A Response to: A Letter to the Editor Regarding ‘Comparative Effectiveness of mRNA-1273 and BNT162b2 COVID-19 Vaccines Among Older Adults: Systematic Literature Review and Meta-Analysis Using the GRADE Framework’ DOI Creative Commons
Ekkehard Beck, Mary T. Bausch-Jurken, Nicolas Van de Velde

et al.

Infectious Diseases and Therapy, Journal Year: 2024, Volume and Issue: 13(10), P. 2195 - 2202

Published: Aug. 24, 2024

Language: Английский

Real-world Effectiveness of Molnupiravir and Nirmatrelvir/Ritonavir as Treatments for COVID-19 in Patients at High Risk DOI Creative Commons
Dimitrios Paraskevis,

Maria Gkova,

Kassiani Μellou

et al.

The Journal of Infectious Diseases, Journal Year: 2023, Volume and Issue: 228(12), P. 1667 - 1674

Published: Aug. 10, 2023

Using a retrospective cohort study design, we aimed to evaluate the effectiveness of molnupiravir and nirmatrelvir/ritonavir in patients with SARS-CoV-2 who were highly vulnerable.

Language: Английский

Citations

28

Comparative Effectiveness of mRNA-1273 and BNT162b2 COVID-19 Vaccines Among Older Adults: Systematic Literature Review and Meta-Analysis Using the GRADE Framework DOI Creative Commons
S Kavikondala, Katrin Haeussler, Xuan Wang

et al.

Infectious Diseases and Therapy, Journal Year: 2024, Volume and Issue: 13(4), P. 779 - 811

Published: March 18, 2024

The mRNA vaccines mRNA-1273 and BNT162b2 demonstrated high efficacy against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in phase 3 clinical trials, including among older adults. To inform disease 2019 (COVID-19) vaccine selection, this systematic literature review (SLR) meta-analysis assessed the comparative effectiveness of versus We systematically searched for relevant studies reporting COVID-19 outcomes with adults aged ≥ 50 years by first cross-checking published SLRs. Based on cutoff date from a previous similar SLR, we then WHO Research Database articles between April 9, 2022, June 2, 2023. Outcomes interest were SARS-CoV-2 infection, symptomatic COVID-19–related hospitalization, death following doses. Random effects models used to pool risk ratios (RRs) across studies. Heterogeneity was evaluated using chi-square testing. Evidence certainty per GRADE framework. Twenty-four non-randomized real-world individuals included meta-analysis. Vaccination associated significantly lower (RR 0.72 [95% confidence interval (CI) 0.64‒0.80]), CI 0.62‒0.83]), 0.67 0.57‒0.78]), hospitalization 0.65 0.53‒0.79]) but not 0.80 0.64‒1.00]) compared BNT162b2. There considerable heterogeneity all (I2 > 75%) except = 0%). Multiple subgroup sensitivity analyses excluding specific generally consistent results. Certainty evidence rated as low (type 3) or very 4), reflecting lack randomized controlled trial data. Meta-analysis 24 observational asymptomatic, symptomatic, infections hospitalizations years.

Language: Английский

Citations

11

Age-related changes in the immune system and challenges for the development of age-specific vaccines DOI Creative Commons
Mark Doherty, Birgit Weinberger, Arnaud M. Didierlaurent

et al.

Annals of Medicine, Journal Year: 2025, Volume and Issue: 57(1)

Published: March 20, 2025

Background A better understanding of how the immune system evolves with age and vaccines work in older people has led to increasing focus on development aimed specifically at groups. We discuss strategies used improve vaccine immunogenicity for adults, focusing licensed adjuvants.

Language: Английский

Citations

1

Vaccines for the Elderly and Vaccination Programs in Europe and the United States DOI Creative Commons
Cleo Anastassopoulou, Stefanos Ferous, Snežana Medić

et al.

