Evidence map›Paper›PMID 40708523›Full record

ReviewCurrent HIV research2026

Unveiling an Immunological Mystery: Deciphering the Durability Divide in Vaccine-Elicited Antibody Responses.

George K Lewis, Stanca Ciupe, Mohammad Sajadi

Abstract readReview
In one paragraph

Review in Current HIV research, 2026. 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. Review
  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

3 authors.

George K LewisDepartment of Microbiology and Immunology, Division of Vaccine Research, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland, 21201, United States.
Stanca CiupeDepartment of Mathematics, Virginia Polytechnic Institute and State University, 225 Stanger Street, Blacksburg, VA, 24060, United States.
Mohammad SajadiDepartment of Medicine, Division of Clinical Care and Research, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland, 21201, United States.

Funding

Collaborative Research: DMS/NIGMS 1: Identifiability investigation of Multi-scale Models of Infectious DiseasesR01GM152743 · NIGMS · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI CIUPE, STANCA M. · 2023 to 2025
$600k
NIGMS NIH HHS R01 GM152743
6 · The paper itself

Abstract

Achieving durable antibody-mediated protection remains critical in vaccine development, particularly for viral diseases like COVID-19 and HIV. We discuss factors influencing antibody durability, highlighting the role of long-lived plasma cells (LLPCs) in the bone marrow, which are essential for sustained antibody production over many years. The frequencies and properties of bone marrow LLPC are critical determinants of the broad spectrum of antibody durability for different vaccines. Vaccines for diseases like measles and mumps elicit long-lasting antibodies; those for COVID-19 and HIV do not. High epitope densities in the vaccine are known to favor antibody durability, but we discuss three underappreciated variables that also play a role in long-lived antibody responses. First, in addition to high epitope densities, we discuss the importance of CD21 as a critical determinant of antibody durability. CD21 is a B cell antigen receptor (BCR) complex component. It significantly affects BCR signaling strength in a way essential for generating LLPC in the bone marrow. Second, all antibody-secreting cells (ASC) are not created equal. There is a four-log range of antibody secretion rates, and we propose epigenetic imprinting of different rates on ASC, including LLPC, as a factor in antibody durability. Third, antibody durability afforded by bone marrow LLPC is independent of continuous antigenic stimulation. By contrast, tissue-resident T-bet+CD21low ASC also persists in secondary lymphoid tissues and continuously produces antibodies depending on persisting antigen and the tissue microenvironment. We discuss these variables in the context of making an HIV vaccine that elicits broadly neutralizing antibodies against HIV that persist at protective levels without continuous vaccination over many years.

Indexed as

Antibodies, ViralAntibody FormationCOVID-19COVID-19 VaccinesAIDS VaccinesAnimalsEpitopesHumansPlasma CellsReceptors, Complement 3dSARS-CoV-2AIDS VaccinesAntibodies, ViralCOVID-19 VaccinesEpitopesReceptors, Complement 3dAntibody durabilityantibody secretion ratesbroadly neutralizing antibodiesCD21epitope multivalencyHIVlong-lived plasma cellsT-bet+ CD21 low antibody secreting cellsvaccine

Identifiers

PMID40708523
PMCPMC12456946

What OpenQuestion holds

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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.