Evidence map›Paper›PMID 36446654›Full record

ArticleVaccine2023

Evaluation of immune response to single dose of quadrivalent HPV vaccine at 10-year post-vaccination.

Smita Joshi, Devasena Anantharaman, Richard Muwonge, Neerja Bhatla, Gitika Panicker, Julia Butt, Usha Rani Reddy Poli, Sylla G Malvi, Pulikkottil O Esmy, Eric Lucas and 24 more

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
12.2field-weighted citation impact, top 1% 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, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

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  15. Immune Responses to Human Papillomavirus After Infection and Vaccination.Current topics in microbiology and immunology · 2026
    Review
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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

34 authors at 15 institutions in 4 countries.

Smita JoshiJehangir Clinical Development Centre, Jehangir Hospital Premises, Pune 411 001, India.
Devasena AnantharamanRajiv Gandhi Centre for Biotechnology, Poojappura, Thiruvananthapuram 695 014, Kerala, India.
Richard MuwongeEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.
Neerja BhatlaDepartment of Obstetrics & Gynaecology, All India Institute of Medical Sciences, New Delhi 110 029, India.
Gitika PanickerNational Center for Emerging and Zoonotic Infectious Diseases, CDC, USA.
Julia ButtInfection, Inflammation and Cancer Program, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 242, D-69120 Heidelberg, Germany.
Usha Rani Reddy PoliPublic Health Foundation of India, IIPH-H, Hyderabad, Telangana 500 033, India.
Sylla G MalviTata Memorial Centre Rural Cancer Project, Nargis Dutt Memorial Cancer Hospital, Barshi District Solapur, Maharashtra 413 401, India.
Pulikkottil O EsmyChristian Fellowship Community Health Centre, Ambillikai (near Oddanchathram), Dindigul District, Tamil Nadu 624 612, India.
Eric LucasEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.
Yogesh VermaSikkim Manipal Institute of Medical Sciences, Sikkim Manipal University, Gangtok, Sikkim 737102, India.
Anand ShahGujarat Cancer & Research Institute (GCRI), M.P. Shah Cancer Hospital, Civil Hospital Campus, Asarwa, Ahmedabad 380 016, India.
Eric ZomawiaCivil Hospital, Aizawl 796 001, Mizoram, India.
Sharmila PimpleDepartment of Preventive Oncology, Centre for Cancer Epidemiology (CCE), Homi Bhabha National Institute, Tata Memorial Centre, Mumbai, India.
Kasturi JayantTata Memorial Centre Rural Cancer Project, Nargis Dutt Memorial Cancer Hospital, Barshi District Solapur, Maharashtra 413 401, India.
Sanjay HingmireTata Memorial Centre Rural Cancer Project, Nargis Dutt Memorial Cancer Hospital, Barshi District Solapur, Maharashtra 413 401, India.
Aruna ChiwateTata Memorial Centre Rural Cancer Project, Nargis Dutt Memorial Cancer Hospital, Barshi District Solapur, Maharashtra 413 401, India.
Uma DivateJehangir Clinical Development Centre, Jehangir Hospital Premises, Pune 411 001, India.
Shachi VashistDepartment of Obstetrics & Gynaecology, All India Institute of Medical Sciences, New Delhi 110 029, India.
Gauravi MishraDepartment of Preventive Oncology, Centre for Cancer Epidemiology (CCE), Homi Bhabha National Institute, Tata Memorial Centre, Mumbai, India.
Radhika JadhavJehangir Clinical Development Centre, Jehangir Hospital Premises, Pune 411 001, India.
Maqsood SiddiqiCancer Foundation of India, Kolkata, West Bengal 700 039, India.
Subha SankaranRajiv Gandhi Centre for Biotechnology, Poojappura, Thiruvananthapuram 695 014, Kerala, India.
Thiraviam Pillai Rameshwari Ammal KannanRajiv Gandhi Centre for Biotechnology, Poojappura, Thiruvananthapuram 695 014, Kerala, India.
Purnima KarthaRajiv Gandhi Centre for Biotechnology, Poojappura, Thiruvananthapuram 695 014, Kerala, India.
Surendra S ShastriDepartment of Health Disparities Research, Division of Cancer Prevention and Population Sciences, University of Texas M.D. Anderson Cancer Centre, 1400 Pressler St, Houston, TX 77030-3906, United States.
Catherine SauvagetEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.
M Radhakrishna PillaiRajiv Gandhi Centre for Biotechnology, Poojappura, Thiruvananthapuram 695 014, Kerala, India.
Tim WaterboerInfection, Inflammation and Cancer Program, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 242, D-69120 Heidelberg, Germany.
Martin MüllerInfection, Inflammation and Cancer Program, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 242, D-69120 Heidelberg, Germany.
Peter SehrEMBL-DKFZ Chemical Biology Core Facility, European Molecular Biology Laboratory, D-69117 Heidelberg, Germany.
Elizabeth R UngerNational Center for Emerging and Zoonotic Infectious Diseases, CDC, USA.
Rengaswamy SankaranarayananEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France; Karkinos Healthcare, Kerala Operations, Ernakulam, India.
Partha BasuEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France. Electronic address: basup@iarc.who.int.
Rajiv Gandhi Centre for Biotechnology · INTata Memorial Hospital · INCentre International de Recherche sur le Cancer · FRGerman Cancer Research Center · DEJehangir Hospital · INAll India Institute of Medical Sciences · INNargis Dutt Memorial Cancer Hospital · INNational Center for Emerging and Zoonotic Infectious Diseases · USAizawl Adventist Hospital · INEuropean Molecular Biology Laboratory · DEGujarat Cancer & Research Institute · INHomi Bhabha National Institute · INPublic Health Foundation of India · INSikkim Manipal University · INSocial Service Sericulture Project Trust · IN

