Evidence map›Paper›PMID 39742263›Full record

ArticleFrontiers in immunology2024

Reduced durability of hybrid immunity to SARS-CoV-2 in immunocompromised children.

Youjia Zhong, Amuthavalli Kottaiswamy, Chen Xiang Ang, Hui' En Li, Gaik Chin Yap, Carina J X Tay, Nurul Elyana Osman, Siti Namirah Binte Roslan, Chee Wah Tan, Wee Chee Yap and 11 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

21 authors.

Youjia ZhongDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Amuthavalli KottaiswamyDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Chen Xiang AngKhoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore.
Hui' En LiDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Gaik Chin YapDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Carina J X TayDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Nurul Elyana OsmanDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Siti Namirah Binte RoslanDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Chee Wah TanInfectious Diseases Translational Research Program, Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, NUS, Singapore, Singapore.
Wee Chee YapInfectious Diseases Translational Research Program, Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, NUS, Singapore, Singapore.
Elizabeth Y AngKhoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore.
Pauline P L Chan NgDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Hui Kim YapDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Liangjian LuKhoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore.
Marion M AwDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Sivaraman V KarthikKhoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore.
Seng Hock QuakKhoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore.
Thuan Chong QuahKhoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore.
Elizabeth H ThamDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Lynette P Shek *Department of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Eng Eong Ooi *Program of Emerging Infectious Diseases, Duke-NUS Medical School, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In endemic COVID-19, immunocompromised children are vulnerable until vaccinated but the optimal primary vaccination regime and need for booster doses remains uncertain. Methods: We recruited 19 immunocompromised children (post-solid organ transplantation, have autoimmune disease or were on current or recent chemotherapy for acute lymphoblastic leukemia), and followed them from the start of primary vaccination with BNT162b2 mRNA SARS-CoV-2 until 1-year post-vaccination. We investigated the quality of vaccine immunogenicity, and longevity of hybrid immunity, in comparison to healthy children. Results: Immunocompromised children failed to produce T cell and memory B cell (MBC) responses reaching thresholds of protection after 2 doses; a third dose however improved both responses. Initially robust hybrid immunity demonstrated significantly more decline in T cell and MBC responses in immunocompromised compared to healthy children, to levels below the protective threshold by month 12. Discussion: Immunocompromised children may benefit from a 3-dose primary vaccination regime, with yearly or twice-yearly booster doses for sustained immunity.

Indexed as

BNT162 VaccineCOVID-19Immunocompromised HostSARS-CoV-2AdolescentAntibodies, ViralChildChild, PreschoolCOVID-19 VaccinesFemaleHumansImmunogenicity, VaccineMaleMemory B CellsT-LymphocytesVaccinationAntibodies, ViralBNT162 VaccineCOVID-19 Vaccinesadaptive immunitycorrelates of protectionCOVID-19memory B cellsT cellsvaccine durabilityvaccine immunogenicity

Identifiers

PMID39742263
PMCPMC11685208

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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.