Evidence map›Paper›PMID 40347503›Full record

ArticleThe Indian journal of medical research2025

Immunological memory in infected & exposure näive individuals one year post SARS-CoV-2 vaccination.

Priti Das, Chakrakodi N Varun, M A Ashwini, Muralidharan Kesavan, Vasanthapuram Ravi, Anita Desai

Abstract read
In one paragraph

Article in The Indian journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Immunological memory in post SARS-CoV-2 vaccination.The Indian journal of medical research · 2025
    Article
  3. Authors' response.The Indian journal of medical research · 2025
    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

6 authors.

Priti DasDepartment of Neurovirology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Chakrakodi N VarunDepartment of Neurovirology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
M A AshwiniDepartment of Neurovirology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Muralidharan KesavanDepartment of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Vasanthapuram RaviDepartment of Neurovirology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Anita DesaiDepartment of Neurovirology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objectives COVID-19 has affected millions and wreaked havoc on global healthcare systems as well as a devastating impact on the economies of various nations. Vaccines are highly pivotal in promoting an appropriate immune response. Understanding the effectiveness and stability of the vaccines is essential as these may differ across populations. Hence, this study explored the durability and efficacy of the COVISHIELD (ChAdOx1 nCoV-A) vaccine among healthcare workers (HCWs). Methods In this study, 84 HCWs who received two doses of COVISHIELD and had no breakthrough infections or precautionary doses were assessed. Participants were categorised into four groups (A, B, C, and D) based on pre-immunisation antibody status and SARS-CoV-2 RT-PCR results. Group A had prior infection and IgG antibodies, group B had RT-PCR positivity without detectable antibodies, group C had IgG antibodies without RT-PCR testing, and group D was exposure-näive. Humoral immunity was assessed by measuring IgG antibodies to the spike protein, while cell-mediated immunity was evaluated through SARS-CoV-2-specific T-cell markers and immunophenotyping. Results Over one year, a significant decrease in anti-spike IgG levels was observed in all groups (P<0.0001). It was observed that memory B cells declined significantly among all the groups over a period of one year [group A (P<0.0001), group B (P=0.0080), group C (P=0.0158), and group D (P=0.0004)]; no significant decrease inactivated T-cells was observed over a year. The mean of anti-spike IgG levels in samples from exposed participants (group A, B, C) versus non-exposed (group D) was significantly higher (P<0.0001). Interpretation & conclusions These findings indicate the need for regular booster doses of vaccination due to the waning of immunity by the vaccine. We also demonstrate that hybrid immunity (a combination of immune response post-natural infection and vaccination) provides better protection than vaccination alone.

Indexed as

COVID-19COVID-19 VaccinesImmunologic MemorySARS-CoV-2AdultAntibodies, ViralChAdOx1 nCoV-19FemaleHealth PersonnelHumansImmunity, CellularImmunity, HumoralImmunoglobulin GMaleMiddle AgedSpike Glycoprotein, CoronavirusAntibodies, ViralChAdOx1 nCoV-19COVID-19 VaccinesImmunoglobulin GSpike Glycoprotein, CoronavirusCell-mediated immunityCOVID-19COVISHIELD vaccinehumoral immunity

Identifiers

PMID40347503
PMCPMC12066133

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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.