

TWiV 1239: Aluminum and antibodies
Jul 27, 2025
The discussion dives into a robust Danish study revealing no link between aluminum in vaccines and chronic diseases in children. It further unpacks the complexities of antibody responses from COVID-19 vaccines, emphasizing the differentiation between mRNA and protein-based designs. The hosts explore immunodominance and the need to enhance vaccine responses while tackling public skepticism fueled by misinformation. In a lighter segment, they reflect on finding their podcast on IMDB and share engaging educational tools from recent conferences.
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Danish Study Supports Aluminum Vaccine Safety
- A large Danish study of over one million children found no evidence linking aluminum-based vaccine adjuvants to autoimmune, allergic, or neurodevelopmental disorders.
- The data robustly support the safety of aluminum doses present in vaccines against chronic diseases in children.
Spike Protein Antibody Targeting Insights
- Antibodies mainly target the spike protein's receptor-binding domain and the N-terminal domain supersite.
- The N-terminal domain antibodies are broad but less potent and highly variable, making them vulnerable to variant changes.
Variant Impact on Vaccine Antibodies
- Vaccine-induced antibodies to the receptor-binding motif retain strong binding to variants, while N-terminal domain supersite antibodies lose binding.
- Heterologous prime-boost vaccination increases antibody diversity in the receptor-binding domain but does not restore susceptible NTD supersite binding.