Evidence map›Paper›PMID 38818129›Full record

ArticleWellcome open research2024

Anti-nucleocapsid antibody levels following initial and repeat SARS-CoV-2 infections in a cohort of long-term care facility residents in England (VIVALDI).

Oliver Stirrup, Gokhan Tut, Maria Krutikov, David Bone, Tara Lancaster, Borscha Azmi, Igor Monakhov, Paul Moss, Andrew Hayward, Andrew Copas and 1 more

Abstract read
In one paragraph

Article in Wellcome open research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Public Involvement to Enhance Care Home Research; Collaboration on a Minimum Data Set for Care Homes.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  4. Article
  5. Article
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.

Oliver StirrupInstitute for Global Health, University College London, London, England, UK.ORCID https://orcid.org/0000-0002-8705-3281
Gokhan TutInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, England, UK.
Maria KrutikovInstitute of Health Informatics, University College London, London, England, UK.ORCID https://orcid.org/0000-0002-3982-642X
David BoneInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, England, UK.
Tara LancasterInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, England, UK.
Borscha AzmiInstitute of Health Informatics, University College London, London, England, UK.
Igor MonakhovUK Health Security Agency, London, UK.
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, England, UK.ORCID https://orcid.org/0000-0002-6895-1967
Andrew HaywardInstitute of Epidemiology & Health Care, University College London, London, England, UK.ORCID https://orcid.org/0000-0002-3549-6232
Andrew CopasInstitute for Global Health, University College London, London, England, UK.
Laura ShallcrossInstitute of Health Informatics, University College London, London, England, UK.ORCID https://orcid.org/0000-0003-1713-2555

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: We have previously demonstrated that older residents of long-term care facilities (LTCF) in the UK show levels of anti-spike antibodies that are comparable to the general population following primary series and booster vaccination for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, data on the humoral response to other SARS-CoV-2 proteins associated with natural infection are scarce in this vulnerable population. Methods: We measured quantitative levels of anti-nucleocapsid antibodies in blood samples taken from LTCF residents and staff after initial and repeat SARS-CoV-2 infections, between December 2020 and March 2023. Data on SARS-CoV-2 infection and vaccination were obtained through linkage to national datasets. Linear mixed effects models were used to investigate anti-nucleocapsid antibody levels, using log10 scale, in relation to time from most recent infection. This included evaluation of associations between repeat infection, staff/resident status, age, sex, Omicron infection and vaccination history and peak antibody level and slope of decline with time. Results: We analysed 405 antibody observations from 220 residents and 396 observations from 215 staff. Repeat infection was associated with 8.5-fold (95%CI 4.9-14.8-fold) higher initial (peak) median anti-nucleocapsid antibody level, with steeper subsequent slope of decline. There were no significant differences in antibody level associated with resident (vs. staff) status or age, but Omicron infection was associated with 3.6-fold (95%CI 2.4-5.4-fold) higher levels. There was stronger evidence of waning of antibody levels over time in a sensitivity analysis in which observations were censored in cases with suspected undetected repeat infection. Conclusions: We found similar levels of anti-nucleocapsid antibody in residents and staff of LTCFs. Repeat infection and infection with an Omicron strain were associated with higher peak values. There was evidence of waning of anti-nucleocapsid antibody levels over time.

Indexed as

COVID-19immunoglobulin GnucleocapsidOmicronSARS-CoV-2

Identifiers

PMID38818129
PMCPMC11137476

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.