Evidence map›Paper›PMID 34685521›Full record

ArticleCells2021

Highly Specific Memory B Cells Generation after the 2nd Dose of BNT162b2 Vaccine Compensate for the Decline of Serum Antibodies and Absence of Mucosal IgA.

Eva Piano Mortari, Cristina Russo, Maria Rosaria Vinci, Sara Terreri, Ane Fernandez Salinas, Livia Piccioni, Claudia Alteri, Luna Colagrossi, Luana Coltella, Stefania Ranno and 25 more

Open access · goldAbstract read
In one paragraph

Article in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
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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

35 authors at 5 institutions in 1 country.

Eva Piano MortariDiagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo,15, 00146 Rome, Italy.ORCID 0000-0002-0054-4732
Cristina RussoMicrobiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Maria Rosaria VinciOccupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.
Sara TerreriDiagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo,15, 00146 Rome, Italy.
Ane Fernandez SalinasDiagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo,15, 00146 Rome, Italy.
Livia PiccioniMicrobiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Claudia AlteriDiagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo,15, 00146 Rome, Italy.
Luna ColagrossiMicrobiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Luana ColtellaMicrobiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.ORCID 0000-0002-4933-4242
Stefania RannoMicrobiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Giulia LinardosMicrobiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Marilena AgostaMicrobiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.ORCID 0000-0002-6017-3232
Christian AlbanoDiagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo,15, 00146 Rome, Italy.
Chiara AgratiNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Via Portuense, 2, 00146 Rome, Italy.
Concetta CastillettiNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Via Portuense, 2, 00146 Rome, Italy.ORCID 0000-0001-9819-236X
Silvia MeschiNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Via Portuense, 2, 00146 Rome, Italy.
Paolo RomaniaDiagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo,15, 00146 Rome, Italy.
Giuseppe RoscilliTakis s.r.l., Via di Castel Romano, 100, 00128 Rome, Italy.
Emiliano PavoniTakis s.r.l., Via di Castel Romano, 100, 00128 Rome, Italy.
Vincenzo CamisaOccupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.
Annapaola SantoroOccupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.
Rita BrugalettaOccupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.
Nicola MagnavitaSection of Occupational Medicine and Labor Law, Post-Graduate School of Occupational Health, University Cattolica del Sacro Cuore, Largo Francesco Vito, 1, 00168 Rome, Italy.ORCID 0000-0002-0988-7344
Alessandra RuggieroAcademic Department of Pediatrics (DPUO), Research Unit of Clinical Immunology and Vaccinology, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.ORCID 0000-0002-1041-7489
Nicola CotugnoAcademic Department of Pediatrics (DPUO), Research Unit of Clinical Immunology and Vaccinology, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.ORCID 0000-0002-7748-1581
Donato AmodioAcademic Department of Pediatrics (DPUO), Research Unit of Clinical Immunology and Vaccinology, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Marta Luisa Ciofi Degli AttiClinical Pathways and Epidemiology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Daniela GiorgioNeonatal Intensive Care Unit and Human Milk Bank, Department of Neonatology, Bambino Gesù Children's Hospital, IRCSS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Nicoletta RussoNeonatal Intensive Care Unit and Human Milk Bank, Department of Neonatology, Bambino Gesù Children's Hospital, IRCSS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Guglielmo SalvatoriNeonatal Intensive Care Unit and Human Milk Bank, Department of Neonatology, Bambino Gesù Children's Hospital, IRCSS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Tiziana CorsettiHospital Pharmacy Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.
Franco LocatelliDepartment of Hematology/Oncology, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165 Rome, Italy.ORCID 0000-0002-7976-3654
Carlo Federico PernoDiagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo,15, 00146 Rome, Italy.
Salvatore ZaffinaOccupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.ORCID 0000-0002-8858-5423
Rita CarsettiDiagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo,15, 00146 Rome, Italy.
Bambino Gesù Children's Hospital · ITIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Milan · ITUniversity of Verona · IT

Funding

Italian Ministry of Health COVID-2020-12371817 grantItalian Ministry of Health RF2013-02358960 grant
6 · The paper itself

Abstract

Specific memory B cells and antibodies are a reliable read-out of vaccine efficacy. We analysed these biomarkers after one and two doses of BNT162b2 vaccine. The second dose significantly increases the level of highly specific memory B cells and antibodies. Two months after the second dose, specific antibody levels decline, but highly specific memory B cells continue to increase, thus predicting a sustained protection from COVID-19. We show that although mucosal IgA is not induced by the vaccination, memory B cells migrate in response to inflammation and secrete IgA at mucosal sites. We show that the first vaccine dose may lead to an insufficient number of highly specific memory B cells and low concentration of serum antibodies, thus leaving vaccinees without the immune robustness needed to ensure viral elimination and herd immunity. We also clarify that the reduction of serum antibodies does not diminish the force and duration of the immune protection induced by vaccination. The vaccine does not induce sterilizing immunity. Infection after vaccination may be caused by the lack of local preventive immunity because of the absence of mucosal IgA.

Indexed as

Immunologic MemoryAdultAntibodies, NeutralizingAntibodies, ViralAntigens, ViralB-LymphocytesBNT162 VaccineCOVID-19COVID-19 VaccinesCryopreservationFemaleHealth PersonnelHealthy VolunteersHospitals, PediatricHumansImmunoglobulin AAntibodies, NeutralizingAntibodies, ViralAntigens, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin AImmunoglobulin GImmunoglobulin MBNT162b2IgAimmunitymemory B cellsSARS-CoV-2vaccine

Identifiers

PMID34685521
PMCPMC8533837
OpenAlexW3203583864

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.