur *The Pirbright Institute, Guildford, UK.
Thomas P PeacockDepartment of Infectious Disease, Imperial College London, London, UK.
Dagmara BialyThe Pirbright Institute, Guildford, UK.
Ahmed M E ElrefaeyThe Pirbright Institute, Guildford, UK.ORCID http://orcid.org/0000-0001-6944-9971
Carlijn BogaardtDepartment of Pathology and Infectious Diseases, School of Veterinary Medicine, University of Surrey, Guildford, UK.ORCID http://orcid.org/0000-0002-9322-6978
Daniel L HortonDepartment of Pathology and Infectious Diseases, School of Veterinary Medicine, University of Surrey, Guildford, UK.
Sammy HoUK Health Security Agency (UKHSA), London, UK.
Thivya KankeyanUK Health Security Agency (UKHSA), London, UK.
Christine CarrUK Health Security Agency (UKHSA), London, UK.
Katja HoschlerUK Health Security Agency (UKHSA), London, UK.
Wendy S BarclayDepartment of Infectious Disease, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-3948-0895
Gayatri AmirthalingamUK Health Security Agency (UKHSA), London, UK.
Kevin E BrownUK Health Security Agency (UKHSA), London, UK.ORCID http://orcid.org/0000-0002-1568-683X
Bryan CharlestonThe Pirbright Institute, Guildford, UK.
Dalan BaileyThe Pirbright Institute, Guildford, UK. dalan.bailey@pirbright.ac.uk.ORCID http://orcid.org/0000-0002-5640-2266
UK Health Security Agency · GBThe Pirbright Institute · GBUniversity of Surrey · GBImperial College London · GB

Funding

Biotechnology and Biological Sciences Research Council BBS/E/I/00007031Biotechnology and Biological Sciences Research Council BBS/E/I/00007034Biotechnology and Biological Sciences Research Council BBS/E/I/00007038Biotechnology and Biological Sciences Research Council BBS/E/I/00007039Biotechnology and Biological Sciences Research Council BBS/E/I/COV07001Biotechnology and Biological Sciences Research Council BB/T008784/1Medical Research Council MR/W005611/1
6 · The paper itself

Abstract

SARS-CoV-2 variants may threaten the effectiveness of vaccines and antivirals to mitigate serious COVID-19 disease. This is of most concern in clinically vulnerable groups such as older adults. We analysed 72 sera samples from 37 individuals, aged 70-89 years, vaccinated with two doses of BNT162b2 (Pfizer-BioNTech) 3 weeks apart, for neutralizing antibody responses to wildtype SARS-CoV-2. Between 3 and 20 weeks after the second vaccine dose, neutralizing antibody titres fell 4.9-fold to a median titre of 21.3 (neutralization dose 80%), with 21.6% of individuals having no detectable neutralizing antibodies at the later time point. Next, we examined neutralization of 21 distinct SARS-CoV-2 variant spike proteins with these sera, and confirmed substantial antigenic escape, especially for the Omicron (B.1.1.529, BA.1/BA.2), Beta (B.1.351), Delta (B.1.617.2), Theta (P.3), C.1.2 and B.1.638 spike variants. By combining pseudotype neutralization with specific receptor-binding domain (RBD) enzyme-linked immunosorbent assays, we showed that changes to position 484 in the spike RBD were mainly responsible for SARS-CoV-2 neutralizing antibody escape. Nineteen sera from the same individuals boosted with a third dose of BNT162b2 contained higher neutralizing antibody titres, providing cross-protection against Omicron BA.1 and BA.2. Despite SARS-CoV-2 immunity waning over time in older adults, booster vaccines can elicit broad neutralizing antibodies against a large number of SARS-CoV-2 variants in this clinically vulnerable cohort.

Indexed as

COVID-19SARS-CoV-2AgedAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineHumansMembrane GlycoproteinsNeutralization TestsViral Envelope ProteinsAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineMembrane GlycoproteinsViral Envelope Proteins

Identifiers

PMID35836002
PMCPMC9352594
OpenAlexW4285386858

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.