Evidence map›Paper›PMID 33262993›Full record

ArticleFrontiers in medicine2020

Dynamics of CD4 T Cell and Antibody Responses in COVID-19 Patients With Different Disease Severity.

Maximilian Koblischke, Marianna T Traugott, Iris Medits, Felicia S Spitzer, Alexander Zoufaly, Lukas Weseslindtner, Cara Simonitsch, Tamara Seitz, Wolfgang Hoepler, Elisabeth Puchhammer-Stöckl and 7 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 9% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. CD4Science advances · 2024
    Article
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  7. Article
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  11. Review
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  14. Limited role of children in transmission of SARS-CoV-2 virus in households-Immunological analysis of 26 familial clusters.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2023
    Article
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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

17 authors at 3 institutions in 1 country.

Maximilian KoblischkeCenter for Virology, Medical University of Vienna, Vienna, Austria.
Marianna T TraugottDepartment of Medicine IV, Clinic Favoriten, Vienna Healthcare Group, Vienna, Austria.
Iris MeditsCenter for Virology, Medical University of Vienna, Vienna, Austria.
Felicia S SpitzerCenter for Virology, Medical University of Vienna, Vienna, Austria.
Alexander ZoufalyDepartment of Medicine IV, Clinic Favoriten, Vienna Healthcare Group, Vienna, Austria.
Lukas WeseslindtnerCenter for Virology, Medical University of Vienna, Vienna, Austria.
Cara SimonitschCenter for Virology, Medical University of Vienna, Vienna, Austria.
Tamara SeitzDepartment of Medicine IV, Clinic Favoriten, Vienna Healthcare Group, Vienna, Austria.
Wolfgang HoeplerDepartment of Medicine IV, Clinic Favoriten, Vienna Healthcare Group, Vienna, Austria.
Elisabeth Puchhammer-StöcklCenter for Virology, Medical University of Vienna, Vienna, Austria.
Stephan W AberleCenter for Virology, Medical University of Vienna, Vienna, Austria.
Manuela FödingerInstitute of Laboratory Diagnostics, Clinic Favoriten, Vienna Healthcare Group, Vienna, Austria.
Andreas BergthalerResearch Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Michael KundiCenter for Public Health, Medical University of Vienna, Vienna, Austria.
Franz X HeinzCenter for Virology, Medical University of Vienna, Vienna, Austria.
Karin StiasnyCenter for Virology, Medical University of Vienna, Vienna, Austria.
Judith H AberleCenter for Virology, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATAustrian Academy of Sciences · ATSigmund Freud University Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ranges from mild illness to severe respiratory disease and death. In this study, we determined the kinetics of viral loads, antibody responses (IgM, IgG, neutralization) and SARS-CoV-2-specific CD4 T cells by quantifying these parameters in 435 serial respiratory and blood samples collected from a cohort of 29 COVID-19 patients with either moderate or severe disease during the whole period of hospitalization or until death. Remarkably, there was no significant difference in the kinetics and plateau levels of neutralizing antibodies among the groups with different disease severity. In contrast, the dynamics of specific CD4 T cell responses differed considerably, but all patients with moderate or severe disease developed robust SARS-CoV-2-specific responses. Of note, none of the patients had detectable cross-reactive CD4 T cells in the first week after symptom onset, which have been described in 20-50% of unexposed individuals. Our data thus provide novel insights into the kinetics of antibody and CD4 T cell responses as well as viral loads that are key to understanding the role of adaptive immunity in combating the virus during acute infection and provide leads for the timing of immune therapies for COVID-19.

Indexed as

adaptive immunityCOVID-19 patientsSARS-CoV-2SARS-CoV-2-specific antibodiesSARS-CoV-2-specific T cells

Identifiers

PMID33262993
PMCPMC7686651
OpenAlexW3102905202

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.