Evidence map›Paper›PMID 37735592›Full record

ArticleNature immunology2023

Prior vaccination promotes early activation of memory T cells and enhances immune responses during SARS-CoV-2 breakthrough infection.

Mark M Painter, Timothy S Johnston, Kendall A Lundgreen, Jefferson J S Santos, Juliana S Qin, Rishi R Goel, Sokratis A Apostolidis, Divij Mathew, Bria Fulmer, Justine C Williams and 27 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing 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

76 citing papers in PubMed.

  1. Trial
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  5. Renaissance of antiviral CD8Nature reviews. Immunology · 2026
    Review
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  7. Review
  8. Review
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  12. Review
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  15. Article
  16. Article
  17. Article
  18. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
  19. Article
  20. Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors.

Mark M PainterInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-0180-2748
Timothy S JohnstonInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Kendall A LundgreenDepartment of Microbiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Jefferson J S SantosDepartment of Microbiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-5895-4163
Juliana S QinImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-6352-9601
Rishi R GoelInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Sokratis A ApostolidisInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-0224-0097
Divij MathewInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Bria FulmerInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Justine C WilliamsImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Michelle L McKeagueImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Ajinkya PattekarImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Ahmad GoodeImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Sean NastaImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Amy E BaxterInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-1555-0713
Josephine R GilesInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Ashwin N SkellyInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-1565-3376
Laura E FelleyDivision of Infectious Disease, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Maura McLaughlinInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Joellen WeaverDepartment of Genetics, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Penn Medicine BioBank
Oliva KuthuruInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Jeanette DoughertyImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Sharon AdamskiImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Sherea LongImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Macy KeeImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Cynthia ClendeninImmune Health, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-4535-2088
Ricardo da Silva AntunesCenter for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology (LJI), La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-9785-5272
Alba GrifoniCenter for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology (LJI), La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-2209-5966
Daniela WeiskopfCenter for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology (LJI), La Jolla, CA, USA.
Alessandro SetteCenter for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology (LJI), La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-7013-2250
Alexander C HuangInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-0099-0492
Daniel J RaderDepartment of Genetics, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Scott E HensleyDepartment of Microbiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-2928-7506
Paul BatesDepartment of Microbiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Allison R GreenplateInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-2614-3072
E John WherryInstitute for Immunology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA. wherry@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0003-0477-1956

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Virology CoreU19AI082630 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG, GEORG Michael LAUER · 2009 to 2026
$48.1M
U.S. Department of Health & Human Services | National Institutes of Health (NIH) 75N9301900065U.S. Department of Health & Human Services | National Institutes of Health (NIH) AI082630U.S. Department of Health & Human Services | National Institutes of Health (NIH) AI108545U.S. Department of Health & Human Services | National Institutes of Health (NIH) AI149680U.S. Department of Health & Human Services | National Institutes of Health (NIH) AI152236U.S. Department of Health & Human Services | National Institutes of Health (NIH) AI155577U.S. Department of Health & Human Services | National Institutes of Health (NIH) U19AI082630U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) UL1TR001878
6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection of vaccinated individuals is increasingly common but rarely results in severe disease, likely due to the enhanced potency and accelerated kinetics of memory immune responses. However, there have been few opportunities to rigorously study early recall responses during human viral infection. To better understand human immune memory and identify potential mediators of lasting vaccine efficacy, we used high-dimensional flow cytometry and SARS-CoV-2 antigen probes to examine immune responses in longitudinal samples from vaccinated individuals infected during the Omicron wave. These studies revealed heightened spike-specific responses during infection of vaccinated compared to unvaccinated individuals. Spike-specific cluster of differentiation (CD)4 T cells and plasmablasts expanded and CD8 T cells were robustly activated during the first week. In contrast, memory B cell activation, neutralizing antibody production and primary responses to nonspike antigens occurred during the second week. Collectively, these data demonstrate the functionality of vaccine-primed immune memory and highlight memory T cells as rapid responders during SARS-CoV-2 infection.

Indexed as

COVID-19COVID-19 VaccinesImmunologic MemoryMemory T CellsSARS-CoV-2AdultAntibodies, NeutralizingAntibodies, ViralBreakthrough InfectionsCD8-Positive T-LymphocytesFemaleHumansLymphocyte ActivationMaleMemory B CellsMiddle AgedAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

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.