SARS-CoV-2 variants of concern partially escape humoral but not T cell responses in COVID-19 convalescent donors and vaccine recipients
Open accessAbstract
Infection- or vaccination-induced SARS-CoV-2 S–specific CD4 + T cells are indifferent to the S mutations of variants of concern.
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Written from the paper’s full text.
TL;DR
In a prospective cohort of 121 BNT162b2-vaccinated health care workers, prior COVID-19 led to rapid recall after one dose, while COVID-19–naive donors required two doses for comparable humoral responses. B.1.351 partially escaped neutralizing and Fc-mediated antibody responses, but CD4+ T cell responses to WT, B.1.1.7, and B.1.351 S proteins were comparable.
Key findings
- Among 121 HCWs (23 COVID-19–recovered, 98 naive), one vaccine dose boosted binding antibodies in all recovered donors; in naive donors, 92.5% had detectable anti-RBD Ig after one dose but only 53.2% had OD ratio >10, rising after dose two to all detectable and 93.3% with ratio >10. S1 IgG by MIA rose from geometric mean 252.6 ± 49.55 to 2088.5 ± 287.5 BAU/ml in naive donors after the second dose (P < 0.0001).
- Neutralizing antibodies against WT were detected in all 13 recovered donors before vaccination; one dose boosted PRNT50 to a geometric mean plateau of 1:1874. Naive donors reached a lower peak after two doses (geometric mean titer 1:189, P < 0.0001 vs recovered). Against B.1.351, titers were consistently lower: 2.7-fold and 3.3-fold decreases post-vaccinations 1 and 2 in recovered donors, and a 3.1-fold decrease after dose two in naive donors; B.1.1.7 titers were higher (2.5-fold and 2.2-fold increases in recovered donors).
- S-specific ADCC-mediating antibodies were induced by infection and vaccination, with comparable activity against WT and B.1.1.7 S, but significantly reduced activity against B.1.351 S at almost all time points in both naive and recovered donors.
- CD4+ T cell responses did not differ between WT S and B.1.1.7 S or WT S and B.1.351 S. In naive donors, 5 of 7 were CD4+ T cell responders after one or two vaccinations; in recovered donors, 8 of 12 responded before vaccination and 10 of 12 after one or two vaccinations. CD8+ S-specific responses were difficult to detect and were not used to draw conclusions on VOC cross-reactivity.
Methods
- Prospective cohort of 121 symptomatic HCWs in the Netherlands enrolled from April 2020; 98 classified COVID-19–naive and 23 COVID-19–recovered by RT-PCR and serology. All received two BNT162b2 mRNA doses 21 days apart. Binding antibody assays were performed on all 121; in-depth humoral analyses on 25 (13 recovered, 12 naive); T cell analyses on 20 (13 recovered, 7 naive).
- Humoral assays included Wantai RBD total Ig ELISA, Luminex S1 IgG MIA, in-house N/S ELISA, and PRNT50 using infectious WT SARS-CoV-2 (D614G), B.1.1.7, and B.1.351. ADCC was measured by NK92.05-CD16 degranulation (CD107a) against WT N, WT S, B.1.1.7 S, and B.1.351 S.
- T cell responses were measured by AIM flow cytometry (CD69/CD137 in CD4+ and CD8+ subsets) after stimulation with overlapping WT S peptide pools or peptide pools covering mutated regions of B.1.1.7 and B.1.351, with IFN-γ ELISA in a subset. Statistical analyses used GraphPad Prism 9.0.2.
Limitations
- The paper states the study population was selected HCWs, relatively young, predominantly female, and with mild COVID-19 if previously infected; it was underpowered to compare age groups or comorbidities.
- The paper states in-depth T cell profiling was limited to 20 donors, focused only on S-specific T cells, and could not further address CD8+ T cell responses to VOCs because of low SARS-CoV-2–specific CD8+ T cell frequency; peptide pools of 15-mers may have limited sensitivity, and some pre-exposure S-specific T cells were probably cross-reactive with seasonal human coronaviruses.
- The paper states it did not analyze the P.1 VOC, and future studies are needed to assess whether neutralizing antibody differences correlate with breakthrough infection risk and whether ADCC should be measured with infectious virus and primary cells. Evident from the text: the study reports immune responses, not clinical protection or breakthrough infection outcomes.
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- Findingown data
Percentages of degranulating NK cells were comparable between WT and B.1.1.7 S at all time points, regardless of prior SARS-CoV-2 exposure or number of vaccinations.
“Percentages of degranulating NK cells were comparable between WT and B.1.1.7 S at all time points, regardless of whether donors had been previously exposed to SARS-CoV-2 or not, and the number of vaccinations.”
Quote in the paperNot a substantial claim - Findingown data
In both COVID-19-naive and -recovered donors and at all time points assessed, sera had reduced binding affinity for the B.1.351 S protein when compared with the WT S protein.
“In both COVID-19–naive and –recovered donors and at all time points assessed, sera had reduced binding affinity for the B.1.351 S protein when compared with the WT S protein.”
Quote in the paperSubstantial claim - Findingown data
A nonsignificant trend for increasing CD8+ T cell responses was observed after vaccination of COVID-19-negative donors.
“A nonsignificant trend for increasing CD8+ T cell responses (both AIM and SI, Fig. 4D; data at T0 from COVID-19–recovered donors lacking due to low counts in CD8+ gate) was observed after vaccination of COVID-19–negative donors.”
Quote in the paperNot a substantial claim - Findingown data
Neutralizing antibodies against WT SARS-CoV-2 (which contained the D614G mutation) were detected in all sera collected from 13 COVID-19-recovered HCWs before vaccination.
“Neutralizing antibodies against WT SARS-CoV-2 (which contained the D614G mutation) were detected in all sera collected from N = 13 COVID-19–recovered HCWs before vaccination.”
Quote in the paperNot a substantial claim - Findingown data
In COVID-19-naive donors, WT S-specific CD4+ T cells expressing AIM (CD69+CD137+) were detected after the first and second vaccination.
“In COVID-19–naive donors, WT S–specific CD4+ T cells expressing AIM (CD69+CD137+) were detected after the first and second vaccination (Fig. 4B, T3 to Vx13, P = 0.0374; T3 to Vx23, P = 0.0016, Kruskal-Wallis test).”
Quote in the paperNot a substantial claim
- Findingown data
Compared with PRNT50 titers against WT SARS-CoV-2, geometric mean titers against B.1.351 were consistently lower (2.7-fold and 3.3-fold decrease post-vaccinations 1 and 2).
“whereas titers against B.1.351 were consistently lower [2.7-fold and 3.3-fold decrease post-vaccinations 1 and 2, P = 0.0004 and P < 0.0001 (RM one-way ANOVA), respectively] (summarized in table S3).”
Quote in the paperSubstantial claim - Findingown data
ADCC-mediating antibodies had significantly reduced activity against B.1.351 S at almost all time points in COVID-19-naive and -recovered donors.
“However, ADCC-mediating antibodies had significantly reduced activity against B.1.351 S at almost all time points in COVID-19–naive and –recovered donors (tested by mixed-effect models; Fig. 3D).”
Quote in the paperSubstantial claim - Findingown data
In COVID-19-naive participants before vaccination, CD8+ T cell responses were never observed.
“In COVID-19–naive participants before vaccination, CD8+ T cell responses were never observed.”
Quote in the paperNot a substantial claim - Findingown data
In 13 COVID-19-recovered donors, N-specific ADCC-mediating antibodies were detected in the convalescent phase initially and gradually waned over time.
“In N = 13 COVID-19–recovered donors, N-specific ADCC-mediating antibodies were detected in the convalescent phase initially. These N-specific antibodies gradually waned over time (convalescent versus post-vaccination 2: P = 0.005, Friedman test).”
Quote in the paperNot a substantial claim - Findingown data
In COVID-19-naive HCWs, a single vaccine dose led to detectable levels of neutralizing antibodies in 7 of 12 donors.
“In COVID-19–naive HCWs, a single vaccine dose led to detectable levels of neutralizing antibodies in 7 of 12 donors.”
Quote in the paperNot a substantial claim - Findingown data
N-specific ADCC-mediating antibodies were not detected in the 12 COVID-19-naive donors at any time point.
“N-specific ADCC–mediating antibodies were not detected in the N = 12 COVID-19–naive donors at any time point (Fig. 3B and table S1).”
Quote in the paperNot a substantial claim - Findingown data
Vaccination did not boost N-specific antibodies.
“As expected, vaccination did not boost N-specific antibodies.”
Quote in the paperNot a substantial claim - Findingown data
N-specific antibodies were not boosted by vaccination.
