Evidence map›Paper›PMID 40421016›Full record

ArticleFrontiers in immunology2025

Effective cellular and neutralizing immunity against SARS-CoV-2 after mRNA booster vaccination is associated with pDC and B cell activation.

Dorit Fabricius, Carolin Ludwig, Matthias Proffen, Janina Hägele, Judith Scholz, Christiane Vieweg, Immanuel Rode, Simone Hoffmann, Sixten Körper, Hubert Schrezenmeier and 1 more

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 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.

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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

11 authors.

Dorit FabriciusDepartment of Pediatrics and Adolescent Medicine, Ulm University Medical Center, Ulm, Germany.
Carolin Ludwig *Department of Transfusion Medicine, Ulm University, Ulm, Germany.
Matthias Proffen *Department of Transfusion Medicine, Ulm University, Ulm, Germany.
Janina HägeleDepartment of Transfusion Medicine, Ulm University, Ulm, Germany.
Judith ScholzDepartment of Transfusion Medicine, Ulm University, Ulm, Germany.
Christiane ViewegDepartment of Transfusion Medicine, Ulm University, Ulm, Germany.
Immanuel RodeDepartment of Transfusion Medicine, Ulm University, Ulm, Germany.
Simone HoffmannDepartment of Transfusion Medicine, Ulm University, Ulm, Germany.
Sixten KörperDepartment of Transfusion Medicine, Ulm University, Ulm, Germany.
Hubert SchrezenmeierDepartment of Transfusion Medicine, Ulm University, Ulm, Germany.
Bernd JahrsdörferDepartment of Transfusion Medicine, Ulm University, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The emergence of SARS-CoV-2 variants of concern (VOCs), particularly Omicron, has challenged the efficacy of initial COVID-19 vaccination strategies. Booster immunizations, especially with mRNA vaccines, were introduced to enhance and prolong immune protection. However, the underlying mechanisms of humoral and cellular immunity induced by homologous versus heterologous vaccination regimens remain incompletely understood. This study aimed to elucidate the immune responses, including B cell, plasmacytoid dendritic cell (pDC), and T cell activation, following mRNA booster vaccination. Methods: In a longitudinal cohort study, 136 individuals received three different vaccination regimens: homologous mRNA, heterologous vector-mRNA-mRNA, or heterologous vector-vector-mRNA vaccinations. Serum and peripheral blood mononuclear cells (PBMCs) were collected at multiple time points up to 64 weeks after initial vaccination. Anti-SARS-CoV-2 IgG titers and neutralization capacity against the wildtype virus and Omicron variant were measured using ELISA and cPass assays. Cellular immunity was assessed by IFN-γ release assays, and flow cytometry was employed to analyze B cell and pDC frequencies, viability, and activation markers. Functional pDC-mediated T cell activation was evaluated in mixed lymphocyte cultures. Results: mRNA booster vaccination stabilized high anti-SARS-CoV-2 IgG titers and neutralizing activity against wildtype virus across all regimens, with the homologous mRNA group showing the highest antibody titers and Omicron neutralization capacity. Peripheral B cell frequencies and activation markers (MHC class I/II, CD86) were significantly upregulated post-booster. pDCs demonstrated enhanced antigen-presenting capacity and significantly promoted SARS-CoV-2-specific T cell IFN-γ responses Discussion: Our findings highlight the pivotal role of pDCs and T cells in sustaining effective immunity following mRNA booster vaccination. While homologous mRNA regimens induce superior humoral responses, robust cellular immunity in heterologous regimens may balance protection levels against breakthrough infections. The study underscores the importance of integrated humoral and cellular immune responses, suggesting potential for optimized booster strategies and pDC-targeted vaccine designs to enhance long-term protection against SARS-CoV-2 and emerging variants.

Indexed as

COVID-19COVID-19 VaccinesImmunity, CellularImmunity, HumoralAdolescentAdultAgedAntibodies, NeutralizingAntibodies, ViralB-LymphocytesDendritic CellsFemaleHumansImmunization, SecondaryInterferon-gammaLongitudinal StudiesAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesInterferon-gammamRNA VaccinesComirnatyCOVID-19mRNA vaccineOmicronSARS-CoV-2SpikevaxVaxzevriavector vaccine

Identifiers

PMID40421016
PMCPMC12104250

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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.