Evidence map›Paper›PMID 40386778›Full record

ArticleFrontiers in immunology2025

Analysis of humoral and cellular immune activation up to 21 months after heterologous and homologous COVID-19 vaccination.

Davide Torre, Chiara Orlandi, Ilaria Conti, Simone Barocci, Eugenio Carlotti, Mauro Magnani, Anna Casabianca, Giuseppe Stefanetti

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Davide Torre *Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy.
Chiara Orlandi *Department of Biomolecular Sciences, Section of Biochemistry and Biotechnology, University of Urbino Carlo Bo, Fano, Italy.
Ilaria ContiDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy.
Simone BarocciDepartment of Clinical Pathology, Azienda Sanitaria Territoriale (AST) di Pesaro-Urbino, Urbino, Italy.
Eugenio CarlottiDepartment of Prevention, Azienda Sanitaria Territoriale (AST) di Pesaro-Urbino, Urbino, Italy.
Mauro MagnaniDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy.
Anna Casabianca *Department of Biomolecular Sciences, Section of Biochemistry and Biotechnology, University of Urbino Carlo Bo, Fano, Italy.
Giuseppe Stefanetti *Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To address the COVID-19 pandemic, diverse vaccination strategies, including homologous and heterologous schedules, were employed to enhance immune protection. This study evaluates the long-term humoral and cellular immune responses in individuals vaccinated with homologous (ChAdOx1-S/ChAdOx1-S [ChAd/ChAd]) and heterologous (ChAdOx1-S/BNT162b2 [ChAd/BNT]) schedules, followed by a third-dose mRNA booster (BNT162b2 [BNT] or mRNA-1273). Anti-Spike IgG titers were measured at 9-, 12-, and 21-months post-primary vaccination (corresponding to 3-, 6-, and 15-months post-booster), while SARS-CoV-2-specific B- and T-cell responses were assessed at 21-months post-booster. Antibody titers declined by 12-months post-primary vaccination, regardless of the third dose administered, and increased significantly by 21-months, potentially due to a fourth dose (BNT or mRNA-1273) or natural SARS-CoV-2 infection. The heterologous ChAd/BNT schedule elicited a stronger and more durable immune response than the homologous ChAd/ChAd, as evidenced by higher anti-Spike IgG titers, increased IgM-/IgG+ memory B-cell activation, and enhanced cytotoxic CD8+ T-cell cytokine expression in infected individuals. SARS-CoV-2 infection further boosted humoral and cellular responses, with infected individuals showing higher anti-Spike IgG titers and greater CD8+ T-cell activation compared to uninfected individuals. These findings highlight the benefits of heterologous vaccination schedules and the role of infection-driven immune activation, providing valuable insights for optimizing vaccination strategies to improve long-term immunity against SARS-CoV-2.

Indexed as

COVID-19COVID-19 VaccinesImmunity, CellularImmunity, HumoralSARS-CoV-22019-nCoV Vaccine mRNA-1273AdultAntibodies, ViralB-LymphocytesBNT162 VaccineFemaleHumansImmunization ScheduleImmunization, SecondaryImmunoglobulin GMale2019-nCoV Vaccine mRNA-1273Antibodies, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin GSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2anti-spike IgG responseB-cell responseCOVID-19heterologous vaccinehybrid immunitylong-term immunitySARS-CoV-2T-cell response

Identifiers

PMID40386778
PMCPMC12081374

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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.