“As expected, N-specific antibodies were not boosted by vaccination.”
Quote in the paperNot a substantial claim - Findingown data
Compared with PRNT50 titers against WT SARS-CoV-2, geometric mean titers against B.1.1.7 were consistently higher (2.5-fold and 2.2-fold increase post-vaccinations 1 and 2).
“Compared with PRNT50 titers against WT SARS-CoV-2, geometric mean titers against B.1.1.7 were consistently higher [2.5-fold and 2.2-fold increase post-vaccinations 1 and 2, P = 0.0114 and P < 0.0001 (RM one-way ANOVA), respectively]”
Quote in the paperNot a substantial claim - Findingown data
No significant differences in CD4+ T cell reactivity to mutant S peptide pools were observed in IFN-γ production.
“In addition, we measured the production of interferon-γ (IFN-γ) in cell culture supernatant in response to WT and mutant pools in a subset of samples and did not observe any significant differences in CD4+ T cell reactivity to mutant S peptide pools (fig. S5).”
Quote in the paperSubstantial claim - Findingown data
None of the COVID-19-recovered individuals in the study had been infected by SARS-CoV-2 harboring the N501Y mutation.
“We ascertained that none of the COVID-19–recovered individuals in our study had been infected by SARS-CoV-2 harboring this N501Y mutation”
Quote in the paperSubstantial claim- Rests on an assumption: The B.1.1.7 and B.1.351 variants both contain the N501Y mutation.
- Findingown data
Lower serum neutralization efficiency of the B.1.351 VOC was observed.
“We also observed lower serum neutralization efficiency of the B.1.351 VOC”
Quote in the paperSubstantial claim - Findingown data
In both COVID-19-naive and -recovered participants, no differences were observed between CD4+ T cell responses to WT S and B.1.351 S.
“or between WT S and B.1.351 S (Fig. 4F and fig. S4B).”
Quote in the paperSubstantial claim - Findingown data
Seroconversion was observed in all groups after vaccination.
“Although seroconversion was observed in all groups after vaccination, the COVID-19–naive group required a second vaccination to obtain neutralizing titers equal to or higher than the cutoff titer of 1:20.”
Quote in the paperNot a substantial claim - Findingown data
The COVID-19-naive group required a second vaccination to obtain neutralizing titers equal to or higher than the cutoff titer of 1:20.
“Although seroconversion was observed in all groups after vaccination, the COVID-19–naive group required a second vaccination to obtain neutralizing titers equal to or higher than the cutoff titer of 1:20.”
Quote in the paperNot a substantial claim - Findingown data
The induced CD4+ T cells equally recognized the WT, B.1.1.7, and B.1.351 S proteins.
“and the induced CD4+ T cells equally recognized the WT, B.1.1.7, and B.1.351 S proteins.”
Quote in the paperSubstantial claim - Findingown data
The reduced NK cell activation directly correlated to reduced binding of sera to VOC antigens.
“Although this reduced activation directly correlated to reduced binding of sera to VOC antigens”
Quote in the paperNot a substantial claim - Findingown data
Reduced NK cell activation in response to binding to the B.1.351 S protein was detected.
“but we detect reduced NK cell activation in response to binding to the B.1.351 S protein.”
Quote in the paperSubstantial claim - Findingown data
In our study, consistently increased neutralizing antibody titers in polyclonal sera against B.1.1.7 were detected when compared with WT, both after SARS-CoV-2 infection and vaccination.
“In our study, we detected consistently increased neutralizing antibody titers in polyclonal sera against B.1.1.7 when compared with WT, both after SARS-CoV-2 infection and vaccination.”
Quote in the paperSubstantial claim - Findingown data
In both COVID-19-naive and -recovered participants, no differences were observed between CD4+ T cell responses to WT S and B.1.1.7 S.
“In both COVID-19–naive and –recovered participants, no differences were observed between CD4+ T cell responses to WT S and B.1.1.7 S (Fig. 4E and fig. S4A)”
Quote in the paperSubstantial claim - Findingown data
A significant correlation between reduced NK cell activation and reduced binding of sera to VOC antigens was often not observed in sera collected upon multiple exposures to the S antigen.
“a significant correlation was often not observed in sera collected upon multiple exposures to the S antigen.”
Quote in the paperNot a substantial claim - Findingown data
S-specific ADCC-mediating antibodies are induced by both infection and vaccination.
“We show that S-specific ADCC-mediating antibodies are induced by both infection and vaccination”
Quote in the paperSubstantial claim - Findingown data
Even after the second vaccination, COVID-19-naive participants had lower neutralizing antibody titers compared with COVID-19-recovered participants after one vaccination.
“Even after the second vaccination, COVID-19–naive participants had lower neutralizing antibody titers compared with COVID-19–recovered participants (after one vaccination).”
Quote in the paperNot a substantial claim - Findingown data
S-specific CD4+ and CD8+ T cells were induced or boosted by the BTN162b2 vaccine.
“In our analyses, S-specific CD4+ and CD8+ T cells were induced or boosted by the BTN162b2 vaccine”
Quote in the paperSubstantial claim - Findingown data
None of the sera of vaccinated participants in our cohort showed a complete escape of the B.1.351 variant.
“but none of the sera of vaccinated participants in our cohort showed a complete escape of this variant.”
Quote in the paperSubstantial claim - Findingown data
CD4+ T cell activation in response to the S protein of B.1.351 and B.1.1.7 was robust.
“but that CD4+ T cell activation in response to the S protein of this variant (and VOC B.1.1.7) was robust.”
Quote in the paperSubstantial claim - Findingreasoning
In some donors, SARS-CoV-2 S-specific T cells were present before exposure to antigen.
“In some donors, we also observed the presence of SARS-CoV-2 S–specific T cells before exposure to antigen.”
Quote in the paperNot a substantial claim - Findingown data
Polyclonal sera have reduced functionality against VOC B.1.351.
“In addition, we show that polyclonal sera have reduced functionality against VOC B.1.351”
Quote in the paperSubstantial claim - Interpretationown data
Increased binding to B.1.1.7 S by ELISA does not explain the increased neutralization against B.1.1.7.
“thus not explaining the increased neutralization.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The quantity of S-binding antibodies does not fully explain the reduced Fc-mediated effector functionality.
“Therefore, the quantity of S-binding antibodies does not fully explain the reduced Fc-mediated effector functionality.”
Quote in the paperSubstantial claim - Interpretationown data
In COVID-19-naive individuals, a second dose was required to consistently detect neutralizing antibodies.
“In COVID-19–naive individuals, a second dose was required to consistently detect neutralizing antibodies.”
Quote in the paperSubstantial claim - Interpretationown data
The observed neutralization against VOCs in this study was based on cross-reactivity and not on previous priming with a B.1.1.7 or B.1.351 virus.
“and that, therefore, the observed neutralization against VOCs in this study was based on cross-reactivity and not on previous priming with a B.1.1.7 or B.1.351 virus.”
Quote in the paperSubstantial claim- Rests on an assumption: The B.1.1.7 and B.1.351 variants both contain the N501Y mutation.
- Study design and conductreasoning
The population was underpowered to compare vaccination responses in distinct subsets of participants (e.g., age groups and comorbidity).
“The population was underpowered to compare vaccination responses in distinct subsets of participants (e.g., age groups and comorbidity).”
Quote in the paperNot a substantial claim - Premisecitation
A Wantai ELISA ratio of >10 has previously been shown to correspond to virus neutralization.
“Although the Wantai ELISA is a qualitative assay, a ratio of >10 has previously been shown to correspond to virus neutralization (44).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [44] C. H. GeurtsvanKessel, N. M. A. Okba, Z. Igloi, S. Bogers, C. W. E. Embregts, B. M. Laksono, L. Leijten, C. Rokx, B. Rijnders, J. Rahamat-Langendoen, J. P. C. van den Akker, J. J. A. van Kampen, A. A. van der Eijk, R. S. van Binnendijk, B. Haagmans, M. Koopmans, An evaluation of COVID-19 serological assays informs future diagnostics and exposure assessment. Nat. Commun. 11, 3436 (2020). 32632160 PMC7338506 source
Not checked in the free run.
- Interpretationown data
Infection- or vaccination-induced SARS-CoV-2 S-specific CD4+ T cells are indifferent to the S mutations of the B.1.1.7 and B.1.351 variants of concern.
“Infection- or vaccination-induced SARS-CoV-2 S–specific CD4+ T cells are indifferent to the S mutations of variants of concern.”
