Evidence map›Paper›PMID 35196644›Full record

ArticleEBioMedicine2022

SARS-CoV-2 vaccination elicits unconventional IgM specific responses in naïve and previously COVID-19-infected individuals.

Alessandra Ruggiero, Chiara Piubelli, Lucia Calciano, Simone Accordini, Maria Teresa Valenti, Luca Dalle Carbonare, Gabriel Siracusano, Nigel Temperton, Natalia Tiberti, Silvia Stefania Longoni and 8 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
6.3field-weighted citation impact, top 2% 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, 63 citations in OpenAlex.

  1. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
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  14. Optical lateral flow assays in early diagnosis of SARS-CoV-2 infection.Analytical sciences : the international journal of the Japan Society for Analytical Chemistry · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 2 countries.

Alessandra RuggieroDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Chiara PiubelliDepartment of Infectious, Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (VR), Italy.
Lucia CalcianoDepartment of Diagnostics and Public Health, University of Verona, Verona, Italy.
Simone AccordiniDepartment of Diagnostics and Public Health, University of Verona, Verona, Italy.
Maria Teresa ValentiDepartment of Medicine, University of Verona, Verona, Italy.
Luca Dalle CarbonareDepartment of Medicine, University of Verona, Verona, Italy.
Gabriel SiracusanoDivision of Immunology, Transplantation and Infectious Diseases, San Raffaele Scientific Institute, Milan, Italy.
Nigel TempertonViral Pseudotype Unit, Medway School of Pharmacy, Universities of Kent and Greenwich, UK.
Natalia TibertiDepartment of Infectious, Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (VR), Italy.
Silvia Stefania LongoniDepartment of Infectious, Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (VR), Italy.
Massimo PizzatoDepartment of Cellular, Computational and Integrative Biology, University of Trento, Povo (TN), Italy.
Silvia AccordiniDepartment of Cellular, Computational and Integrative Biology, University of Trento, Povo (TN), Italy.
A.M.S.L.V. group
Tobia FantoniDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Lucia LopalcoDivision of Immunology, Transplantation and Infectious Diseases, San Raffaele Scientific Institute, Milan, Italy.
Alberto BerettaSolongevity Research, Milan, Italy.
Zeno BisoffiDepartment of Infectious, Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (VR), Italy; Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Donato ZipetoDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy. Electronic address: donato.zipeto@univr.it.
University of Verona · ITOspedale Sacro Cuore Don Calabria · ITVita-Salute San Raffaele University · ITMedway School of Pharmacy · GBUniversity of Trento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, evaluation of the IgG antibodies specific for the SARS-CoV-2 Spike protein following vaccination is used worldwide to estimate vaccine response. Limited data are available on vaccine-elicited IgM antibodies and their potential implication in immunity to SARS-CoV-2.

methodsWe performed a longitudinal study to quantify anti-S SARS-CoV-2 IgG and IgM (IgG-S and IgM-S) in health care worker (HCW) recipients of the BNT162b2 vaccine. Samples were collected before administration (T0), at the second dose (T1) and three weeks after T1 (T2). The cohort included 1584 immunologically naïve to SARS-CoV-2 (IN) and 289 with history of previous infection (PI).

findingsIN showed three patterns of responses: (a) IgG positive/IgM negative (36.1%), (b) coordinated IgM-S/IgG-S responses appearing at T1 (37.4%) and (c) IgM appearing after IgG (26.3%). Coordinated IgM-S/IgG-S responses were associated with higher IgG titres. In IgM-S positive PI, 64.5% were IgM-S positive before vaccination, whereas 32% and 3.5% developed IgM-S after the first and second vaccine dose, respectively. IgM-S positive sera had higher pseudovirus neutralization titres compared to the IgM-S negative.

interpretationCoordinated expression of IgG-S and IgM-S after vaccination was associated with a significantly more efficient response in both antibody levels and virus-neutralizing activity. The unconventional IgG-S positive/IgM-S negative responses may suggest a recruitment of cross coronaviruses immunity by vaccination, warranting further investigation.

fundingItalian Ministry of Health under "Fondi Ricerca Corrente"- L1P5 and "Progetto Ricerca Finalizzata COVID-2020-12371675"; FUR 2020 Department of Excellence 2018-2022, MIUR, Italy; The Brain Research Foundation Verona.

Indexed as

COVID-19SARS-CoV-2Antibodies, ViralBNT162 VaccineCOVID-19 VaccinesHumansImmunoglobulin MLongitudinal StudiesSpike Glycoprotein, CoronavirusVaccinationAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin MSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2BTN162b2 vaccineCOVID-19IgGIgMSARS-CoV-2Spike

Identifiers

PMID35196644
PMCPMC8858081
OpenAlexW4213256071

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.