Evidence map›Paper›PMID 37830111›Full record

ArticleGMS infectious diseases2023

Dynamics of immunity over time: decline of anti-SARS-CoV-2 IgG antibodies and T-cell responses after mRNA vaccination in residents and health care workers in nursing homes and homes with assisted living support.

Julia Schiffner, Nora Eisemann, Hannah Baltus, Sina Jensen, Katharina Wunderlich, Stefan Schuesseler, Charlotte Eicker, Bianca Teegen, Doreen Boniakowsky, Werner Solbach and 1 more

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In one paragraph

Article in GMS infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 2 institutions in 1 country.

Julia SchiffnerHealth Protection Authority, Luebeck, Germany.
Nora EisemannInstitute of Social Medicine and Epidemiology, University of Luebeck, Germany.
Hannah BaltusInstitute of Social Medicine and Epidemiology, University of Luebeck, Germany.
Sina JensenHealth Protection Authority, Luebeck, Germany.
Katharina WunderlichHealth Protection Authority, Luebeck, Germany.
Stefan SchuesselerHealth Protection Authority, Luebeck, Germany.
Charlotte EickerHealth Protection Authority, Luebeck, Germany.
Bianca TeegenKlinisch-Immunologisches Labor Stoecker, Luebeck, Germany.
Doreen BoniakowskyVorwerker Diakonie gemeinnuetzige GmbH, Luebeck, Germany.
Werner SolbachCenter for Infection and Inflammation Research, University of Luebeck, Germany.
Alexander MischnikHealth Protection Authority, Luebeck, Germany.
University of Lübeck · DEDiakonie Deutschland · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In the present study, we investigated the dynamics of immunity over time by measuring anti SARS-CoV-2 IgG antibodies and SARS-CoV-2 specific T-cell responses (interferon-gamma release assay) after two doses of vaccines in residents and health care workers (HCW). Mostly, 224 (98%) residents and 244 (89%) HCW received two doses of mRNA vaccine (BNT162b2, Pfizer-BioNTech); the rest of the participants received heterologous vaccinations with mRNA and vector vaccines. The study was conducted at the time when the Delta variant of SARS-CoV-2 prevailed. Methods: We analyzed blood samples of 228 residents (median age 83.8 years) and of 273 HCW (median age 49.7 years) from five nursing homes and one home for the elderly with assisted living support at one specific time point. Participants received two vaccinations. The blood samples were analyzed for SARS-CoV-2 specific IgG antibody and T-cell responses. Results: The initial immune responses in the younger participants were about 30% higher than in the older age group. Over time the estimated mean of the parameters (estimated from the study sample for the total population) decreased in all groups within the maximum observation period of 232 days. Comorbidities such as coronary heart disease or diabetes mellitus reduced the initial immune responses regardless of age. With regard to measured IgG antibody levels, absolute values decreased over time, whereas the interferon-gamma response remained at a constant level between day 120 and 180 and seemed to be less dependent on the time elapsed after vaccination. Conclusions: Based on our data, it does not seem possible to determine a reliable threshold of robust immunity, but we suggest that high titres of neutralizing capacity and interferon-gamma response might be an indicator of protection against severe COVID-19 courses.

Indexed as

COVID-19IgAIgGimmunoglobulinSARS-CoV-2T cell immunity

Identifiers

PMID37830111
PMCPMC10565841
OpenAlexW4387598721

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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.