Evidence map›Paper›PMID 37112765›Full record

ArticleVaccines2023

Vaccines Alone Cannot Slow the Evolution of SARS-CoV-2.

Debra Van Egeren, Madison Stoddard, Laura F White, Natasha S Hochberg, Michael S Rogers, Bruce Zetter, Diane Joseph-McCarthy, Arijit Chakravarty

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.5field-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

18 citing papers in PubMed, 23 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Debra Van EgerenDepartment of Medicine, Weill Cornell Medicine, New York, NY 10021, USA.ORCID 0000-0002-4017-0413
Madison StoddardFractal Therapeutics, Lexington, MA 02420, USA.ORCID 0000-0001-9853-8500
Laura F WhiteDepartment of Biostatistics, Boston University School of Public Health, Boston, MA 02118, USA.ORCID 0000-0002-0588-8235
Natasha S HochbergNovartis Institutes for Biomedical Research, Cambridge, MA 02139, USA.
Michael S RogersDepartment of Surgery, Harvard Medical School, Boston, MA 02115, USA.
Bruce ZetterDepartment of Surgery, Harvard Medical School, Boston, MA 02115, USA.
Diane Joseph-McCarthyDepartment of Biomedical Engineering, Boston University, Boston, MA 02215, USA.ORCID 0000-0001-9685-6177
Arijit ChakravartyFractal Therapeutics, Lexington, MA 02420, USA.
Boston University · USBoston Children's Hospital · USCornell University · US

Funding

Maximizing Investigators' Research Award (R35)R35GM141821 · NIGMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WHITE, LAURA FORSBERG · 2021 to 2025
$1.8M
6 · The paper itself

Abstract

The rapid emergence of immune-evading viral variants of SARS-CoV-2 calls into question the practicality of a vaccine-only public-health strategy for managing the ongoing COVID-19 pandemic. It has been suggested that widespread vaccination is necessary to prevent the emergence of future immune-evading mutants. Here, we examined that proposition using stochastic computational models of viral transmission and mutation. Specifically, we looked at the likelihood of emergence of immune escape variants requiring multiple mutations and the impact of vaccination on this process. Our results suggest that the transmission rate of intermediate SARS-CoV-2 mutants will impact the rate at which novel immune-evading variants appear. While vaccination can lower the rate at which new variants appear, other interventions that reduce transmission can also have the same effect. Crucially, relying solely on widespread and repeated vaccination (vaccinating the entire population multiple times a year) is not sufficient to prevent the emergence of novel immune-evading strains, if transmission rates remain high within the population. Thus, vaccines alone are incapable of slowing the pace of evolution of immune evasion, and vaccinal protection against severe and fatal outcomes for COVID-19 patients is therefore not assured.

Indexed as

evolutionimmune evasionmathematical modelingSARS-CoV-2viral variants

Identifiers

PMID37112765
PMCPMC10143044
OpenAlexW4366089124

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.