- Also stated in: § DISCUSSION · hedged
“Last, we detected SARS-CoV-2–specific CD4+ and CD8+ T cells after infection and vaccination, and CD4+ T cell activation was robust and appeared indifferent to the S mutations of the B.1.1.7 and B.1.351 variants.”
Quote in the paperSubstantial claim - Also stated in: § DISCUSSION · hedged
- Study design and conductown data
The study was not able to further address CD8+ T cell responses to VOC because of low frequency of SARS-CoV-2-specific CD8+ T cells.
“we were not able to further address CD8+ T cell responses to VOC because of low frequency of SARS-CoV-2–specific CD8+ T cells.”
Quote in the paperSubstantial claim - Interpretationown data
A single mRNA BNT162b2 vaccination is sufficient to induce vigorous immune responses in previously COVID-19-recovered individuals, on both the humoral and cellular level.
“We confirm that a single mRNA BNT162b2 vaccination is sufficient to induce vigorous immune responses in previously COVID-19–recovered individuals, on both the humoral and cellular level.”
Quote in the paperSubstantial claim - Interpretationown data
Protection against severe disease caused by these VOC may still be provided by cross-reactive SARS-CoV-2-specific T cell-mediated immunity.
“However, protection against severe disease caused by these VOC may still be provided by cross-reactive SARS-CoV-2–specific T cell–mediated immunity.”
Quote in the paperSubstantial claim - Interpretationreasoning
The presence of SARS-CoV-2 S-specific T cells before exposure to antigen is probably due to detection of seasonal human coronavirus (HCoV)-specific T cells cross-reactive with SARS-CoV-2.
“This is probably due to the detection of seasonal human coronavirus (HCoV)–specific T cells cross-reactive with SARS-CoV-2.”
Quote in the paperNot a substantial claim
- May combine two claims. 30
- Classified as probably not a substantial claim. 28
- The quote only partly states this claim. 1
May combine two claims.
Findingown dataIn COVID-19-recovered donors, 8 of 12 CD4+ T cell responders were identified before vaccination, which increased to 10 of 12 responders after one or two vaccinations.
“In COVID-19–recovered donors, 8 of 12 responders were identified before vaccination, which increased to 10 of 12 responders after one or two vaccinations.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPercentages of CD107a+ NK cells were significantly correlated to binding antibody titers, but the correlation was not evident at all time points assessed separately.
“Percentages of CD107a+ NK cells were significantly correlated to the binding antibody titers (shown in Fig. 2D); however, the correlation was not evident at all time points assessed separately (fig. S2).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataNeutralizing antibodies were detected after one vaccination in 7 of 12, 6 of 12, and 2 of 12 COVID-19-naive donors against WT SARS-CoV-2, B.1.1.7, and B.1.351, respectively; a second vaccine dose boosted that to 12 of 12, 11 of 12, and 10 of 12.
“Neutralizing antibodies were detected after one vaccination in 7 of 12, 6 of 12, and 2 of 12 COVID-19–naive donors against WT SARS-CoV-2, B.1.1.7, and B.1.351, respectively. A second vaccine dose boosted that to 12 of 12, 11 of 12, and 10 of 12.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn COVID-19-recovered donors, S-specific CD4+ T cells were already detected in the convalescent phase, were boosted after the first vaccination, and a second vaccination did not lead to additional boosting.
“In COVID-19–recovered donors, S-specific CD4+ T cells were already detected in the convalescent phase, which were boosted after the first vaccination. A second vaccination did not lead to an additional boosting effect (Fig. 4B).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn prevaccination sera from COVID-19-recovered donors, neutralizing antibodies against WT SARS-CoV-2 (D614G), B.1.1.7, and B.1.351 were detected in 13 of 13, 12 of 13, and 7 of 13 donors, respectively.
“In prevaccination sera from COVID-19–recovered donors, neutralizing antibodies against WT SARS-CoV-2 (D614G), B.1.1.7, and B.1.351 were detected in 13 of 13, 12 of 13, and 7 of 13 donors, respectively (table S1).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn COVID-19-naive donors, CD4+ T cell responders were not observed before vaccination, whereas five of seven responders were identified after one or two vaccinations.
“In COVID-19–naive donors, CD4+ T cell responders were not observed before vaccination, whereas five of seven responders were identified after one or two vaccinations.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataS-specific antibodies were absent before vaccination in the COVID-19-naive cohort, whereas S-specific antibodies were detected before vaccination in 22 of 23 COVID-19-recovered donors.
“The absence of S-specific antibodies before vaccination was confirmed by both assays in the COVID-19–naive cohort, whereas S-specific antibodies were detected before vaccination in 22 of 23 COVID-19–recovered donors [optical density (OD) ratio >1 in Wantai ELISA and binding antibody units (BAU)/ml >10.08 in MIA].”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing), S4 (based). The quote only partly states this claim.
Findingown dataIn MIA, all COVID-19-naive participants had detectable antibodies after one vaccination.
“In MIA, all participants had detectable antibodies after one vaccination (Fig. 2C and table S1).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn COVID-19-naive participants, 92.5% had detectable total anti-RBD Ig after one vaccine dose, but only 53.2% had an OD ratio >10.
“In COVID-19–naive participants, 92.5% had detectable total anti-RBD Ig after one vaccine dose, but only 53.2% had an OD ratio >10 (Fig. 2B).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataA single vaccination boosted PRNT50 titers in COVID-19-recovered HCWs to a geometric mean plateau value of 1:1874; titers did not increase further after a second vaccination.
“A single vaccination boosted the PRNT50 titers to a geometric mean plateau value of 1:1874 [P < 0.0001, repeated measures (RM) one-way analysis of variance (ANOVA)]. Titers did not increase further after a second vaccination.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataN-specific antibodies were not detected in 11 of 12 COVID-19-naive donors, whereas substantial levels of N-specific antibodies were detected in 12 of 13 COVID-19-recovered donors.
“N-specific antibodies were not detected in 11 of 12 COVID-19–naive donors (1 low positive), whereas substantial levels of N-specific antibodies were detected in 12 of 13 COVID-19–recovered donors.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataA clear boosting effect after the second vaccination was observed in COVID-19-naive donors: all participants then had detectable antibodies, 93.3% had a ratio >10 in ELISA, and significantly higher levels of S1-specific IgG were observed in MIA.
“A clear boosting effect after the second vaccination was observed in COVID-19–naive donors. All participants then had detectable antibodies, and 93.3% had a ratio >10 in ELISA, and significantly higher levels of S1-specific IgG were observed in MIA (geometric mean 252.6 ± 49.55 to 2088.5 ± 287.5 BAU/ml, P < 0.0001, Friedman test).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataA second vaccination of COVID-19-recovered participants did not further boost S1-specific IgG antibodies; a plateau was reached after a single shot.
“The quantitatively interpretable MIA also showed that a second vaccination of COVID-19–recovered participants did not further boost S1-specific IgG antibodies; a plateau was reached after a single shot.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAfter one vaccination, all COVID-19-recovered participants showed a surge in antibody levels with OD ratios >10 detected by ELISA, confirmed by MIA.
“After one vaccination, all COVID-19–recovered participants showed a surge in antibody levels with OD ratios >10 detected by ELISA (Fig. 2B, P < 0.0001, Friedman test).”
- Also stated in: § Rapid boosting of S-specific antibodies in COVID-19–recovered donors · plain
“This increase was confirmed by MIA (Fig. 2C, P = 0.0001, Friedman test; table S1).”
Quote in the paperNot a substantial claim- Also stated in: § Rapid boosting of S-specific antibodies in COVID-19–recovered donors · plain
May combine two claims.
Findingown dataIn COVID-19-recovered donors, ADCC-mediating antibodies were already boosted by a single vaccination to peak levels, and the second shot did not lead to additional boosting.
“In COVID-19–recovered donors, ADCC-mediating antibodies were already boosted by a single vaccination to peak levels, and the second shot did not lead to an additional boosting (reminiscent of binding and neutralizing antibodies; see Fig. 2).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPRNT50 values were boosted by a second vaccination to detectable levels in all COVID-19-naive donors, but the peak titer was significantly lower compared with COVID-19-recovered participants (geometric mean titer 1:189).
“PRNT50 values were boosted by a second vaccination to detectable levels in all donors (P = 0.0005, Wilcoxon test; table S1), but the peak titer was significantly lower compared with COVID-19–recovered participants (geometric mean titer 1:189, P < 0.0001, unpaired t test).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn COVID-19-naive donors, the first vaccination led to low-level detection of ADCC-mediating antibodies, which were further boosted by the second vaccination.
