Evidence map›Paper›PMID 40311214›Full record

ArticleVaccine2025

Mucosal immune responses to SARS-CoV-2 infection and COVID-19 vaccination.

Mathew J Paul, Mohammed T Hudda, Scott Pallett, Elisabetta Groppelli, Eugenia Boariu, Nicole Falci Finardi, Rachel Wake, Nidhi Sofat, Kathryn Biddle, Soraya Koushesh and 3 more

Abstract read
In one paragraph

Article in Vaccine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Cancer and COVID-19: A review of immune insights and partnerships to inform public health strategy.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Beyond the Blood: Insights Into Mucosal Immunity Among SARS-CoV-2-Vaccinated Kidney Transplant Recipients.Transplant infectious disease : an official journal of the Transplantation Society
    Article
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

13 authors.

Mathew J PaulInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK. Electronic address: mpaul@sgul.ac.uk.
Mohammed T HuddaDepartment of Population Health, Dasman Institute, Jasim Mohamad Al Bahar St, Kuwait City, Kuwait. Electronic address: mohammedhudda@dasmaninstitute.org.
Scott PallettInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK; Centre of Defence Pathology, Royal Centre of Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, UK; St. George's University Hospitals NHS Foundation Trust, Blackshaw Road Tooting, London SW17 0QT, UK. Electronic address: scottpallett@nhs.net.
Elisabetta GroppelliInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK. Electronic address: egroppel@sgul.ac.uk.
Eugenia BoariuInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK.
Nicole Falci FinardiInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK. Electronic address: nfinardi@sgul.ac.uk.
Rachel WakeInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK; St. George's University Hospitals NHS Foundation Trust, Blackshaw Road Tooting, London SW17 0QT, UK. Electronic address: rachel.wake1@nhs.net.
Nidhi SofatInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK; St. George's University Hospitals NHS Foundation Trust, Blackshaw Road Tooting, London SW17 0QT, UK. Electronic address: nsofat@sgul.ac.uk.
Kathryn BiddleInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK; St. George's University Hospitals NHS Foundation Trust, Blackshaw Road Tooting, London SW17 0QT, UK. Electronic address: Kathryn.biddle@nhs.net.
Soraya KousheshInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK. Electronic address: skoushes@sgul.ac.uk.
Louis Dwyer-HemmingsInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK; St. George's University Hospitals NHS Foundation Trust, Blackshaw Road Tooting, London SW17 0QT, UK.
Richard CookFaculty of Dentistry, Oral & Craniofacial Sciences, Kings College London, Floor 22, Guy's Tower, Guy's Hospital, Great Maze Pond, London, SE1 1UL, UK. Electronic address: richard_james.cook@kcl.ac.uk.
Julian K-C MaInstitute for Infection and Immunity, City St. George's University of London, Cranmer Terrace, London SW17 0RE, UK; St. George's University Hospitals NHS Foundation Trust, Blackshaw Road Tooting, London SW17 0QT, UK. Electronic address: jma@sgul.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 continues to circulate in the community. We hypothesise that mucosal immunity is required to prevent continuing viral acquisition and transmission.

objectivesTo determine whether SARS-CoV-2 infection or vaccination elicits specific neutralising antibodies in saliva, and to assess the longevity of protection.

methodsInitially, 111 COVID-19 convalescent participants were recruited, 11-369 days after diagnosis. Saliva and blood samples were assayed for antibodies specific for Spike protein, Receptor Binding Domain and Nucleoprotein. In a second cohort, 123 participants were recruited. Saliva and serum antibodies to the same antigens were assayed before and after their first and second COVID-19 vaccinations, with 150 day follow up.

resultsNatural infection induces and boosts IgA and IgG in oral fluid and serum; vaccination does not induce or boost specific saliva IgA; IgG can be found in saliva after vaccination, but only when serum IgG concentrations are high; IgA is important for SARS-CoV-2 neutralisation activity by oral fluid, but there can also be contributions from serum IgG and other factors.

conclusionsNew COVID-19 vaccines should target both systemic and mucosal immunity, to establish a first line of immune defence at the mucosal barrier. This would benefit vulnerable patient populations and may help to eradicate SARS-CoV-2 circulation.

Indexed as

COVID-19COVID-19 VaccinesImmunity, MucosalSARS-CoV-2AdultAgedAntibodies, NeutralizingAntibodies, ViralFemaleHumansImmunoglobulin AImmunoglobulin GMaleMiddle AgedSalivaSpike Glycoprotein, CoronavirusAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesImmunoglobulin AImmunoglobulin GSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2COVID-19Immune responseMucosal immunityNeutralising antibodyOral fluid IgASalivaSARS-CoV-2Vaccination

Identifiers

PMID40311214
PMCPMC12286911

What OpenQuestion holds

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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.