Evidence map›Paper›PMID 33177504›Full record

ArticleNature communications2020

Immune responses to SARS-CoV-2 in three children of parents with symptomatic COVID-19.

Shidan Tosif, Melanie R Neeland, Philip Sutton, Paul V Licciardi, Sohinee Sarkar, Kevin J Selva, Lien Anh Ha Do, Celeste Donato, Zheng Quan Toh, Rachel Higgins and 20 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 5% of its field
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

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. The ageing immune system and its battle with viruses.The Journal of general virology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. CD8Nature communications · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Can T Cells Abort SARS-CoV-2 and Other Viral Infections?International journal of molecular sciences · 2023
    Review
  20. Review

11 more citing papers are in PubMed but not listed here.

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

30 authors at 5 institutions in 3 countries.

Shidan TosifDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia. Shidan.Tosif@rch.org.au.ORCID 0000-0003-0022-1009
Melanie R NeelandDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-7301-9982
Philip SuttonDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-3129-1800
Paul V LicciardiDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-6086-6285
Sohinee SarkarDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-9364-1920
Kevin J SelvaDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Victoria, Australia.
Lien Anh Ha DoDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Celeste DonatoDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Zheng Quan TohDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-0282-5837
Rachel HigginsInfection and Immunity, Murdoch Children's Research Institute, Melbourne, Australia.
Carolien Van de SandtDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-4155-7433
Melissa M LemkeDepartment of Biomedical Engineering, University of Michigan, MI, USA.ORCID 0000-0003-1860-4550
Christina Y LeeDepartment of Biomedical Engineering, University of Michigan, MI, USA.ORCID 0000-0002-9393-2178
Suzanne K ShoffnerDepartment of Biomedical Engineering, University of Michigan, MI, USA.ORCID 0000-0003-0010-6318
Katie L FlanaganDepartment of Infectious Diseases, Launceston General Hospital, Launceston, Tasmania, Australia.ORCID 0000-0002-1575-1953
Kelly B ArnoldDepartment of Biomedical Engineering, University of Michigan, MI, USA.ORCID 0000-0003-4756-7461
Francesca L MordantDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-3754-2642
Kim MulhollandDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Julie BinesDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Kate DohleInfection and Immunity, Murdoch Children's Research Institute, Melbourne, Australia.
Daniel G PellicciDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Nigel CurtisDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Sarah McNabDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Andrew SteerDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Richard SafferyDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-9510-4181
Kanta SubbaraoDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-1713-3056
Amy W ChungDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-0020-9704
Katherine KedzierskaDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-6141-335X
David P BurgnerDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-8304-4302
Nigel W CrawfordDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
The University of Melbourne · AURoyal Children's Hospital · AUUniversity of Michigan · USMurdoch Children's Research Institute · AUUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Compared to adults, children with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have predominantly mild or asymptomatic infections, but the underlying immunological differences remain unclear. Here, we describe clinical features, virology, longitudinal cellular, and cytokine immune profile, SARS-CoV-2-specific serology and salivary antibody responses in a family of two parents with PCR-confirmed symptomatic SARS-CoV-2 infection and their three children, who tested repeatedly SARS-CoV-2 PCR negative. Cellular immune profiles and cytokine responses of all children are similar to their parents at all timepoints. All family members have salivary anti-SARS-CoV-2 antibodies detected, predominantly IgA, that coincide with symptom resolution in 3 of 4 symptomatic members. Plasma from both parents and one child have IgG antibody against the S1 protein and virus-neutralizing activity detected. Using a systems serology approach, we demonstrate higher levels of SARS-CoV-2-specific antibody features of these family members compared to healthy controls. These data indicate that children can mount an immune response to SARS-CoV-2 without virological confirmation of infection, raising the possibility that immunity in children can prevent the establishment of SARS-CoV-2 infection. Relying on routine virological and serological testing may not identify exposed children, with implications for epidemiological and clinical studies across the life-span.

Indexed as

AdultAntibodies, ViralAustraliaBetacoronavirusCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesChildChild, PreschoolCoronavirus InfectionsCOVID-19CytokinesEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin AImmunoglobulin GAntibodies, ViralCytokinesImmunoglobulin AImmunoglobulin GSpike Glycoprotein, Coronavirus

Identifiers

PMID33177504
PMCPMC7658256
OpenAlexW3100611594

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.