Evidence map›Paper›PMID 37219944›Full record

ArticleThe Journal of clinical investigation2023

Prevalence and functional profile of SARS-CoV-2 T cells in asymptomatic Kenyan adults.

Taraz Samandari, Joshua B Ongalo, Kimberly D McCarthy, Richard K Biegon, Philister A Madiega, Anne Mithika, Joseph Orinda, Grace M Mboya, Patrick Mwaura, Omu Anzala and 11 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.9field-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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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  16. Better understanding CD8Nature immunology · 2023
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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

21 authors at 9 institutions in 4 countries.

Taraz SamandariUS Centers for Disease Control and Prevention, Nairobi, Kenya.
Joshua B OngaloKenya Medical Research Institute (KEMRI), Centre for Global Health Research, Kisumu, Kenya.
Kimberly D McCarthyUS Centers for Disease Control and Prevention, Nairobi, Kenya.
Richard K BiegonMoi University School of Medicine, Immunology Section, Eldoret, Kenya.
Philister A MadiegaKenya Medical Research Institute (KEMRI), Centre for Global Health Research, Kisumu, Kenya.
Anne MithikaKenya Medical Research Institute (KEMRI), Centre for Global Health Research, Kisumu, Kenya.
Joseph OrindaKenya Medical Research Institute (KEMRI), Centre for Global Health Research, Kisumu, Kenya.
Grace M MboyaKenya Medical Research Institute (KEMRI), Centre for Global Health Research, Kisumu, Kenya.
Patrick MwauraKAVI Institute of Research, University of Nairobi, Nairobi, Kenya.
Omu AnzalaKAVI Institute of Research, University of Nairobi, Nairobi, Kenya.
Clayton OnyangoUS Centers for Disease Control and Prevention, Nairobi, Kenya.
Fredrick O OluochCounty Government of Kisumu, Department of Health and Sanitation, Kisumu, Kenya.
Eric OsoroWashington State University Global Health Kenya, Nairobi, Kenya.
Charles-Antoine DutertreGustave Roussy Cancer Campus, Villejuif, France.
Nicole TanProgramme in Emerging Infectious Diseases, Duke University-National University of Singapore Medical School, Singapore.
Shou Kit HangProgramme in Emerging Infectious Diseases, Duke University-National University of Singapore Medical School, Singapore.
Smrithi HariharaputranProgramme in Emerging Infectious Diseases, Duke University-National University of Singapore Medical School, Singapore.
David C LyeNational Centre for Infectious Diseases, Singapore.
Amy Herman-RoloffUS Centers for Disease Control and Prevention, Nairobi, Kenya.
Nina Le BertProgramme in Emerging Infectious Diseases, Duke University-National University of Singapore Medical School, Singapore.
Antonio BertolettiProgramme in Emerging Infectious Diseases, Duke University-National University of Singapore Medical School, Singapore.
Kenya Medical Research Institute · KENational University of Singapore · SGCenters for Disease Control and Prevention · KEUniversity of Nairobi · KEAgency for Science, Technology and Research · SGCentre National de la Recherche Scientifique · FRKenya School of Government · KEMoi University · KEWashington State Department of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundSARS-CoV-2 infection in Africa has been characterized by a less severe disease profile than what has been observed elsewhere, but the profile of SARS-CoV-2-specific adaptive immunity in these mainly asymptomatic patients has not, to our knowledge, been analyzed.MethodsWe collected blood samples from residents of rural Kenya (n = 80), who had not experienced any respiratory symptoms or had contact with individuals with COVID-19 and had not received COVID-19 vaccines. We analyzed spike-specific antibodies and T cells specific for SARS-CoV-2 structural (membrane, nucleocapsid, and spike) and accessory (ORF3a, ORF7, ORF8) proteins. Pre-pandemic blood samples collected in Nairobi (n = 13) and blood samples from mild-to-moderately symptomatic COVID-19 convalescent patients (n = 36) living in the urban environment of Singapore were also studied.ResultsAmong asymptomatic Africans, we detected anti-spike antibodies in 41.0% of the samples and T cell responses against 2 or more SARS-CoV-2 proteins in 82.5% of samples examined. Such a pattern was absent in the pre-pandemic samples. Furthermore, distinct from cellular immunity in European and Asian COVID-19 convalescents, we observed strong T cell immunogenicity against viral accessory proteins (ORF3a, ORF8) but not structural proteins, as well as a higher IL-10/IFN-γ cytokine ratio profile.ConclusionsThe high incidence of T cell responses against different SARS-CoV-2 proteins in seronegative participants suggests that serosurveys underestimate SARS-CoV-2 prevalence in settings where asymptomatic infections prevail. The functional and antigen-specific profile of SARS-CoV-2-specific T cells in African individuals suggests that environmental factors can play a role in the development of protective antiviral immunity.FundingUS Centers for Disease Control and Prevention, Division of Global Health Protection; the Singapore Ministry of Health's National Medical Research Council (COVID19RF3-0060, COVID19RF-001, COVID19RF-008, MOH-StaR17Nov-0001).

Indexed as

COVID-19SARS-CoV-2AdultAntibodies, ViralCOVID-19 VaccinesHumansKenyaPrevalenceT-LymphocytesAntibodies, ViralCOVID-19 VaccinesCOVID-19Infectious diseaseT cells

Identifiers

PMID37219944
PMCPMC10313370
OpenAlexW4377564916

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.