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PI Emerging Pathogen Serology group at UKHSA Porton | Zoonoses, diagnostics & tech 🦇👨‍🔬💻 | Views my own 🏳️‍🌈🌍

Looking at antibody levels of infection naive individuals, we see continued waning in younger age groups* but increases in antibody levels in those aged >50 due to winter booster/4th dose.

With a similar trend seen in previously infected individuals, more noticeable in older age groups where the majority of individuals have antibodies >25,000!

We might need a new category to break up those >25,000....

* - some younger individuals will have boosting due to 4th dose eligibility, e.g. HCWs

The 17-29 age group have had the consistently highest seropositivity at 89.4% (c/f 87.2%), but big changes in the 70-84 age group, with >10% increase to 68.5%
London still holds the crown 👑 for highest seropositive region at a whopping 88.5%, but all regions showing increases and likely to go higher after Christmas increase

Our latest SARS-CoV-2 serosurveillance data for England with @NHSBT (Oct-Dec 2022) is now out in the @UKHSA vaccine surveillance report.

Anti-nucleocapsid seropositivity: 82.5 % (c/f 78.2%)
Anti-spike seropositivity: 99.9% (c/f 99.8%)

https://www.gov.uk/government/publications/covid-19-vaccine-weekly-surveillance-reports

2022 was epic. Eternally grateful to work with a brilliant team and colleagues in UKHSA and our collaborators, doing some fun and exciting science along the way 👩‍🔬👨‍🔬

Wishing you all a happy new year. Here's to 2023! 🎉

Mastodon definitely needs a thread option for sure....sorry to everyone's clogged timelines!

We're now looking in further detail into Ab/Ag binding in MPOX, with comparisons to Smallpox-vaccinated, as a way to understand these subtle differences but also what these mean for pan-pox immunity.. Hopefully more soon!

This was a massive collaborative piece of work, with thanks to colleagues across @UKHSA, @EPS_Porton, @RIPL_Porton, @CDCgov, @ImperialNHS & @ChelwestFT!

But the main takeaway is that now we know a subset of antigens that are immunodominant in MPOX infection and Smallpox-vaccinated, so this is a bunch of data on which Ags could be used as the target for new vaccines (MPOX or broad pox) or even therapeutics like mAbs
So overall:
• Similar Ag recognition by antibodies induced by either Smallpox vaccin. or #MPOX infection
• Some distinction between Smallpox vaccinated and MPOX infected e.g. A27 or preferential binding
• Pooled Ag ELISA is accurate and useful in measuring pox Ab responses

..and this pool gives some excellent sensitivity (97.14%) and specificity (98.23%), better than individual antigens (some being ~50% sens)

Using this assay we can also perform endpoint titrations to allow quantification of responses to Smallpox vaccine or MPOX infection 👇