Evidence map›Paper›PMID 34667307›Full record

ReviewNature reviews. Immunology2021

The immunology of asymptomatic SARS-CoV-2 infection: what are the key questions?

Rosemary J Boyton, Daniel M Altmann

Open access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

63 citing papers in PubMed, 109 citations in OpenAlex.

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  4. Detection of ongoing asymptomaticFrontiers in microbiology · 2026
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  13. Household Transmission Dynamics of Asymptomatic SARS-CoV-2-Infected Children: A Multinational, Controlled Case-Ascertained Prospective Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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3 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

2 authors at 2 institutions in 1 country.

Rosemary J BoytonDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK. r.boyton@imperial.ac.uk.ORCID 0000-0002-5608-0797
Daniel M AltmannDepartment of Immunology and Inflammation, Faculty of Medicine, Imperial College London, London, UK. d.altmann@imperial.ac.uk.ORCID 0000-0002-2436-6192
Imperial College London · GBRoyal Brompton & Harefield NHS Foundation Trust · GB

Funding

Medical Research Council MC_PC_20031Medical Research Council MC_PC_20060Medical Research Council MR/R02622X/1Medical Research Council MR/S019553/1Medical Research Council MR/V036939/1Medical Research Council MR/W020610/1
6 · The paper itself

Abstract

An important challenge during the COVID-19 pandemic has been to understand asymptomatic disease and the extent to which this may be a source of transmission. As asymptomatic disease is by definition hard to screen for, there is a lack of clarity about this aspect of the COVID-19 spectrum. Studies have considered whether the prevalence of asymptomatic disease is determined by differences in age, demographics, viral load, duration of shedding, and magnitude or durability of immunity. It is clear that adaptive immunity is strongly activated during asymptomatic infection, but some features of the T cell and antibody response may differ from those in symptomatic disease. Areas that need greater clarity include the extent to which asymptomatic disease leads to persistent symptoms (long COVID), and the quality, quantity and durability of immune priming required to confer subsequent protection.

Indexed as

Asymptomatic InfectionsImmunologic MemoryAnimalsCOVID-19HumansPost-Acute COVID-19 SyndromeSARS-CoV-2

Identifiers

PMID34667307
PMCPMC8525456
OpenAlexW3205716317

What OpenQuestion holds

Textmetadata
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.