Funding

DBT-Wellcome Trust India Alliance IA/CPHI/17/1/503366Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

backgroundThe recent World Health Organization recommendation supporting single-dose of HPV vaccine will significantly reduce programmatic cost, mitigate the supply shortage, and simplify logistics, thus allowing more low- and middle-income countries to introduce the vaccine. From a programmatic perspective the durability of protection offered by a single-dose will be a key consideration. The primary objectives of the present study were to determine whether recipients of a single-dose of quadrivalent HPV vaccine had sustained immune response against targeted HPV types (HPV 6,11,16,18) at 10 years post-vaccination and whether this response was superior to the natural antibody titres observed in unvaccinated women.

methodsParticipants received at age 10-18 years either one, two or three doses of the quadrivalent HPV vaccine. Serology samples were obtained at different timepoints up to 10 years after vaccination from a convenience sample of vaccinated participants and from age-matched unvaccinated women at one timepoint. The evolution of the binding and neutralizing antibody response was presented by dose received. 10-year durability of immune responses induced by a single-dose was compared to that after three doses of the vaccine and in unvaccinated married women.

resultsThe dynamics of antibody response among the single-dose recipients observed over 120 months show stabilized levels 18 months after vaccination for all four HPV types. Although the HPV type-specific (binding or neutralizing) antibody titres after a single-dose were significantly inferior to those after three doses of the vaccine (lower bounds of GMT ratios < 0.5), they were all significantly higher than those observed in unvaccinated women following natural infections (GMT ratios: 2.05 to 4.04-fold higher). The results correlate well with the high vaccine efficacy of single-dose against persistent HPV 16/18 infections reported by us earlier at 10-years post-vaccination.

conclusionOur study demonstrates the high and durable immune response in single-dose recipients of HPV vaccine at 10-years post vaccination.

Indexed as

Papillomavirus InfectionsPapillomavirus VaccinesAdolescentAntibody FormationChildFemaleHuman papillomavirus 16Human papillomavirus 18Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18HumansVaccinationVaccines, CombinedHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18Papillomavirus VaccinesVaccines, CombinedHuman papillomavirusNatural immunityquadrivalent HPV vaccineSingle doseVaccine immune responses

Identifiers

PMID36446654
PMCPMC9792650
OpenAlexW4310009798

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LicenceCC BY-NC-ND
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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.