Evidence map›Paper›PMID 37238918›Full record

ArticleBiomedicines2023

SARS-CoV-2 Breakthrough Infections According to the Immune Response Elicited after mRNA Third Dose Vaccination in COVID-19-Naïve Hospital Personnel.

Annapaola Santoro, Andrea Capri, Daniele Petrone, Francesca Colavita, Silvia Meschi, Giulia Matusali, Klizia Mizzoni, Stefania Notari, Chiara Agrati, Delia Goletti and 2 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 11 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Annapaola SantoroNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.
Andrea CapriNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.
Daniele PetroneDepartment of Infectious Diseases, National Institute of Health (ISS), 00161 Rome, Italy.
Francesca ColavitaNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.ORCID 0000-0003-0640-8667
Silvia MeschiNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.
Giulia MatusaliNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.ORCID 0000-0002-2948-4243
Klizia MizzoniNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.
Stefania NotariNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.
Chiara AgratiNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.
Delia GolettiNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.ORCID 0000-0001-8360-4376
Patrizio PezzottiDepartment of Infectious Diseases, National Institute of Health (ISS), 00161 Rome, Italy.ORCID 0000-0002-0805-2927
Vincenzo PuroNational Institute for Infectious Diseases, Lazzaro Spallanzani IRCCS, 00149 Rome, Italy.ORCID 0000-0003-0291-4490
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITIstituto Superiore di Sanità · IT

Funding

Ministero della Salute Ricerca corrente Linea 1
6 · The paper itself

Abstract

backgroundVaccine-induced SARS-CoV-2-anti-spike antibody (anti-S/RBD) titers are often used as a marker of immune protection and to anticipate the risk of breakthrough infections, although no clear cut-off is available. We describe the incidence of SARS-CoV-2 vaccine breakthrough infections in COVID-19-free personnel of our hospital, according to B- and T-cell immune response elicited one month after mRNA third dose vaccination.

methodsThe study included 487 individuals for whom data on anti-S/RBD were available. Neutralizing antibody titers (nAbsT) against the ancestral Whuan SARS-CoV-2, and the BA.1 Omicron variant, and SARS-CoV-2 T-cell specific response were measured in subsets of 197 (40.5%), 159 (32.6%), and 127 (26.1%) individuals, respectively.

resultsOn a total of 92,063 days of observation, 204 participants (42%) had SARS-CoV-2 infection. No significant differences in the probability of SARS-CoV-2 infection for different levels of anti-S/RBD, nAbsT, Omicron nAbsT, or SARS-CoV-2 T cell specific response, and no protective thresholds for infection were found.

conclusionsRoutine testing for vaccine-induced humoral immune response to SARS-CoV-2 is not recommended if measured as parameters of 'protective immunity' from SARS-CoV-2 after vaccination. Whether these findings apply to new Omicron-specific bivalent vaccines is going to be evaluated.

Indexed as

breakthrough infectionsCOVID-19immune responsemRNA vaccine against SARS-CoV-2SARS-CoV-2

Identifiers

PMID37238918
PMCPMC10215853
OpenAlexW4366828938

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.