Evidence map›Paper›PMID 36701200›Full record

ArticleJCI insight2023

An extended interval between vaccination and infection enhances hybrid immunity against SARS-CoV-2 variants.

Timothy A Bates, Hans C Leier, Savannah K McBride, Devin Schoen, Zoe L Lyski, David X Lee, William B Messer, Marcel E Curlin, Fikadu G Tafesse

Abstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–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

38 citing papers in PubMed.

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  17. Vaccination versus natural infection: A review of antibody differentiation techniques.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Timothy A BatesDepartment of Molecular Microbiology and Immunology.
Hans C LeierDepartment of Molecular Microbiology and Immunology.
Savannah K McBrideDepartment of Molecular Microbiology and Immunology.
Devin SchoenDivision of Infectious Diseases, and.
Zoe L LyskiDepartment of Molecular Microbiology and Immunology.
David X LeeDepartment of Molecular Microbiology and Immunology.
William B MesserDepartment of Molecular Microbiology and Immunology.
Marcel E CurlinDivision of Infectious Diseases, and.
Fikadu G TafesseDepartment of Molecular Microbiology and Immunology.

Funding

Multidisciplinary Research Training in Pulmonary MedicineT32HL083808 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI LEWINSOHN, DAVID M., SLATORE, CHRISTOPHER G. · 2008 to 2025
$5.3M
Long Term Immunity Following Yellow Fever VaccinationR01AI145835 · NIAID · OREGON HEALTH & SCIENCE UNIVERSITY · PI MESSER, WILLIAM · 2020 to 2024
$3.2M
Determining the role of sphingolipids in Mycobacterium tuberculosis infectionR01AI141549 · NIAID · OREGON HEALTH & SCIENCE UNIVERSITY · PI TAFESSE, FIKADU G. · 2020 to 2025
$2.4M
NHLBI NIH HHS T32 HL083808NIAID NIH HHS R01 AI141549NIAID NIH HHS R01 AI145835
6 · The paper itself

Abstract

As the COVID-19 pandemic continues, long-term immunity against SARS-CoV-2 will be important globally. Official weekly cases have not dropped below 2 million since September of 2020, and continued emergence of novel variants has created a moving target for our immune systems and public health alike. The temporal aspects of COVID-19 immunity, particularly from repeated vaccination and infection, are less well understood than short-term vaccine efficacy. In this study, we explored the effect of combined vaccination and infection, also known as hybrid immunity, and the timing thereof on the quality and quantity of antibodies elicited in a cohort of 96 health care workers. We found robust neutralizing antibody responses among those with hybrid immunity; these hybrid immune responses neutralized all variants, including BA.2. Neutralizing titers were significantly improved for those with longer vaccine-infection intervals of up to 400 days compared with those with shorter intervals. These results indicate that anti-SARS-CoV-2 antibody responses undergo continual maturation following primary exposure by either vaccination or infection for at least 400 days after last antigen exposure. We show that neutralizing antibody responses improved upon secondary boosting, with greater potency seen after extended intervals. Our findings may also extend to booster vaccine doses, a critical consideration in future vaccine campaign strategies.

Indexed as

COVID-19SARS-CoV-2Adaptive ImmunityAntibodies, NeutralizingHumansPandemicsVaccinationAntibodies, NeutralizingAdaptive immunityCOVID-19ImmunoglobulinsVaccines

Identifiers

PMID36701200
PMCPMC10077480

What OpenQuestion holds

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Registered trials

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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.