“In COVID-19–naive donors, the first vaccination led to low-level detection of ADCC-mediating antibodies, which were further boosted by the second vaccination.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataAt two time points, a slightly increased binding affinity for B.1.1.7 S was observed (Vx13 for naive donors and T3 for convalescent donors).
“In addition, at two time points, a slightly increased binding affinity for B.1.1.7 S was observed (Vx13 for naive donors and T3 for convalescent donors).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataA single vaccination was sufficient to boost neutralizing antibodies to detectable levels for all SARS-CoV-2 variants, and a second dose did not further boost antibody titers.
“A single vaccination was sufficient to boost neutralizing antibodies to detectable levels for all SARS-CoV-2 variants, and a second dose did not further boost antibody titers.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn COVID-19-naive donors, WT S-specific ADCC-mediating antibodies were not detected before vaccination, whereas in COVID-19-recovered donors, WT S-specific ADCC-mediating antibodies were detected in the convalescent phase.
“In COVID-19–naive donors, WT S–specific ADCC-mediating antibodies were not detected before vaccination, whereas in COVID-19–recovered donors, WT S–specific ADCC-mediating antibodies were detected in the convalescent phase (Fig. 3C, P = 0.0038, RM one-way ANOVA; table S1).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn some sera, increased binding to B.1.1.7 S by ELISA was observed, but not at all time points.
“In some sera, we observed increased binding to B.1.1.7 S by ELISA as well, but not at all time points”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningThe presence of antibodies in response to vaccination can be measured but not accurately quantified by the Wantai ELISA.
“Because this sensitive assay is often used in diagnostic laboratories, we show here that the presence of antibodies in response to vaccination (in the absence or presence of preexisting SARS-CoV-2 immunity) can indeed be measured but not accurately quantified.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn COVID-19-recovered participants, CD8+ S-specific T cells were already observed in the convalescent phase, with increased levels after two vaccinations.
“In COVID-19–recovered participants, CD8+ S–specific T cells were already observed in the convalescent phase, with increased levels after two vaccinations (P = 0.046, Wilcoxon rank test).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataWith peptide pools covering mutated regions, S-specific CD4+ T cell responses were detected in post-vaccination samples from COVID-19-naive donors and in convalescent and post-vaccination samples of COVID-19-recovered donors, but not before vaccination in naive participants.
“With these pools, S-specific CD4+ T cell responses were again detected (SI > 2) in the post-vaccination samples from COVID-19–naive samples and in the convalescent and post-vaccination samples of COVID-19–recovered donors (Fig. 4, E and F, shown as percentages of activated cells within the CD4+ T cell subset in fig. S4), but T cell responses were not observed before vaccination in the COVID-19–na”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
FindingcitationThe Luminex MIA allowed clear interpretation and quantitative comparison of antibody responses within groups and at different time points.
“The Luminex MIA, on the other hand, allowed clear interpretation and quantitative comparison of antibody responses within the groups and at different time points (45).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [45] G. den Hartog, R. M. Schepp, M. Kuijer, C. GeurtsvanKessel, J. van Beek, N. Rots, M. P. G. Koopmans, F. R. M. van der Klis, R. S. van Binnendijk, SARS-CoV-2-specific antibody detection for seroepidemiology: A multiplex analysis approach accounting for accurate seroprevalence. J. Infect. Dis. 222, 1452– 1461 (2020). 32766833 PMC7454740 source
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Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataNo significant differences were observed in binding antibody data as determined by MIA between the total cohort and samples selected for in-depth analysis.
“No significant differences were observed in binding antibody data as determined by MIA between the total cohort and samples selected for in-depth analysis (table S2).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIn ex vivo studies, NK cells from patients with COVID-19 displayed impaired cytotoxicity.
“In ex vivo studies, NK cells from patients with COVID-19 displayed impaired cytotoxicity (64, 65)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [64] M. Zheng, Y. Gao, G. Wang, G. Song, S. Liu, D. Sun, Y. Xu, Z. Tian, Functional exhaustion of antiviral lymphocytes in COVID-19 patients. Cell. Mol. Immunol. 17, 533– 535 (2020). 32203188 PMC7091858 source
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- cites [65] A. J. Wilk, A. Rustagi, N. Q. Zhao, J. Roque, G. J. Martinez-Colon, J. L. McKechnie, G. T. Ivison, T. Ranganath, R. Vergara, T. Hollis, L. J. Simpson, P. Grant, A. Subramanian, A. J. Rogers, C. A. Blish, A single-cell atlas of the peripheral immune response in patients with severe COVID-19. Nat. Med. 26, 1070– 1076 (2020). 32514174 PMC7382903 source
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationADCC-mediating antibodies have been detected in plasma of COVID-19 convalescent donors.
“ADCC-mediating antibodies have been detected in plasma of COVID-19 convalescent donors (16, 67, 68).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [16] F. Y. Tso, S. J. Lidenge, L. K. Poppe, P. B. Pena, S. R. Privatt, S. J. Bennett, J. R. Ngowi, J. Mwaiselage, M. Belshan, J. A. Siedlik, M. A. Raine, J. B. Ochoa, J. Garcia-Diaz, B. Nossaman, L. Buckner, W. M. Roberts, M. J. Dean, A. C. Ochoa, J. T. West, C. Wood, Presence of antibody-dependent cellular cytotoxicity (ADCC) against SARS-CoV-2 in COVID-19 plasma. PLOS ONE 16, e0247640 (2021). 33661923 PMC7932539 source
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- cites [67] J. Dufloo, L. Grzelak, I. Staropoli, Y. Madec, L. Tondeur, A. Francois, S. Pelleau, A. Wiedemann, C. Planchais, J. Buchrieser, R. Robinot, M. Ungeheuer, H. Mouquet, P. Charneau, M. White, Y. Levy, B. Hoen, A. Fontanet, O. Schwartz, T. Bruel, Asymptomatic and symptomatic SARS-CoV-2 infections elicit polyfunctional antibodies. Cell Rep. Med. 2, 100275 (2021). 33899033 PMC8057765 source
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- cites [68] M. D. Larsen, E. L. de Graaf, M. E. Sonneveld, H. R. Plomp, J. Nouta, W. Hoepel, H. J. Chen, F. Linty, R. Visser, M. Brinkhaus, T. Sustic, S. W. de Taeye, A. E. H. Bentlage, S. Toivonen, C. A. M. Koeleman, S. Sainio, N. A. Kootstra, P. J. M. Brouwer, C. E. Geyer, N. I. L. Derksen, G. Wolbink, M. de Winther, R. W. Sanders, M. J. van Gils, S. de Bruin, A. P. J. Vlaar; Amsterdam UMC COVIS-19; Biobank Study Group, T. Rispens, J. den Dunnen, H. L. Zaaijer, M. Wuhrer, C. E. van der Schoot, G. Vidarsson, Afucosylated IgG characterizes enveloped viral responses and correlates with COVID-19 severity. S source
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May combine two claims.
PremisecitationRecent studies have consistently reported lower neutralizing antibody titers against B.1.351 after vaccination but not against B.1.1.7.
“Concerning neutralization of VOCs, recent studies have consistently reported lower neutralizing antibody titers against B.1.351 after vaccination but not against B.1.1.7 (39, 42, 48–59).”
