Evidence map›Paper›PMID 34459525›Full record

ArticleJournal of internal medicine2022

Robust humoral and cellular immune responses and low risk for reinfection at least 8 months following asymptomatic to mild COVID-19.

Sebastian Havervall, Henry Ng, August Jernbom Falk, Nina Greilert-Norin, Anna Månberg, Ulrika Marking, Ida Laurén, Lena Gabrielsson, Ann-Christin Salomonsson, Katherina Aguilera and 20 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
3.7field-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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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  10. SARS-CoV-2 immunity in animal models.Cellular & molecular immunology · 2024
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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

30 authors at 4 institutions in 2 countries.

Sebastian HavervallDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.ORCID 0000-0003-1671-8183
Henry NgDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.ORCID 0000-0003-2873-9088
August Jernbom FalkDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0002-7773-1851
Nina Greilert-NorinDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.ORCID 0000-0003-1492-9745
Anna MånbergDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0002-0056-1313
Ulrika MarkingDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.
Ida LaurénDepartment of Pharmacy, Uppsala University, Uppsala, Sweden.
Lena GabrielssonDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.
Ann-Christin SalomonssonDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.
Katherina AguileraDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.
Martha KihlgrenDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.
Maja MånssonDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.
Axel RosellDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.ORCID 0000-0001-6280-0562
Cecilia HellströmDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0003-0880-5375
Eni AnderssonDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.
Jennie OlofssonDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0002-8593-9089
Lovisa SkoglundDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.
Jamil YousefDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0001-5915-1258
Elisa PinDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0002-2158-2674
Martin LordDepartment of Pharmacy, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-3238-3187
Mikael ÅbergDepartment of Medical Sciences, Clinical Chemistry and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-7858-8233
My HedhammarDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.
Hanna TegelDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.
Pierre DönnesSciCross AB, Skövde, Sweden.ORCID 0000-0002-4613-2952
Mia PhillipsonDepartment of Medical Cell Biology, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-2387-0266
Peter NilssonDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0002-4657-8532
Jonas KlingströmCentre for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-9076-1441
Sara MangsboDepartment of Pharmacy, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-1355-2678
Sophia HoberDepartment of Protein Science, SciLifeLab, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0003-0605-8417
Charlotte ThålinDepartment of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.ORCID 0000-0002-1345-6491
Science for Life Laboratory · SEKarolinska Institutet · SEDongseo University · KRUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmerging data support detectable immune responses for months after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and vaccination, but it is not yet established to what degree and for how long protection against reinfection lasts.

methodsWe investigated SARS-CoV-2-specific humoral and cellular immune responses more than 8 months post-asymptomatic, mild and severe infection in a cohort of 1884 healthcare workers (HCW) and 51 hospitalized COVID-19 patients. Possible protection against SARS-CoV-2 reinfection was analyzed by a weekly 3-month polymerase chain reaction (PCR) screening of 252 HCW that had seroconverted 7 months prior to start of screening and 48 HCW that had remained seronegative at multiple time points.

resultsAll COVID-19 patients and 96% (355/370) of HCW who were anti-spike IgG positive at inclusion remained anti-spike IgG positive at the 8-month follow-up. Circulating SARS-CoV-2-specific memory T cell responses were detected in 88% (45/51) of COVID-19 patients and in 63% (233/370) of seropositive HCW. The cumulative incidence of PCR-confirmed SARS-CoV-2 infection was 1% (3/252) among anti-spike IgG positive HCW (0.13 cases per 100 weeks at risk) compared to 23% (11/48) among anti-spike IgG negative HCW (2.78 cases per 100 weeks at risk), resulting in a protective effect of 95.2% (95% CI 81.9%-99.1%).

conclusionsThe vast majority of anti-spike IgG positive individuals remain anti-spike IgG positive for at least 8 months regardless of initial COVID-19 disease severity. The presence of anti-spike IgG antibodies is associated with a substantially reduced risk of reinfection up to 9 months following asymptomatic to mild COVID-19.

Indexed as

Immunity, CellularImmunity, HumoralReinfectionAdultAntibodies, ViralAsymptomatic InfectionsCOVID-19COVID-19 Nucleic Acid TestingCOVID-19 Serological TestingFemaleHumansImmunoglobulin GMaleMemory T CellsMiddle AgedPandemicsAntibodies, ViralImmunoglobulin GCOVID-19humoral responselong-term immunityreinfectionSARS-CoV-2

Identifiers

PMID34459525
PMCPMC8661920
OpenAlexW3198256571

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.