Evidence map›Paper›PMID 38789833›Full record

ArticleGeroScience2024

Avidity maturation of humoral response following primary and booster doses of BNT162b2 mRNA vaccine among nursing home residents and healthcare workers.

Oladayo A Oyebanji, Nicholas Sundheimer, Vaishnavi Ragavapuram, Brigid M Wilson, Yasin Abul, Stefan Gravenstein, Jürgen Bosch, Christopher L King, David H Canaday

Abstract read
In one paragraph

Article in GeroScience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

9 authors.

Oladayo A OyebanjiDivision of Infectious Diseases and HIV Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Nicholas SundheimerDivision of Infectious Diseases and HIV Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Vaishnavi RagavapuramCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, USA.
Brigid M WilsonGeriatric Research Education and Clinical Center, Department of Veterans Affairs Medical Center, Louis Stokes Cleveland, Cleveland, OH, USA.
Yasin AbulCenter of Innovation in Long-Term Services and Supports, Veterans Administration Medical Center, Providence, Rhode Island, USA.
Stefan GravensteinCenter of Innovation in Long-Term Services and Supports, Veterans Administration Medical Center, Providence, Rhode Island, USA.
Jürgen BoschCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, USA.
Christopher L KingCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, USA.
David H CanadayDivision of Infectious Diseases and HIV Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA. david.canaday@case.edu.ORCID 0000-0001-5503-7888

Funding

Non-inferiority study of adjuvanted vs. high dose flu vaccine in residents of long term careR01AI129709 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI CANADAY, DAVID H, GRAVENSTEIN, STEFAN · 2018 to 2021
$4.7M
Early Drivers of Humoral Immunity to SARS-CoV-2 InfectionsU01CA260539 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI KING, CHRISTOPHER L · 2020 to 2024
$3.4M
COVID19: Respiratory SARS-CoV-2 seroprevalence and the association of humoral immune responses with clinical outcomes in veterans and employees in the Cleveland VA Medical CenterI01BX005507 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI SHIVE, CAREY LYNN · 2021 to 2022
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BLRD VA I01 BX005507CDC HHS 200-2016-91773Division of Intramural Research, National Institute of Allergy and Infectious Diseases AI129709-03S1NCI NIH HHS U01 CA260539NIAID NIH HHS R01 AI129709U.S. Department of Veterans Affairs BX005507-0
6 · The paper itself

Abstract

Infections, despite vaccination, can be clinically consequential for frail nursing home residents (NHR). Poor vaccine-induced antibody quality may add risk for such subsequent infections and more severe disease. We assessed antibody binding avidity, as a surrogate for antibody quality, among NHR and healthcare workers (HCW). We longitudinally sampled 112 NHR and 52 HCWs who received the BNT162b2 mRNA vaccine after each dose up to the Wuhan-BA.4/5-based Omicron bivalent boosters. We quantified anti-spike, anti-receptor binding domain (RBD), and avidity levels to the ancestral Wuhan, Delta, and Omicron BA.1 & 4/5 strains. The primary vaccination series produced substantial anti-spike and RBD levels which were low in avidity against all strains tested. Antibody avidity progressively increased in the 6-8 months that followed. Avidity significantly increased after the 1st booster but not for subsequent boosters. This study underscores the importance of booster vaccination among NHR and HCWs. The 1st booster dose increases avidity, increasing vaccine-induced functional antibody. The higher cross-reactivity of higher avidity antibodies to other SARS-CoV-2 strains should translate to better protection from ever-evolving strains. Higher avidities may help explain how the vaccine's protective effects persist despite waning antibody titers after each vaccine dose.

Indexed as

Antibodies, ViralAntibody AffinityBNT162 VaccineCOVID-19COVID-19 VaccinesHealth PersonnelImmunization, SecondaryNursing HomesSARS-CoV-2AdultAgedAged, 80 and overFemaleHumansImmunity, HumoralLongitudinal StudiesAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesSpike Glycoprotein, CoronavirusAffinity maturationAvidityBivalent boostersBNT162b2 mRNA vaccineCOVID-19Healthcare workersNursing home residentsOmicron

Identifiers

PMID38789833
PMCPMC11493945

What OpenQuestion holds

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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.