Evidence map›Paper›PMID 41285035›Full record

ArticleImmunoHorizons2025

Rapid decline of SARS-CoV-2-specific salivary IgA antibody levels in people with hybrid immunity-data from the STOPCoV study.

Sharon L Walmsley, Majid Nabipoor, Gary Chao, Leif Erik Lovblom, Lesley Ward, Rizani Ravindran, Karen Colwill, Anne Claude Gingras, Jennifer L Gommerman

Abstract read
In one paragraph

Article in ImmunoHorizons, 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

9 authors.

Sharon L WalmsleyDivision of Infectious Diseases, Department of Medicine, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-3959-5692
Majid NabipoorFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Gary ChaoFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Leif Erik LovblomFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Lesley WardFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Rizani RavindranImmunodeficiency Clinic, University Health Network, Toronto, Ontario, Canada.
Karen ColwillFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Anne Claude GingrasFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Jennifer L GommermanFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Funding

Public Health Agency of CanadaUniversity Health Network Foundation 5790-7197-0707
6 · The paper itself

Abstract

Hybrid immune individuals who experience an infection after a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mRNA vaccine series show evidence of salivary anti-spike and anti-receptor binding domain (RBD) IgA antibodies with broad specificity against different variants. It is unclear how long these antibodies persist and whether they offer protection against new SARS-CoV-2 infections. We compared salivary IgA levels to full-length spike protein and its RBD of the ancestral Wuhan SARS-CoV-2 virus and the Omicron BA.1 variant in a subset of persons participating in a longitudinal study of binding antibody responses to vaccination. We assessed the decay rate of the salivary IgA antibodies in those with hybrid immunity. In our heavily vaccinated population, low levels of salivary IgA to RBD and spike was variably detected in vaccine-only immunity to both Wuhan and Omicron BA.1, but antibody levels were an order of magnitude higher in those with hybrid immunity. In hybrid immune individuals, anti-spike/RBD salivary IgA rapidly decayed over a 4-month observation period. In a multivariate analysis, salivary IgA antibody to Omicron BA.1 was not associated with protection from a new SARS-CoV-2 infection over the subsequent 10 months during the Omicron XBB.1.5, EG.5, and JN waves of infection. In contrast, receipt of a new vaccine dose was significantly associated with protection.

Indexed as

Antibodies, ViralCOVID-19COVID-19 VaccinesImmunoglobulin AImmunoglobulin A, SecretorySalivaSARS-CoV-2AdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedSpike Glycoprotein, CoronavirusAntibodies, ViralCOVID-19 VaccinesImmunoglobulin AImmunoglobulin A, SecretorySpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2antibodyCOVID-19mucosasalivaSARS-CoV-2

Identifiers

PMID41285035
PMCPMC12643479

What OpenQuestion holds

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LicenceCC BY-NC
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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.