Quote in the paperNot a substantial claim0 of 10 sources checked- cites [39] S. A. Madhi, V. Baillie, C. L. Cutland, M. Voysey, A. L. Koen, L. Fairlie, S. D. Padayachee, K. Dheda, S. L. Barnabas, Q. E. Bhorat, C. Briner, G. Kwatra, K. Ahmed, P. Aley, S. Bhikha, J. N. Bhiman, A. E. Bhorat, J. du Plessis, A. Esmail, M. Groenewald, E. Horne, S. H. Hwa, A. Jose, T. Lambe, M. Laubscher, M. Malahleha, M. Masenya, M. Masilela, S. McKenzie, K. Molapo, A. Moultrie, S. Oelofse, F. Patel, S. Pillay, S. Rhead, H. Rodel, L. Rossouw, C. Taoushanis, H. Tegally, A. Thombrayil, S. van Eck, C. K. Wibmer, N. M. Durham, E. J. Kelly, T. L. Villafana, S. Gilbert, A. J. Pollard, T. de Olivei source
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- cites [42] R. R. Goel, S. A. Apostolidis, M. M. Painter, D. Mathew, A. Pattekar, O. Kuthuru, S. Gouma, P. Hicks, W. Meng, A. M. Rosenfeld, S. Dysinger, K. A. Lundgreen, L. Kuri-Cervantes, S. Adamski, A. Hicks, S. Korte, D. A. Oldridge, A. E. Baxter, J. R. Giles, M. E. Weirick, C. M. McAllister, J. Dougherty, S. Long, K. D’Andrea, J. T. Hamilton, M. R. Betts, E. T. Luning Prak, P. Bates, S. E. Hensley, A. R. Greenplate, E. J. Wherry, Distinct antibody and memory B cell responses in SARS-CoV-2 naïve and recovered individuals following mRNA vaccination. Sci. Immunol. 6, eabi6950 (2021). 33858945 PMC8158969 source
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- cites [48] D. Planas, T. Bruel, L. Grzelak, F. Guivel-Benhassine, I. Staropoli, F. Porrot, C. Planchais, J. Buchrieser, M. M. Rajah, E. Bishop, M. Albert, F. Donati, M. Prot, S. Behillil, V. Enouf, M. Maquart, M. Smati-Lafarge, E. Varon, F. Schortgen, L. Yahyaoui, M. Gonzalez, J. De Seze, H. Pere, D. Veyer, A. Seve, E. Simon-Loriere, S. Fafi-Kremer, K. Stefic, H. Mouquet, L. Hocqueloux, S. van der Werf, T. Prazuck, O. Schwartz, Sensitivity of infectious SARS-CoV-2 B.1.1.7 and B.1.351 variants to neutralizing antibodies. Nat. Med. 27, 917– 924 (2021). 33772244 source
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- cites [49] T. Tada, B. M. Dcosta, M. Samanovic-Golden, R. S. Herati, A. Cornelius, M. J. Mulligan, N. R. Landau, Neutralization of viruses with European, South African, and United States SARS-CoV-2 variant spike proteins by convalescent sera and BNT162b2 mRNA vaccine-elicited antibodies. bioRxiv 10.1101/2021.02.05.430003 (2021).
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- cites [50] P. Wang, M. S. Nair, L. Liu, S. Iketani, Y. Luo, Y. Guo, M. Wang, J. Yu, B. Zhang, P. D. Kwong, B. S. Graham, J. R. Mascola, J. Y. Chang, M. T. Yin, M. Sobieszczyk, C. A. Kyratsous, L. Shapiro, Z. Sheng, Y. Huang, D. D. Ho, Increased resistance of SARS-CoV-2 variants B.1.351 and B.1.1.7 to antibody neutralization. bioRxiv 10.1101/2021.01.25.428137 (2021). 33684923
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- cites [51] D. Zhou, W. Dejnirattisai, P. Supasa, C. Liu, A. J. Mentzer, H. M. Ginn, Y. Zhao, H. M. E. Duyvesteyn, A. Tuekprakhon, R. Nutalai, B. Wang, G. C. Paesen, C. Lopez-Camacho, J. Slon-Campos, B. Hallis, N. Coombes, K. Bewley, S. Charlton, T. S. Walter, D. Skelly, S. F. Lumley, C. Dold, R. Levin, T. Dong, A. J. Pollard, J. C. Knight, D. Crook, T. Lambe, E. Clutterbuck, S. Bibi, A. Flaxman, M. Bittaye, S. Belij-Rammerstorfer, S. Gilbert, W. James, M. W. Carroll, P. Klenerman, E. Barnes, S. J. Dunachie, E. E. Fry, J. Mongkolsapaya, J. Ren, D. I. Stuart, G. R. Screaton, Evidence of escape of SARS-CoV- source
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- cites [52] R. E. Chen, X. Zhang, J. B. Case, E. S. Winkler, Y. Liu, L. A. VanBlargan, J. Liu, J. M. Errico, X. Xie, N. Suryadevara, P. Gilchuk, S. J. Zost, S. Tahan, L. Droit, J. S. Turner, W. Kim, A. J. Schmitz, M. Thapa, D. Wang, A. C. M. Boon, R. M. Presti, J. A. O’Halloran, A. H. J. Kim, P. Deepak, D. Pinto, D. H. Fremont, J. E. Crowe Jr., D. Corti, H. W. Virgin, A. H. Ellebedy, P.-Y. Shi, M. S. Diamond, Resistance of SARS-CoV-2 variants to neutralization by monoclonal and serum-derived polyclonal antibodies. Nat. Med. 27, 717– 726 (2021). 33664494 PMC8058618 source
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- cites [53] S. Jangra, C. Ye, R. Rathnasinghe, D. Stadlbauer, F. Krammer, V. Simon, L. Martinez-Sobrido, A. Garcia-Sastre, M. Schotsaert, The E484K mutation in the SARS-CoV-2 spike protein reduces but does not abolish neutralizing activity of human convalescent and post-vaccination sera. medRxiv 10.1101/2021.01.26.21250543 (2021).
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- cites [54] K. Wu, A. P. Werner, J. I. Moliva, M. Koch, A. Choi, G. B. E. Stewart-Jones, H. Bennett, S. Boyoglu-Barnum, W. Shi, B. S. Graham, A. Carfi, K. S. Corbett, R. A. Seder, D. K. Edwards, mRNA-1273 vaccine induces neutralizing antibodies against spike mutants from global SARS-CoV-2 variants. bioRxiv 10.1101/2021.01.25.427948 (2021).
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- cites [55] X. Xie, J. Zou, C. R. Fontes-Garfias, H. Xia, K. A. Swanson, M. Cutler, D. Cooper, V. D. Menachery, S. Weaver, P. R. Dormitzer, P. Y. Shi, Neutralization of N501Y mutant SARS-CoV-2 by BNT162b2 vaccine-elicited sera. bioRxiv 10.1101/2021.01.07.425740 (2021). 33558724
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May combine two claims.
Interpretationnone givenThe study population was a selected group of health care workers working with COVID-19 patients, relatively young, predominantly female, with a history of mild COVID-19 disease if previously infected.
“The study was performed in a selected population of HCWs working with COVID-19 patients who were eligible for rapid vaccination in the Netherlands. The participants were relatively young, predominantly female, with a history of mild COVID-19 disease if previously infected.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationThe neutralization data reported here are in line with previous reports.
“The neutralization data reported here are in line with previous reports (42, 47–49).”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [42] R. R. Goel, S. A. Apostolidis, M. M. Painter, D. Mathew, A. Pattekar, O. Kuthuru, S. Gouma, P. Hicks, W. Meng, A. M. Rosenfeld, S. Dysinger, K. A. Lundgreen, L. Kuri-Cervantes, S. Adamski, A. Hicks, S. Korte, D. A. Oldridge, A. E. Baxter, J. R. Giles, M. E. Weirick, C. M. McAllister, J. Dougherty, S. Long, K. D’Andrea, J. T. Hamilton, M. R. Betts, E. T. Luning Prak, P. Bates, S. E. Hensley, A. R. Greenplate, E. J. Wherry, Distinct antibody and memory B cell responses in SARS-CoV-2 naïve and recovered individuals following mRNA vaccination. Sci. Immunol. 6, eabi6950 (2021). 33858945 PMC8158969 source
Not checked in the free run.
- cites [47] Y. Liu, J. Liu, H. Xia, X. Zhang, C. R. Fontes-Garfias, K. A. Swanson, H. Cai, R. Sarkar, W. Chen, M. Cutler, D. Cooper, S. C. Weaver, A. Muik, U. Sahin, K. U. Jansen, X. Xie, P. R. Dormitzer, P. Y. Shi, Neutralizing activity of BNT162b2-elicited serum. N. Engl. J. Med. 384, 1466– 1468 (2021). 33684280 PMC7944950 source
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- cites [48] D. Planas, T. Bruel, L. Grzelak, F. Guivel-Benhassine, I. Staropoli, F. Porrot, C. Planchais, J. Buchrieser, M. M. Rajah, E. Bishop, M. Albert, F. Donati, M. Prot, S. Behillil, V. Enouf, M. Maquart, M. Smati-Lafarge, E. Varon, F. Schortgen, L. Yahyaoui, M. Gonzalez, J. De Seze, H. Pere, D. Veyer, A. Seve, E. Simon-Loriere, S. Fafi-Kremer, K. Stefic, H. Mouquet, L. Hocqueloux, S. van der Werf, T. Prazuck, O. Schwartz, Sensitivity of infectious SARS-CoV-2 B.1.1.7 and B.1.351 variants to neutralizing antibodies. Nat. Med. 27, 917– 924 (2021). 33772244 source
Not checked in the free run.
- cites [49] T. Tada, B. M. Dcosta, M. Samanovic-Golden, R. S. Herati, A. Cornelius, M. J. Mulligan, N. R. Landau, Neutralization of viruses with European, South African, and United States SARS-CoV-2 variant spike proteins by convalescent sera and BNT162b2 mRNA vaccine-elicited antibodies. bioRxiv 10.1101/2021.02.05.430003 (2021).
