Evidence map›Paper›PMID 42242228›Full record

ArticleCell reports. Medicine2026

Human primary antibody response to vaccination follows a partially sequential class-switching program with a checkpoint at IGHG2.

Guillem Montamat-Garcia, Joseph C F Ng, Alexander T Stewart, Emma Sinclair, Benedicta B Mensah, Yan Hui Giam, Paul Blair, Diana Kateregga, Amir Gander, David Kipling and 7 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

17 authors.

Guillem Montamat-GarciaInstitute of Immunity and Transplantation, Division of Infection and Immunity, Royal Free Hospital, University College London, London NW3 2PP, UK.
Joseph C F NgResearch Department of Structural and Molecular Biology, Division of Biosciences & Institute of Structural and Molecular Biology, University College London, Gower Street, London WC1E 6BT, UK; Department of Biological Sciences, Birkbeck, University of London, London WC1E 7HX, UK.
Alexander T StewartSchool of Biosciences, University of Surrey, Guildford GU2 7XH, UK; Animal and Plant Health Agency, Addlestone, Surrey KT15 3NB, UK.
Emma SinclairSchool of Biosciences, University of Surrey, Guildford GU2 7XH, UK.
Benedicta B MensahSchool of Biosciences, University of Surrey, Guildford GU2 7XH, UK.
Yan Hui GiamSchool of Biosciences, University of Surrey, Guildford GU2 7XH, UK.
Paul BlairInstitute of Immunity and Transplantation, Division of Infection and Immunity, Royal Free Hospital, University College London, London NW3 2PP, UK; Department of Immunobiology, School of Immunology and Microbial Sciences, Kings College London, London SE1 1UL, UK.
Diana KatereggaTissue Access for Patient Benefit, Royal Free Hospital, University College London, London NW3 2PP, UK.
Amir GanderTissue Access for Patient Benefit, Royal Free Hospital, University College London, London NW3 2PP, UK.
David KiplingSchool of Biosciences, University of Surrey, Guildford GU2 7XH, UK.
Dongjun GuoResearch Department of Structural and Molecular Biology, Division of Biosciences & Institute of Structural and Molecular Biology, University College London, Gower Street, London WC1E 6BT, UK.
Lutecia ServiusResearch Department of Structural and Molecular Biology, Division of Biosciences & Institute of Structural and Molecular Biology, University College London, Gower Street, London WC1E 6BT, UK.
Christopher J M PiperInstitute of Immunity and Transplantation, Division of Infection and Immunity, Royal Free Hospital, University College London, London NW3 2PP, UK.
Zara BaigInstitute of Immunity and Transplantation, Division of Infection and Immunity, Royal Free Hospital, University College London, London NW3 2PP, UK.
Franca FraternaliResearch Department of Structural and Molecular Biology, Division of Biosciences & Institute of Structural and Molecular Biology, University College London, Gower Street, London WC1E 6BT, UK; Department of Biological Sciences, Birkbeck, University of London, London WC1E 7HX, UK. Electronic address: f.fraternali@ucl.ac.uk.
Claudia MauriInstitute of Immunity and Transplantation, Division of Infection and Immunity, Royal Free Hospital, University College London, London NW3 2PP, UK. Electronic address: c.mauri@ucl.ac.uk.
Deborah K Dunn-WaltersSchool of Biosciences, University of Surrey, Guildford GU2 7XH, UK. Electronic address: d.dunn-walters@surrey.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Class-switch recombination (CSR) allows B cells to produce antibodies with distinct effector functions, but its dynamics during a primary human response remain poorly understood. We sampled COVID-19-naive healthy volunteers every other day during the first 3 weeks after SARS-CoV-2 vaccination, combining bulk and single-cell B cell receptor repertoires, single-cell transcriptomics, immunophenotyping, and IGHC sterile transcript analysis. Vaccine-specific B cells show sterile transcription across all IGHC genes up to IGHG2, contradicting the prevailing idea of single-gene sterile transcription. Clonal tracking confirms that sequential CSR exists: e.g., IGHG3 to IGHG1 and IGHG1 to IGHA1 and IGHG2, with sparse switching beyond IGHG2. VDJ gene usage associates with specific isotype subclasses and differential CSR timing. CSR and somatic hypermutation are temporally decoupled, with antigen-specific clones remaining hypomutated up to 10 weeks post-immunization. These findings complement textbook models of CSR and inform strategies for vaccines requiring switching to key isotypes such as IgG1 or IgA2.

Indexed as

Antibody FormationCOVID-19COVID-19 VaccinesImmunoglobulin Class SwitchingAdultAntibodies, ViralB-LymphocytesFemaleHumansImmunoglobulin GImmunoglobulin IsotypesMaleSARS-CoV-2Somatic Hypermutation, ImmunoglobulinVaccinationAntibodies, ViralCOVID-19 VaccinesImmunoglobulin GImmunoglobulin Isotypesantibody responseB cell subtypesclass switch recombinationCSRhuman antibody class switchingvaccination response

Identifiers

PMID42242228
PMCPMC13400142

What OpenQuestion holds

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LicenceCC BY
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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.