Evidence map›Paper›PMID 36906407›Full record

ArticleVaccine2023

Antibody dependent disease enhancement (ADE) after COVID-19 vaccination and beta glucans as a safer strategy in management.

Nobunao Ikewaki, Gene Kurosawa, Gary A Levy, Senthilkumar Preethy, Samuel J K Abraham

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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

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  11. Antibody-dependent enhancement of coronaviruses.International journal of biological sciences · 2025
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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

5 authors at 5 institutions in 3 countries.

Nobunao IkewakiDept. of Medical Life Science, Kyushu University of Health and Welfare, Nobeoka, Miyazaki, Japan; Institute of Immunology, Junsei Educational Institute, Nobeoka, Miyazaki, Japan.
Gene KurosawaDepartment of Academic Research Support Promotion Facility, Center for Research Promotion and Support, Fujita Health University, Aichi, Japan; MabGenesis KK, Nagoya, Japan.
Gary A LevyMedicine and Immunology, University of Toronto, Ontario, Canada.
Senthilkumar PreethyThe Fujio-Eiji Academic Terrain (FEAT), Nichi-In Centre for Regenerative Medicine (NCRM), Chennai, India.
Samuel J K AbrahamCentre for Advancing Clinical Research (CACR), University of Yamanashi - School of Medicine, Chuo, Japan; The Mary-Yoshio Translational Hexagon (MYTH), Nichi-In Centre for Regenerative Medicine (NCRM), Chennai, India; Antony- Xavier Interdisciplinary Scholastics (AXIS), GN Corporation Co. Ltd., Kofu, Japan. Electronic address: drsam@nichimail.jp.
Fujita Health University · JPInstitute for Stem Cell Biology and Regenerative Medicine · INKyushu University of Health and Welfare · JPUniversity of Toronto · CAUniversity of Yamanashi · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A potential risk associated with vaccines for COVID-19 is antibody-dependent disease enhancement (ADE) in which vaccine induced antibody mediated immune responses may lead to enhanced SARS CoV- 2 acquisition or increased disease severity. Though ADE has not been clinically demonstrated with any of the COVID-19 vaccines so far, when neutralizing antibodies are suboptimal, the severity of COVID-19 has been reported to be greater. ADE is presumed to occur via abnormal macrophages induced by the vaccine based immune response by antibody-mediated virus uptake into Fc gamma receptor IIa (FcγRIIa) or by the formation of Fc-mediated excessive antibody effector functions. Beta-glucans which are naturally occurring polysaccharides known for unique immunomodulation by capability to interact with macrophages, eliciting a specific beneficial immune-response and enhancing all arms of the immune system, importantly without over-activation are suggested as safer nutritional supplement-based vaccine adjuvants for COVID-19.

Indexed as

beta-GlucansCOVID-19COVID-19 VaccinesAntibodies, NeutralizingAntibodies, ViralHumansImmunoglobulin Fc FragmentsSARS-CoV-2VaccinationAntibodies, NeutralizingAntibodies, Viralbeta-GlucansCOVID-19 VaccinesImmunoglobulin Fc FragmentsAntibody-dependent disease enhancement (ADE)Beta-glucanCOVID-19SARS-CoV2Vaccine

Identifiers

PMID36906407
PMCPMC9992059
OpenAlexW4323566584

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.