Evidence map›Paper›PMID 33646265›Full record

Trial reportThe Journal of experimental medicine2021

Highly functional virus-specific cellular immune response in asymptomatic SARS-CoV-2 infection.

Nina Le Bert, Hannah E Clapham, Anthony T Tan, Wan Ni Chia, Christine Y L Tham, Jane M Lim, Kamini Kunasegaran, Linda Wei Lin Tan, Charles-Antoine Dutertre, Nivedita Shankar and 18 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of experimental medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 221 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
221citing papers in PubMed, 1 pooled it
20.7field-weighted citation impact, top 1% 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

221 citing papers in PubMed, 1 synthesis or guideline pooled it, 340 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

161 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

28 authors at 7 institutions in 3 countries.

Nina Le BertProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Hannah E ClaphamSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Anthony T TanProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Wan Ni ChiaProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Christine Y L ThamProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Jane M LimSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Kamini KunasegaranProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Linda Wei Lin TanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Charles-Antoine DutertreInserm U1015, Gustave Roussy, Villejuif, France.
Nivedita ShankarSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Joey M E LimProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Louisa Jin SunInfectious Diseases, Alexandra Hospital, National University Health System, Singapore.
Marina ZahariSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Zaw Myo TunSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Vishakha KumarSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Beng Lee LimProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Siew Hoon LimDepartment of Microbiology, Singapore General Hospital, Singapore.
Adeline ChiaProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Yee-Joo TanInfectious Diseases Translational Programme, Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Paul Anantharajah TambyahInfectious Disease, Department of Medicine, National University Hospital, Singapore.
Shirin KalimuddinProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
David LyeInfectious Diseases Translational Programme, Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Jenny G H LowProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Lin-Fa WangProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Wei Yee WanDepartment of Microbiology, Singapore General Hospital, Singapore.
Li Yang HsuSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Antonio Bertoletti *Programme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Clarence C Tam *Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
National University of Singapore · SGDuke-NUS Medical School · SGSingapore General Hospital · SGAgency for Science, Technology and Research · SGAlexandra Hospital · SGInserm · FRNational University Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy of virus-specific T cells in clearing pathogens involves a fine balance between antiviral and inflammatory features. SARS-CoV-2-specific T cells in individuals who clear SARS-CoV-2 without symptoms could reveal nonpathological yet protective characteristics. We longitudinally studied SARS-CoV-2-specific T cells in a cohort of asymptomatic (n = 85) and symptomatic (n = 75) COVID-19 patients after seroconversion. We quantified T cells reactive to structural proteins (M, NP, and Spike) using ELISpot and cytokine secretion in whole blood. Frequencies of SARS-CoV-2-specific T cells were similar between asymptomatic and symptomatic individuals, but the former showed an increased IFN-γ and IL-2 production. This was associated with a proportional secretion of IL-10 and proinflammatory cytokines (IL-6, TNF-α, and IL-1β) only in asymptomatic infection, while a disproportionate secretion of inflammatory cytokines was triggered by SARS-CoV-2-specific T cell activation in symptomatic individuals. Thus, asymptomatic SARS-CoV-2-infected individuals are not characterized by weak antiviral immunity; on the contrary, they mount a highly functional virus-specific cellular immune response.

Indexed as

Asymptomatic InfectionsLymphocyte ActivationAdultCOVID-19CytokinesHumansMaleMiddle AgedSARS-CoV-2T-LymphocytesCytokines

Identifiers

PMID33646265
PMCPMC7927662
OpenAlexW3134489892

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.