Evidence map›Paper›PMID 34843448›Full record

ArticleThe Journal of clinical investigation2022

SARS-CoV-2-specific memory B cells can persist in the elderly who have lost detectable neutralizing antibodies.

Anna Jeffery-Smith, Alice R Burton, Sabela Lens, Chloe Rees-Spear, Jessica Davies, Monika Patel, Robin Gopal, Luke Muir, Felicity Aiano, Katie J Doores and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.1field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 37 citations in OpenAlex.

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  16. Can T Cells Abort SARS-CoV-2 and Other Viral Infections?International journal of molecular sciences · 2023
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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

15 authors at 5 institutions in 2 countries.

Anna Jeffery-SmithDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London (UCL), London, United Kingdom.
Alice R BurtonDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London (UCL), London, United Kingdom.
Sabela LensDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London (UCL), London, United Kingdom.
Chloe Rees-SpearDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London (UCL), London, United Kingdom.
Jessica DaviesDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London (UCL), London, United Kingdom.
Monika PatelVirus Reference Department, Public Health England (now called UK Health Security Agency [UKHSA]), London, United Kingdom.
Robin GopalVirus Reference Department, Public Health England (now called UK Health Security Agency [UKHSA]), London, United Kingdom.
Luke MuirDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London (UCL), London, United Kingdom.
Felicity AianoImmunisation and Countermeasures Division, Public Health England (now called UKHSA), London, United Kingdom.
Katie J DooresDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
J Yimmy ChowLondon Coronavirus Response Cell, Public Health England (now called UKHSA), London, United Kingdom.
Shamez N LadhaniImmunisation and Countermeasures Division, Public Health England (now called UKHSA), London, United Kingdom.
Maria ZambonVirus Reference Department, Public Health England (now called UK Health Security Agency [UKHSA]), London, United Kingdom.
Laura E McCoyDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London (UCL), London, United Kingdom.
Mala K MainiDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London (UCL), London, United Kingdom.
Institute of Infection and Immunity · CAPublic Health England · GBChemring Countermeasures (United Kingdom) · GBKing's College London · GBQueen Mary University of London · GB

Funding

Cancer Research UK 26603Medical Research Council MC_PC_20060Medical Research Council MR/R008698/1Medical Research Council MR/V028448/1
6 · The paper itself

Abstract

Memory B cells (MBCs) can provide a recall response able to supplement waning antibodies (Abs) with an affinity-matured response better able to neutralize variant viruses. We studied a cohort of elderly care home residents and younger staff (median age of 87 years and 56 years, respectively), who had survived COVID-19 outbreaks with only mild or asymptomatic infection. The cohort was selected because of its high proportion of individuals who had lost neutralizing antibodies (nAbs), thus allowing us to specifically investigate the reserve immunity from SARS-CoV-2-specific MBCs in this setting. Class-switched spike and receptor-binding domain (RBD) tetramer-binding MBCs persisted 5 months after mild or asymptomatic SARS-CoV-2 infection, irrespective of age. The majority of spike- and RBD-specific MBCs had a classical phenotype, but we found that activated MBCs, indicating possible ongoing antigenic stimulation or inflammation, were expanded in the elderly group. Spike- and RBD-specific MBCs remained detectable in the majority of individuals who had lost nAbs, although at lower frequencies and with a reduced IgG/IgA isotype ratio. Functional spike-, S1 subunit of the spike protein- (S1-), and RBD-specific recall was also detectable by enzyme-linked immune absorbent spot (ELISPOT) assay in some individuals who had lost nAbs, but was significantly impaired in the elderly. Our findings demonstrate that a reserve of SARS-CoV-2-specific MBCs persists beyond the loss of nAbs but highlight the need for careful monitoring of functional defects in spike- and RBD-specific B cell immunity in the elderly.

Indexed as

Immunologic MemoryAntibodies, NeutralizingAntibodies, ViralCOVID-19FemaleHumansImmunoglobulin Class SwitchingMaleMemory B CellsSARS-CoV-2Spike Glycoprotein, CoronavirusAntibodies, NeutralizingAntibodies, ViralSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Adaptive immunityCOVID-19ImmunoglobulinsImmunology

Identifiers

PMID34843448
PMCPMC8759779
OpenAlexW3217129431

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.