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAntibodies can have multiple other modes of action that are primarily mediated by IgG1 and IgG3 subclass antibodies.
“In addition to direct virus neutralization, antibodies can have multiple other modes of action that are primarily mediated by IgG1 and IgG3 subclass antibodies (60).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [60] P. Bruhns, B. Iannascoli, P. England, D. A. Mancardi, N. Fernandez, S. Jorieux, M. Daeron, Specificity and affinity of human Fcgamma receptors and their polymorphic variants for human IgG subclasses. Blood 113, 3716– 3725 (2009). 19018092 source
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May combine two claims.
InterpretationcitationA single vaccination led to a rapid and strong recall response in COVID-19-recovered participants, without detectable boosting after the second dose.
“In line with previous studies (42), a single vaccination led to a rapid and strong recall response in COVID-19–recovered participants, without detectable boosting after the second dose.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [42] R. R. Goel, S. A. Apostolidis, M. M. Painter, D. Mathew, A. Pattekar, O. Kuthuru, S. Gouma, P. Hicks, W. Meng, A. M. Rosenfeld, S. Dysinger, K. A. Lundgreen, L. Kuri-Cervantes, S. Adamski, A. Hicks, S. Korte, D. A. Oldridge, A. E. Baxter, J. R. Giles, M. E. Weirick, C. M. McAllister, J. Dougherty, S. Long, K. D’Andrea, J. T. Hamilton, M. R. Betts, E. T. Luning Prak, P. Bates, S. E. Hensley, A. R. Greenplate, E. J. Wherry, Distinct antibody and memory B cell responses in SARS-CoV-2 naïve and recovered individuals following mRNA vaccination. Sci. Immunol. 6, eabi6950 (2021). 33858945 PMC8158969 source
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May combine two claims.
Interpretationown dataBNT162b2 mRNA vaccination induces robust SARS-CoV-2-specific neutralizing antibodies, ADCC-mediating antibodies, and CD4+ and CD8+ T cells in both COVID-19-recovered and -naive individuals.
“Here, we show that in both COVID-19–recovered and –naive individuals, BNT162b2 mRNA vaccination induces robust SARS-CoV-2–specific neutralizing antibodies, ADCC-mediating antibodies, and CD4+ and CD8+ T cells.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationADCC is mainly mediated by the interaction between virus-specific antibodies and Fcγ receptor IIIα (FcγRIIIα, CD16), which is present on NK cells.
“ADCC is mainly mediated by the interaction between virus-specific antibodies and Fcγ receptor IIIα (FcγRIIIα, CD16), which is, for example, present on NK cells (61–63).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [61] R. D. de Vries, N. J. Nieuwkoop, M. Pronk, E. de Bruin, G. Leroux-Roels, E. G. W. Huijskens, R. S. van Binnendijk, F. Krammer, M. P. G. Koopmans, G. F. Rimmelzwaan, Influenza virus-specific antibody dependent cellular cytoxicity induced by vaccination or natural infection. Vaccine 35, 238– 247 (2017). 27914742 source
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- cites [62] R. D. de Vries, N. J. Nieuwkoop, F. R. M. van der Klis, M. P. G. Koopmans, F. Krammer, G. F. Rimmelzwaan, Primary human influenza B virus infection induces cross-lineage hemagglutinin stalk–specific antibodies mediating antibody-dependent cellular cytoxicity. J. Infect. Dis. 217, 3– 11 (2017). 29294018 PMC5853962 source
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- cites [63] S. Jegaskanda, K. L. Laurie, T. H. Amarasena, W. R. Winnall, M. Kramski, R. De Rose, I. G. Barr, A. G. Brooks, P. C. Reading, S. J. Kent, Age-associated cross-reactive antibody-dependent cellular cytotoxicity toward 2009 pandemic influenza A virus subtype H1N1. J Infect Dis 208, 1051– 1061 (2013). 23812238 source
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Classified as probably not a substantial claim. May combine two claims.
InterpretationreasoningOur study differs from most previously conducted studies because infectious viruses were used to determine neutralizing antibody titers (in contrast to pseudotyped viruses), potentially explaining the increased B.1.1.7 neutralization observation.
“Our study differs from most previously conducted studies because infectious viruses were used to determine neutralizing antibody titers (in contrast to pseudotyped viruses), potentially explaining this observation.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationNK cells were shown to be decreased in patients with COVID-19 in association with disease severity.
“NK cells were shown to be decreased in patients with COVID-19 in association with disease severity (64).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [64] M. Zheng, Y. Gao, G. Wang, G. Song, S. Liu, D. Sun, Y. Xu, Z. Tian, Functional exhaustion of antiviral lymphocytes in COVID-19 patients. Cell. Mol. Immunol. 17, 533– 535 (2020). 32203188 PMC7091858 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationA study that followed a sequencing-based approach identified mutations in CD8+ T cell epitopes after sequencing 747 SARS-CoV-2 isolates and showed that tetramer-sorted CD8+ T cell clones responded to mutant peptides in a transcriptionally different manner.
“A study that followed a sequencing-based approach identified mutations in CD8+ T cell epitopes after sequencing 747 SARS-CoV-2 isolates and showed that tetramer-sorted CD8+ T cell clones responded to mutant peptides in a transcriptionally different manner (70).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [70] B. Agerer, M. Koblischke, V. Gudipati, L. F. Montano-Gutierrez, M. Smyth, A. Popa, J. W. Genger, L. Endler, D. M. Florian, V. Muhlgrabner, M. Graninger, S. W. Aberle, A. M. Husa, L. E. Shaw, A. Lercher, P. Gattinger, R. Torralba-Gombau, D. Trapin, T. Penz, D. Barreca, I. Fae, S. Wenda, M. Traugott, G. Walder, W. F. Pickl, V. Thiel, F. Allerberger, H. Stockinger, E. Puchhammer-Stockl, W. Weninger, G. Fischer, W. Hoepler, E. Pawelka, A. Zoufaly, R. Valenta, C. Bock, W. Paster, R. Geyeregger, M. Farlik, F. Halbritter, J. B. Huppa, J. H. Aberle, A. Bergthaler, SARS-CoV-2 mutations in MHC-I-restric source
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA small study assessed 45 mutations in the B.1.351 S protein and found that only 1 mutation overlapped with a low-prevalent CD8+ T cell epitope.
“A small study assessed 45 mutations in the B.1.351 S protein, and found that only 1 mutation overlapped with a low-prevalent CD8+ T cell epitope (69).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [69] A. D. Redd, A. Nardin, H. Kared, E. M. Bloch, A. Pekosz, O. Laeyendecker, B. Abel, M. Fehlings, T. C. Quinn, A. A. Tobian, CD8+ T cell responses in COVID-19 convalescent individuals target conserved epitopes from multiple prominent SARS-CoV-2 circulating variants. medRxiv 10.1101/2021.02.11.21251585 (2021). PMC8083629 34322559
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May combine two claims.
Interpretationown dataVaccination-induced antibodies cross-neutralized the variants B.1.1.7 and B.1.351, but the neutralizing capacity and Fc-mediated functionality against B.1.351 were consistently two- to fourfold lower than those against the homologous virus.
“Vaccination-induced antibodies did cross-neutralize the variants B.1.1.7 and B.1.351, but the neutralizing capacity and Fc-mediated functionality against B.1.351 were consistently two- to fourfold lower than those against the homologous virus.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIn hospitalized patients, a serum neutralizing antibody titer of at least 1:20 was independently associated with the absence of shedding of infectious SARS-CoV-2.
“In hospitalized patients, we have previously shown that a serum neutralizing antibody titer of at least 1:20 was independently associated with the absence of shedding of infectious SARS-CoV-2 (46).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [46] J. J. A. van Kampen, D. van de Vijver, P. L. A. Fraaij, B. L. Haagmans, M. M. Lamers, N. Okba, J. P. C. van den Akker, H. Endeman, D. Gommers, J. J. Cornelissen, R. A. S. Hoek, M. M. van der Eerden, D. A. Hesselink, H. J. Metselaar, A. Verbon, J. E. M. de Steenwinkel, G. I. Aron, E. C. M. van Gorp, S. van Boheemen, J. C. Voermans, C. A. B. Boucher, R. Molenkamp, M. P. G. Koopmans, C. Geurtsvankessel, A. A. van der Eijk, Duration and key determinants of infectious virus shedding in hospitalized patients with coronavirus disease-2019 (COVID-19). Nat. Commun. 12, 267 (2021). 33431879 PMC7801729 source
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Classified as probably not a substantial claim.