Vaccines, Journal Year: 2024, Volume and Issue: 12(6), P. 566 - 566

Published: May 22, 2024

The share of the elderly population is growing worldwide as life expectancy increases. Immunosenescence and comorbidities increase infectious diseases’ morbidity mortality in older adults. Here, we aimed to summarize latest findings on vaccines for against herpes zoster, influenza, respiratory syncytial virus (RSV), COVID-19, pneumococcal disease examine vaccine recommendation differences this age group Europe United States. PubMed was searched using keywords “elders” “vaccine” alongside disease/pathogen question paraphrased or synonymous terms. Vaccine recommendations were also sought European US Centers Disease Control Prevention databases. Improved vaccines, tailored elderly, mainly by novel adjuvants increasing antigen concentration, are now available. Significant exist between immunization policies, especially countries, terms recipient’s age, number doses, vaccination schedule, implementation (mandatory recommended). Understanding factors that influence immune response may help design offer long-term protection vulnerable group. A consensus-based strategy could fill gaps policy particularly regarding RSV pneumococcus.

Language: Английский

Citations

7

Lack of vitamin D predicts impaired long-term immune response to COVID-19 vaccination DOI Creative Commons
Luigi di Filippo, Stefano Frara,

Umberto Terenzi

et al.

Endocrine, Journal Year: 2023, Volume and Issue: 82(3), P. 536 - 541

Published: Aug. 17, 2023

Abstract Purpose Low vitamin D levels were reported to negatively influence the outcome of acute COVID-19, as well be linked Long-COVID. However, few studies have investigated, so far, its effects on humoral-response anti-SARS-CoV-2 vaccination, reporting conflicting results. We aimed evaluate impact baseline 25(OH)vitamin (25(OH)D) a two-dose cycle Pfizer-BioNTech-vaccine up 9–10 months after immunization. Methods retrospectively included 119 consecutive healthcare-workers (median age 53 years) without previous history COVID-19 or immunoglobulins presence immunized with two doses Comirnaty-vaccine from January February 2021. 25(OH)D was measured at time first-immunization. Immune response evaluated at: 0 (T0), before first-dose; T1, second-dose (21 days T0); T2, T3, T4 1, 5 and 9 respectively. Results Median 25.6 ng/mL, deficiency (25(OH)D <20 ng/mL) observed in 29 subjects (24.8%). In those deficiency, we found non-significant trend towards lower antibody-titers significantly titers compared not D-deficient, also observing more pronounced negative drop peak-T2 deficiency. A positive correlation between ( p = 0.043) found. multiple linear-regression analysis, older-age resulted independent factors associated antibody titer 0.026, 0.004; respectively). Conclusion our relatively young cohort presenting low prevalence hypovitaminosis D, long-term humoral vaccination influenced by 25(OH)D. Vitamin supplementation could tested strategy optimize campaigns prevent severe COVID-19.

Language: Английский

Citations

16

Influenza and COVID-19 co-infection and vaccine effectiveness against severe cases: a mathematical modeling study DOI Creative Commons
Jingyi Liang,

Yangqianxi Wang,

Zhijie Lin

et al.

Frontiers in Cellular and Infection Microbiology, Journal Year: 2024, Volume and Issue: 14

Published: March 4, 2024

Background Influenza A virus have a distinctive ability to exacerbate SARS-CoV-2 infection proven by in vitro studies. Furthermore, clinical evidence suggests that co-infection with COVID-19 and influenza not only increases mortality but also prolongs the hospitalization of patients. is small-scale recurrent epidemic, increasing likelihood co-epidemic seasonal influenza. The impact on population remains unstudied. Method Here, we developed an age-specific compartmental model simulate co-circulation estimate number co-infected patients under different scenarios prevalent type vaccine coverage. To decrease risk developing severity, investigated minimum coverage required for conjunction vaccine, particularly during seasons. Result Compared single transmission exhibits lower trend delayed peak when Number cases higher than B virus. as becomes more transmissible. As proportion individuals vaccinated vaccines increases, severe illnesses illness decreases time delayed, especially those &gt;60 years old. Conclusion minimize arising from COVID-19, vaccinations are important, priority elderly.

Language: Английский

Citations

5

The Efficacy of SARS-CoV-2 Vaccination in the Elderly: A Systemic Review and Meta-analysis DOI Open Access
Xiu Hong Yang,

Wen Jing Bao,

Hua Zhang

et al.

