Evidence map›Paper›PMID 35032087›Full record

ArticleJournal of thrombosis and haemostasis : JTH2022

Platelet and immune signature associated with a rapid response to the BNT162b2 mRNA COVID-19 vaccine.

Davide Flego, Simone Cesaroni, Giulio F Romiti, Bernadette Corica, Ramona Marrapodi, Noemi Scafa, Francesca Maiorca, Ludovica Lombardi, Davide Pallucci, Fabio Pulcinelli and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

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  9. Long-term effects of Pfizer-BioNTech COVID-19 vaccinations on platelets.Cytometry. Part A : the journal of the International Society for Analytical Cytology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 2 institutions in 2 countries.

Davide FlegoDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Simone CesaroniDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-0932-6707
Giulio F RomitiDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-3788-8942
Bernadette CoricaDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0001-9460-4435
Ramona MarrapodiDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Noemi ScafaDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Francesca MaiorcaDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-5412-5760
Ludovica LombardiDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Davide PallucciDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0001-6971-8684
Fabio PulcinelliDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
Valeria RaparelliDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.ORCID 0000-0002-2100-5682
Marcella VisentiniDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Roberto CangemiDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Silvia PiconeseDepartment of Internal Clinical Sciences, Anaesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
Domenico AlvaroDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Antonella PolimeniDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy.
Stefania BasiliDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Lucia StefaniniDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0001-7420-301X
Vax-SPEED-IT Study Group
Sapienza University of Rome · ITUniversity of Alberta · CA

Funding

Ministero Italiano Istruzione Università e Ricerca 2017ATZ2YKMinistero Italiano Istruzione Università e Ricerca 2017WJBKKW_003
6 · The paper itself

Abstract

backgroundA rapid immune response is critical to ensure effective protection against COVID-19. Platelets are first-line sentinels of the vascular system able to rapidly alert and stimulate the immune system. However, their role in the immune response to vaccines is not known.

objectiveTo identify features of the platelet-immune crosstalk that would provide an early readout of vaccine efficacy in adults who received the mRNA-based COVID-19 vaccine (BNT162b2).

methodsWe prospectively enrolled 11 young healthy volunteers (54% females, median age: 28 years) who received two doses of BNT162b2, 21 days apart, and we studied their platelet and immune response before and after each dose of the vaccine (3 and 10 ± 2 days post-injection), in relation to the kinetics of the humoral response.

resultsParticipants achieving an effective level of neutralizing antibodies before the second dose of the vaccine (fast responders) had a higher leukocyte count, mounted a rapid cytokine response that incremented further after the second dose, and an elevated platelet turnover that ensured platelet count stability. Their circulating platelets were not more reactive but expressed lower surface levels of the immunoreceptor tyrosine-based inhibitory motif (ITIM)-coupled receptor CD31 (PECAM-1) compared to slow responders, and formed specific platelet-leukocyte aggregates, with B cells, just 3 days after the first dose, and with non-classical monocytes and eosinophils.

conclusionWe identified features of the platelet-immune crosstalk that are associated with the development of a rapid humoral response to an mRNA-based vaccine (BNT162b2) and that could be exploited as early biomarkers of vaccine efficacy.

Indexed as

BNT162 VaccineCOVID-19Immunity, HumoralVaccine EfficacyAdultAntibodies, ViralBlood PlateletsFemaleHumansMaleSARS-CoV-2Antibodies, ViralBNT162 VaccineCOVID-19immunityplatelet activationplatelet countvaccines

Identifiers

PMID35032087
PMCPMC9302646
OpenAlexW4206171134

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.