Study design and conductown dataViruses used in the PRNT assay were sequenced to rule out additional mutations in the S protein.
“Viruses used in the assay were isolated from diagnostic specimen at the Department of Viroscience, Erasmus MC, cultured, and subsequently sequenced to rule out additional mutations in the S protein”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAll S constructs were verified by Sanger sequencing.
“All S constructs were cloned into a pPPI4 expression vector containing a His tag, verified by Sanger sequencing and subsequently produced in human embryonic kidney–293F cells, and purified as previously described (6, 80).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [6] P. J. M. Brouwer, T. G. Caniels, K. van der Straten, J. L. Snitselaar, Y. Aldon, S. Bangaru, J. L. Torres, N. M. A. Okba, M. Claireaux, G. Kerster, A. E. H. Bentlage, M. M. van Haaren, D. Guerra, J. A. Burger, E. E. Schermer, K. D. Verheul, N. van der Velde, A. van der Kooi, J. van Schooten, M. J. van Breemen, T. P. L. Bijl, K. Sliepen, A. Aartse, R. Derking, I. Bontjer, N. A. Kootstra, W. J. Wiersinga, G. Vidarsson, B. L. Haagmans, A. B. Ward, G. J. de Bree, R. W. Sanders, M. J. van Gils, Potent neutralizing antibodies from COVID-19 patients define multiple targets of vulnerability. Science 3 source
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- cites [80] R. N. Kirchdoerfer, C. A. Cottrell, N. Wang, J. Pallesen, H. M. Yassine, H. L. Turner, K. S. Corbett, B. S. Graham, J. S. McLellan, A. B. Ward, Pre-fusion structure of a human coronavirus spike protein. Nature 531, 118– 121 (2016). 26935699 PMC4860016 source
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Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe sample size for in-depth T cell profiling was limited to 20 donors.
“The sample size for which in-depth T cell profiling was performed was limited to 20 donors”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDetection of cross-reactive T cells via the AIM assay was previously described.
“Detection of cross-reactive T cells via the AIM assay was previously described (7, 11, 72).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [7] A. Grifoni, D. Weiskopf, S. I. Ramirez, J. Mateus, J. M. Dan, C. R. Moderbacher, S. A. Rawlings, A. Sutherland, L. Premkumar, R. S. Jadi, D. Marrama, A. M. de Silva, A. Frazier, A. F. Carlin, J. A. Greenbaum, B. Peters, F. Krammer, D. M. Smith, S. Crotty, A. Sette, Targets of T cell responses to SARS-CoV-2 coronavirus in humans with COVID-19 disease and unexposed individuals. Cell 181, 1489– 1501.e15 (2020). 32473127 PMC7237901 source
Not checked in the free run.
- cites [11] D. Weiskopf, K. S. Schmitz, M. P. Raadsen, A. Grifoni, N. M. A. Okba, H. Endeman, J. P. C. van den Akker, R. Molenkamp, M. P. G. Koopmans, E. C. M. van Gorp, B. L. Haagmans, R. L. de Swart, A. Sette, R. D. de Vries, Phenotype and kinetics of SARS-CoV-2–specific T cells in COVID-19 patients with acute respiratory distress syndrome. Sci. Immunol. 5, eabd2071 (2020). 32591408 PMC7319493 source
Not checked in the free run.
- cites [72] J. Mateus, A. Grifoni, A. Tarke, J. Sidney, S. I. Ramirez, J. M. Dan, Z. C. Burger, S. A. Rawlings, D. M. Smith, E. Phillips, S. Mallal, M. Lammers, P. Rubiro, L. Quiambao, A. Sutherland, E. D. Yu, R. da Silva Antunes, J. Greenbaum, A. Frazier, A. J. Markmann, L. Premkumar, A. de Silva, B. Peters, S. Crotty, A. Sette, D. Weiskopf, Selective and cross-reactive SARS-CoV-2 T cell epitopes in unexposed humans. Science 370, 89– 94 (2020). 32753554 PMC7574914 source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataA PRNT50 titer >20 was considered positive based on assay validation.
“We considered a titer >20 to be positive based on assay validation.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe study did not analyze immune responses to the P.1 VOC.
“We did not analyze immune responses to the P.1 VOC, originating from Brazil, which also contains mutations in the RBD at positions 417 and 484 (in combination with unique mutations throughout the S protein).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrevious studies have demonstrated a similar, less pronounced, decrease in neutralization by polyclonal sera after BNT162b2 vaccination against P.1.
“Although this variant was not investigated in the current study, previous studies have demonstrated a similar, less pronounced, decrease in neutralization by polyclonal sera after BNT162b2 vaccination (47, 77).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [47] Y. Liu, J. Liu, H. Xia, X. Zhang, C. R. Fontes-Garfias, K. A. Swanson, H. Cai, R. Sarkar, W. Chen, M. Cutler, D. Cooper, S. C. Weaver, A. Muik, U. Sahin, K. U. Jansen, X. Xie, P. R. Dormitzer, P. Y. Shi, Neutralizing activity of BNT162b2-elicited serum. N. Engl. J. Med. 384, 1466– 1468 (2021). 33684280 PMC7944950 source
Not checked in the free run.
- cites [77] M. Hoffmann, P. Arora, R. Gross, A. Seidel, B. F. Hornich, A. S. Hahn, N. Kruger, L. Graichen, H. Hofmann-Winkler, A. Kempf, M. S. Winkler, S. Schulz, H. M. Jack, B. Jahrsdorfer, H. Schrezenmeier, M. Muller, A. Kleger, J. Munch, S. Pöhlmann, SARS-CoV-2 variants B.1.351 and P.1 escape from neutralizing antibodies. Cell 184, 2384– 2393.e12 (2021). 33794143 PMC7980144 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe study only focused on S-specific T cells.
“we only focused on S-specific T cells”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationThis T cell cross-reactivity finding is in line with one other recently performed study that additionally showed cross-reactivity to the P.1 and CAL.20C (B.1.429) variants.
“This is in line with one other recently performed study that additionally showed cross-reactivity to the P.1 and CAL.20C (B.1.429) variants (71).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [71] A. Tarke, J. Sidney, N. Methot, Y. Zhang, J. M. Dan, B. Goodwin, P. Rubiro, A. Sutherland, R. da Silva Antunes, A. Frazier, S. A. Rawlings, D. M. Smith, B. Peters, R. H. Scheuermann, D. Weiskopf, S. Crotty, A. Grifoni, A. Sette, Negligible impact of SARS-CoV-2 variants on CD4+ and CD8+ T cell reactivity in COVID-19 exposed donors and vaccinees. bioRxiv 10.1101/2021.02.27.433180 (2021). PMC8249675 34230917
Not checked in the free run.
May combine two claims.
Study design and conductcitationThe Luminex bead assay had specificity 99.7% and sensitivity 91.6%, determined using a heterogeneous sample set including asymptomatic and mild to severe COVID-19 cases, prepandemic population samples, and samples of persons infected with various viruses including endemic coronaviruses as negative controls.
“The specificity (99.7%) and sensitivity (91.6%) of the assay were determined using a heterogeneous sample set including asymptomatic and mild to severe COVID-19 cases as representative of COVID-19 cases in the general population, as well prepandemic population samples and samples of persons infected with various viruses, including endemic coronaviruses, as negative controls (23).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [23] G. den Hartog, E. R. A. Vos, L. L. van den Hoogen, M. van Boven, R. M. Schepp, G. Smits, J. van Vliet, L. Woudstra, A. J. Wijmenga-Monsuur, C. C. E. van Hagen, E. A. M. Sanders, H. E. de Melker, F. R. M. van der Klis, R. S. van Binnendijk, Persistence of antibodies to SARS-CoV-2 in relation to symptoms in a nationwide prospective study. Clin. Infect. Dis. 2021, ciab172 (2021). PMC7929058 33624751 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataCD16 expression in the NK92.05-CD16 cell line was monitored by flow cytometry.
“CD16 expression in this cell line was monitored by flow cytometry by staining with anti–CD16-AF647”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenLow-frequency samples (<10,000 cells in CD4 gate and <5000 cells in CD8 gate) were excluded from analysis.
“Low-frequency samples (<10,000 cells in CD4 gate and <5000 cells in CD8 gate) were excluded from analysis.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAppropriate statistical tests were selected to compare normal or nonnormal distributed values, paired or unpaired samples, and taking into account missing values.
“Appropriate tests were selected to compare normal or nonnormal distributed values, paired or unpaired samples, and taking into account missing values.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataFor N=11 of 20 donors assessed, SARS-CoV-2 specificity in the CD4+ subset was confirmed by gating CD137+OX40+ cells.
