Evidence map›Paper›PMID 37457735›Full record

ArticleFrontiers in immunology2023

Durability and extent of protection of SARS-CoV-2 antibodies among patients with COVID-19 in Metro Manila, Philippines.

Ma Liza Antoinette M Gonzales, Leonila F Dans, Carol Stephanie C Tan-Lim, Elenore Uy, Eva Cutiongco-Dela Paz, Maria Vanessa V Sulit, Marissa M Alejandria, Mary Ann D Lansang, Antonio L Dans, Melissa A Dator and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 5 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

12 authors at 2 institutions in 1 country.

Ma Liza Antoinette M GonzalesDepartment of Pediatrics, College of Medicine, University of the Philippines Manila, Manila, Philippines.
Leonila F DansDepartment of Pediatrics, College of Medicine, University of the Philippines Manila, Manila, Philippines.
Carol Stephanie C Tan-LimDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines.
Elenore UyAsia-Pacific Centre for Evidence-Based Healthcare, Manila, Philippines.
Eva Cutiongco-Dela PazInstitute of Human Genetics, National Institutes of Health, University of the Philippines Manila, Manila, Philippines.
Maria Vanessa V SulitInstitute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines.
Marissa M AlejandriaDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines.
Mary Ann D LansangDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines.
Antonio L DansCollege of Medicine, University of the Philippines Manila, Manila, Philippines.
Melissa A DatorDepartment of Pediatrics, College of Medicine, University of the Philippines Manila, Manila, Philippines.
Cynthia P CorderoDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines.
Gina F PardillaManila Health Department Delpan Evacuation Center Quarantine Facility, Manila, Philippines.
University of the Philippines Manila · PHUniversity of Asia and the Pacific · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Information on the magnitude and durability of humoral immunity against COVID-19 among specific populations can guide policies on vaccination, return from isolation and physical distancing measures. The study determined the durability of SARS-CoV-2 antibodies after an initial infection among Filipinos in Metro Manila, Philippines, and the extent of protection SARS-CoV-2 antibodies confer against reinfection. Methods: We conducted a cohort study to monitor the antibody levels of patients diagnosed with COVID-19. Receptor-binding domain (RBD)-specific antibodies were measured at Days 21, 90, 180, 270 and 360. Antibody levels were reported as geometric mean titers (GMT) with geometric standard deviation (GSD). Differences in GMT were tested using Friedman test and Kruskal Wallis test, with Bonferroni multiple comparisons procedure. Adjusted hazard ratios on the development of probable reinfection were estimated using Cox proportional models. Results: There were 307 study participants included in the study, with 13 dropouts. Study participants received SARS-CoV-2 vaccines at varying times, with 278 participants (90.5%) fully vaccinated by the end of study. The GMT of the study cohort increased over time, from 19.7 U/mL (GSD 11) at Day 21; to 284.5 U/mL (GSD 9.6) at Day 90; 1,061 U/mL (GSD 5.3) at Day 180; 2,003 U/mL (GSD 6.7) at Day 270; and 8,403 U/mL (GSD 3.1) at Day 360. The increase was statistically significant from Day 21 to Day 90 (p<0.0001), Day 90 to Day 180 (p=0.0005), and Day 270 to Day 360 (p<0.0001). Participants with more severe initial infection demonstrated significantly higher antibody levels compared to those with milder infection at Day 21. Sixty-four patients had probable COVID-19 reinfection (incidence of 20.8%, 95% CI 16.4, 25.8%). The GMT of these 64 patients was 411.8 U/mL (GSD 6.9) prior to the occurrence of the probable reinfection. Majority (87.5%) were fully vaccinated. Antibody titers significantly affected the risk of developing reinfection, with adjusted hazard ratio of 0.994, 95% CI 0.992-0.996, p<0.001. Conclusion: Antibody levels against SARS-CoV-2 increased over a one-year follow-up. Higher antibody levels were observed among those with more severe initial infection and those vaccinated. Higher antibody levels are associated with a lower risk of probable reinfection.

Indexed as

COVID-19Antibodies, ViralCohort StudiesCOVID-19 VaccinesHumansPhilippinesReinfectionSARS-CoV-2Antibodies, ViralCOVID-19 VaccinesantibodyCOVID-19humoral responsereinfectionSARS-CoV-2

Identifiers

PMID37457735
PMCPMC10338854
OpenAlexW4382393652

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.