Evidence map›Paper›PMID 34873588›Full record

ArticleCell reports. Medicine2021

Secretory IgA and T cells targeting SARS-CoV-2 spike protein are transferred to the breastmilk upon mRNA vaccination.

Juliana Gonçalves, A Margarida Juliano, Nádia Charepe, Marta Alenquer, Diogo Athayde, Filipe Ferreira, Margarida Archer, Maria João Amorim, Fátima Serrano, Helena Soares

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  10. Intranasal Multiepitope PD-L1-siRNA-Based Nanovaccine: The Next-Gen COVID-19 Immunotherapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 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

10 authors.

Juliana GonçalvesHuman Immunobiology and Pathogenesis Group, CEDOC, NOVA Medical School | Faculdade de Ciências Médicas, NOVA University of Lisbon, Lisbon, Portugal.
A Margarida JulianoHuman Immunobiology and Pathogenesis Group, CEDOC, NOVA Medical School | Faculdade de Ciências Médicas, NOVA University of Lisbon, Lisbon, Portugal.
Nádia CharepeCentro Hospitalar Universitário Lisboa Central, Lisbon, Portugal.
Marta AlenquerCell Biology of Viral Infection Lab, Instituto Gulbenkian de Ciência, Oeiras, Portugal.
Diogo AthaydeMembrane Protein Crystallography Laboratory, Instituto de Tecnologia Química e Biológica, ITQB-NOVA, Oeiras, Portugal.
Filipe FerreiraCell Biology of Viral Infection Lab, Instituto Gulbenkian de Ciência, Oeiras, Portugal.
Margarida ArcherMembrane Protein Crystallography Laboratory, Instituto de Tecnologia Química e Biológica, ITQB-NOVA, Oeiras, Portugal.
Maria João AmorimCell Biology of Viral Infection Lab, Instituto Gulbenkian de Ciência, Oeiras, Portugal.
Fátima SerranoCentro Hospitalar Universitário Lisboa Central, Lisbon, Portugal.
Helena SoaresHuman Immunobiology and Pathogenesis Group, CEDOC, NOVA Medical School | Faculdade de Ciências Médicas, NOVA University of Lisbon, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In view of the scarcity of data to guide decision making, we evaluated how BNT162b2 and mRNA-1273 vaccines affect the immune response in lactating women and the protective profile of breastmilk. Compared with controls, lactating women had a higher frequency of circulating RBD memory B cells and higher anti-RBD antibody titers but similar neutralizing capacity. We show that upon vaccination, immune transfer to breastmilk occurs through a combination of anti-spike secretory IgA (SIgA) antibodies and spike-reactive T cells. Although we found that the concentration of anti-spike IgA in breastmilk might not be sufficient to directly neutralize SARS-CoV-2, our data suggest that cumulative transfer of IgA might provide the infant with effective neutralization capacity. Our findings put forward the possibility that breastmilk might convey both immediate (through anti-spike SIgA) and long-lived (via spike-reactive T cells) immune protection to the infant. Further studies are needed to address this possibility and to determine the functional profile of spike T cells.

Indexed as

Antibodies, ViralCOVID-19COVID-19 VaccinesFemaleHumansImmunity, Maternally-AcquiredImmunoglobulin A, SecretoryLactationMemory B CellsMilk, HumanmRNA VaccinesSARS-CoV-2Spike Glycoprotein, CoronavirusT-LymphocytesVaccinationAntibodies, ViralCOVID-19 VaccinesImmunoglobulin A, SecretorymRNA VaccinesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2breastmilk T cellsCOVID-19lactating womenmaternal vaccinationmemory B cellsmilk-transferred SARS-CoV-2 protectionmilk-transferred spike-reactive T cellsmRNA vaccineplasmablastsspike SIgA

Identifiers

PMID34873588
PMCPMC8636305

What OpenQuestion holds

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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.