Journal of General Internal Medicine, Journal Year: 2023, Volume and Issue: unknown

Published: June 2, 2023

Language: Английский

Citations

11

Longitudinal analysis of antibody titers after primary and booster mRNA COVID-19 vaccination can identify individuals at risk for breakthrough infection DOI Creative Commons
Hyeongki Park, Naotoshi Nakamura, Shô Miyamoto

et al.

bioRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown

Published: March 3, 2025

Abstract A key issue in the post-COVID-19 era is ongoing administration of COVID-19 vaccines. Repeated vaccination essential for preparing against currently circulating and newly emerging SARS-CoV-2 variants while enabling people to continue with daily life. Optimizing strategies crucial efficiently manage medical resources establish an effective framework. Therefore, it important quantitatively understand vaccine-induced immunity dynamics be able identify poor responders lower sustained antibody titers as potential priorities revaccination. We investigated longitudinal titer data a cohort 2,526 Fukushima, Japan, from April 2021 November 2022 whom basic demographic health information was available. Using mathematical modeling machine learning, we stratified time-course patterns after 2 primary doses 1 booster dose mRNA identified 3 notable populations, which refer durable, vulnerable, rapid-decliner approximately half remained same population dose. Notably, experienced earlier infections than others. Furthermore, when comparing IgG(S) titers, IgA(S) T-spot counts between participants who breakthrough those did not, found that were significantly infected during early stage vaccination. Our computational approach adaptable various types vaccinations. This flexibility can inform policy decisions on vaccine distribution enhance both future pandemics era.

Language: Английский

Citations

0

COVID-19 Vaccination Effectiveness in the General Population of an Italian Province: Two Years of Follow-Up DOI Creative Commons
Annalisa Rosso, Maria Elena Flacco,

Graziella Soldato

et al.

Vaccines, Journal Year: 2023, Volume and Issue: 11(8), P. 1325 - 1325

Published: Aug. 4, 2023

We carried out a cohort study on the overall population of province Pescara, Italy, to assess real-world effectiveness SARS-CoV-2 vaccination against infection, severe, or lethal COVID-19, two years after start campaign. included all resident domiciled subjects, and extracted official demographic, vaccination, hospital co-pay exemption datasets from 1 January 2021, up 15 February 2023. Cox proportional hazards analyses were adjusted for gender, age, diabetes, hypertension, COPD, major cardio- cerebrovascular events, cancer, kidney diseases. Throughout follow-up (466 days average), 186,676 subjects received greater than equal three vaccine doses (of ChAdOx1 nCoV-19, BNT162b2, mRNA-1273, NVX-CoV2373, JNJ-78436735), 47,610 doses, 11,452 one dose, 44,989 none. Overall, 40.4% infected with SARS-CoV-2. Of them, 2.74% had severe (1.30%) COVID-19. As compared unvaccinated, individuals who booster dose showed ≥85% lower risk A massive impact was found among elderly: 22.0% died, as opposed less 3% those doses. No protection infection observed, although this finding certainly influenced by Italian restriction policies control pandemic. Importantly, during Omicron predominance period, only group at least reduced COVID-19-related death.

Language: Английский

Citations

10

Biochemical Screening of Phytochemicals and Identification of Scopoletin as a Potential Inhibitor of SARS-CoV-2 Mpro, Revealing Its Biophysical Impact on Structural Stability DOI Creative Commons
Sarika Bano, Jyotishna Singh, Zainy Zehra

et al.

Viruses, Journal Year: 2025, Volume and Issue: 17(3), P. 402 - 402

Published: March 12, 2025

The main protease (Mpro or 3CLpro nsp5) of SARS-CoV-2 is crucial to the life cycle and pathogenesis SARS-CoV-2, making it an attractive drug target develop antivirals. This study employed virtual screening a few phytochemicals, resultant best compound, Scopoletin, was further investigated by FRET-based enzymatic assay, revealing experimental IC50 15.75 µM. impact Scopoletin on Mpro biophysical MD simulation studies. Fluorescence spectroscopy identified strong binding constant 3.17 × 104 M⁻1 for Mpro, as demonstrated its effective fluorescence quenching Mpro. Additionally, CD showed significant reduction in helical content upon interaction with Scopoletin. findings thermodynamic measurements using isothermal titration calorimetry (ITC) supported spectroscopic data, indicating tight KA 2.36 103 M−1. Similarly, studies have also revealed that forms hydrogen bonds amino acids nearest active site, this has been molecular dynamics These indicate may be developed potential antiviral treatment targeting

Language: Английский

Citations

0