Evidence map›Paper›PMID 34960244›Full record

ArticleVaccines2021

Nasal and Salivary Mucosal Humoral Immune Response Elicited by mRNA BNT162b2 COVID-19 Vaccine Compared to SARS-CoV-2 Natural Infection.

Mariapia Guerrieri, Beatrice Francavilla, Denise Fiorelli, Marzia Nuccetelli, Francesco Maria Passali, Luca Coppeta, Giuseppina Somma, Sergio Bernardini, Andrea Magrini, Stefano Di Girolamo

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. Nasal cytological evidence of chronic inflammation in the olfactory cleft in post-viral olfactory dysfunction.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Observational
  8. COVID-19 vaccines: Immune correlates and clinical outcomes.Human vaccines & immunotherapeutics · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Mariapia GuerrieriDepartment of Otorhinolaryngology, University of Rome "Tor Vergata", 00100 Rome, Italy.
Beatrice FrancavillaDepartment of Otorhinolaryngology, University of Rome "Tor Vergata", 00100 Rome, Italy.
Denise FiorelliDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00100 Rome, Italy.
Marzia NuccetelliDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00100 Rome, Italy.
Francesco Maria PassaliDepartment of Otorhinolaryngology, University of Rome "Tor Vergata", 00100 Rome, Italy.
Luca CoppetaDepartment of Occupational Medicine, University of Rome "Tor Vergata", 00100 Rome, Italy.
Giuseppina SommaDepartment of Occupational Medicine, University of Rome "Tor Vergata", 00100 Rome, Italy.
Sergio BernardiniDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00100 Rome, Italy.
Andrea MagriniDepartment of Occupational Medicine, University of Rome "Tor Vergata", 00100 Rome, Italy.
Stefano Di GirolamoDepartment of Otorhinolaryngology, University of Rome "Tor Vergata", 00100 Rome, Italy.
University of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 antibody assays are crucial in managing the COVID-19 pandemic. Approved mRNA COVID-19 vaccines are well known to induce a serum antibody responses against the spike protein and its RBD. Mucosal immunity plays a major role in the fight against COVID-19 directly at the site of virus entry; however, vaccine abilities to elicit mucosal immune responses have not been reported. We detected anti-SARS-CoV-2 IgA-S1 and IgG-RBD in three study populations (healthy controls, vaccinated subjects, and subjects recovered from COVID-19 infection) on serum, saliva, and nasal secretions using two commercial immunoassays (ELISA for IgA-S1 and chemiluminescent assay for IgG-RBD). Our results show that the mRNA BNT162b2 vaccine Comirnaty (Pfizer/BioNTech, New York, NY, USA) determines the production of nasal and salivary IgA-S1 and IgG-RBD against SARS-CoV-2. This mucosal humoral immune response is stronger after the injection of the second vaccine dose compared to subjects recovered from COVID-19. Since there is a lack of validated assays on saliva and nasal secretions, this study shows that our pre-analytical and analytical procedures are consistent with the data. Our findings indicate that the mRNA COVID-19 vaccine elicits antigen-specific nasal and salivary immune responses, and that mucosal antibody assays could be used as candidates for non-invasive monitoring of vaccine-induced protection against viral infection.

Indexed as

BNT162b2COVID-19IgAIgG-RBDimmunitymucosalnasalsalivarySARS-CoV-2vaccine

Identifiers

PMID34960244
PMCPMC8708818
OpenAlexW4200405365

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.