“For N = 11 of 20 donors assessed, SARS-CoV-2 specificity in the CD4+ subset was confirmed by gating CD137+OX40+ cells.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe ADCC assay was performed as previously described.
“ADCC assay was performed as previously described (61).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [61] R. D. de Vries, N. J. Nieuwkoop, M. Pronk, E. de Bruin, G. Leroux-Roels, E. G. W. Huijskens, R. S. van Binnendijk, F. Krammer, M. P. G. Koopmans, G. F. Rimmelzwaan, Influenza virus-specific antibody dependent cellular cytoxicity induced by vaccination or natural infection. Vaccine 35, 238– 247 (2017). 27914742 source
Not checked in the free run.
The paper relies on this without support.
Little is known about T cell cross-reactivity with SARS-CoV-2 variants of concern.
“Although several studies have demonstrated that some VOCs may be capable of evading infection or vaccination-induced neutralizing antibodies, little is known about T cell cross-reactivity with VOCs.”
The paper relies on this without support.
The B.1.1.7 and B.1.351 variants both contain the N501Y mutation.
“The B.1.1.7 and B.1.351 variants both contain the signature mutation N501Y”
The paper relies on this without support.
The N501Y mutation is associated with increased affinity for the ACE2 receptor.
“associated with increased affinity for the ACE2 (angiotensin converting enzyme 2) receptor.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Memory T cell responses have been shown to be less affected by VOCs than humoral immune responses.
“Memory T cell responses have also been shown to be less affected by VOCs than humoral immune responses (21, 50).”
From mRNA vaccines induce durable immune memory to SARS-CoV-2 and variants of concern (2021) · cites this paper as [50]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Incorrect percentage in the in-depth vaccination-interval subgroup
MinorTen of the 13 COVID-19-recovered participants selected for in-depth analysis is 76.9%, not 85.6%.
Reported 85.6 · recomputed 76.923077
“| 30–60 days | | 12 (52.2%) | | 10 (85.6%) | |”
Incorrect percentage for naive male participants
MinorTable 1 lists 33 males among 98 COVID-19-naive participants. That is 33.7%, not 35.6%.
Reported 35.6 · recomputed 33.673469
“| Male | 39 (32.2%) | 6 (26.1%) | 33 (35.6%) | 3 (23%) | 1 (8.3%) |”
Cohort median age differs between Results and Table 1
MinorThe Results state a median age of 41 years, while the "All" column of Table 1 gives 40.
“The median age of study participants was 41 years”
“| Age | 40 | 42 | 38.5 | 42 | 47 |”
Post-vaccination timing variability conflicts with stated collection windows
MinorThe stated collection windows are 14-21 and 21-28 days after the first and second doses. Given the reported means, observations confined to those windows cannot have SDs as large as 3.2 and 5.9 days, respectively.
“after the first (μ = 20.3 days and SD = 3.2 days) and second vaccine dose (μ = 26.5 days and SD = 5.9 days)”
“Follow-up samples were collected 14 to 21 days after the first dose and 21 to 28 days after the second dose.”
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Infection- and vaccine-induced antibody binding and neutralization of the B.1.351 SARS-CoV-2 variant
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Peripheral CD4+ T cell subsets and antibody response in COVID-19 convalescent individuals
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“The neutralization data reported here are in line with previous reports ( 42 , 47 – 49 ).”
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Self-citationThe Importance and Challenges of Identifying SARS-CoV-2 Reinfections
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Correlates of protection from SARS-CoV-2 infection
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Asymptomatic and symptomatic SARS-CoV-2 infections elicit polyfunctional antibodies
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Three SARS-CoV-2 reinfection cases by the new Variant of Concern (VOC) P.1/501Y.V3Preprint
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Lessons from New Zealand's COVID-19 outbreak response
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Presence of antibody-dependent cellular cytotoxicity (ADCC) against SARS-CoV-2 in COVID-19 plasma
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Vaccines and SARS-CoV-2 variants: the urgent need for a correlate of protection
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Self-citationSevere SARS‐CoV‐2 patients develop a higher specific T‐cell response
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mRNA vaccines induce durable immune memory to SARS-CoV-2 and variants of concern
Goel, R. R., Painter, M. M., Apostolidis, S. A., Mathew, D., Meng, W., Rosenfeld, A. M., Lundgreen, K. A., Reynaldi, A., Khoury, D. S., Pattekar, A., et al. (2021) · Science · doi:10.1126/science.abm0829 · Cited by 873 · see citing works
“Memory T cell responses have also been shown to be less affected by variants of concern than humoral immune responses ( 21 , 50 ).”
BackgroundTarke, A., Coelho, C. H., Zhang, Z., Dan, J. M., Yu, E. D., Methot, N., Bloom, N. I., Goodwin, B., Phillips, E., Mallal, S., et al. (2022) · Cell · doi:10.1016/j.cell.2022.01.015 · Cited by 858 · see citing works
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Divergent SARS-CoV-2 Omicron–reactive T and B cell responses in COVID-19 vaccine recipients
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T cell reactivity to the SARS-CoV-2 Omicron variant is preserved in most but not all individuals
Naranbhai, V., Nathan, A., Kaseke, C., Berrios, C., Khatri, A., Choi, S., Getz, M. A., Tano-Menka, R., Ofoman, O., Gayton, A. C., et al. (2022) · Cell · doi:10.1016/j.cell.2022.01.029 · Cited by 231 · see citing works
“While these assays are sensitive for functionally relevant T-cell responses (Goonetilleke et al., 2006; Karlsson et al., 2003), further interrogation of the phenotype and function of responding cells could also be pursued.”
Immunological memory to SARS‐CoV ‐2 infection and COVID ‐19 vaccines
Sette, A., & Crotty, S. (2022) · Immunological Reviews · doi:10.1111/imr.13089 · Cited by 266 · see citing works
SARS-COV-2 Variants: Differences and Potential of Immune Evasion
Hirabara, S. M., Serdan, T. D. A., Gorjão, R., Masi, L. N., Pithon‐Curi, T. C., Covas, D. T., Curi, R., & Durigon, E. L. (2022) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2021.781429 · Cited by 216 · see citing works
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“40 26 Together, these findings support use of the mixed schedules studied here in rapid and flexible global deployment of COVID-19 vaccines.”
COVID-19 vaccines in patients with cancer: immunogenicity, efficacy and safety
Fendler, A., de Vries, E. G. E., GeurtsvanKessel, C. H., Haanen, J. B. A. G., Wormann, B. J., Turajlic, S., & von Lilienfeld‐Toal, M. (2022) · Nature Reviews Clinical Oncology · doi:10.1038/s41571-022-00610-8 · Cited by 205 · see citing works
Self-citationThe next phase of SARS-CoV-2 surveillance: real-time molecular epidemiology
Munnink, B. B. O., Worp, N., Nieuwenhuijse, D. F., Sikkema, R. S., Haagmans, B. L., Fouchier, R. A. M., & Koopmans, M. (2021) · Nature Medicine · doi:10.1038/s41591-021-01472-w · Cited by 229 · see citing works
Self-citationSanders, J., Bemelman, F. J., Messchendorp, A. L., Baan, C. C., van Baarle, D., van Binnendijk, R. S., Diavatopoulos, D. A., Frölke, S. C., Geers, D., GeurtsvanKessel, C. H., et al. (2021) · Transplantation · doi:10.1097/tp.0000000000003983 · Cited by 182 · see citing works
“Participants were classified as responder or nonresponder based on seroconversion with a threshold for seropositivity based on receiver operator curve analysis set at S1-specific IgG antibody concentration ≥10 BAU/mL.12,13”
MethodSelf-citationSARS-CoV-2 antigen exposure history shapes phenotypes and specificity of memory CD8+ T cells
Minervina, A. A., Pogorelyy, M. V., Kirk, A. M., Crawford, J. C., Allen, E. K., Chou, C., Mettelman, R. C., Allison, K., Lin, C.-Y., Brice, D. C., et al. (2022) · Nature Immunology · doi:10.1038/s41590-022-01184-4 · Cited by 210 · see citing works
The Impact of Evolving SARS-CoV-2 Mutations and Variants on COVID-19 Vaccines
McLean, G. R., Kamil, J. P., Lee, B., Moore, P. L., Schulz, T. F., Muik, A., Şahin, U., Türeci, Ö., & Pather, S. (2022) · mBio · doi:10.1128/mbio.02979-21 · Cited by 190 · see citing works
Emerging SARS-CoV-2 Variants: A Review of Its Mutations, Its Implications and Vaccine Efficacy
Ramesh, S., Govindarajulu, M., Parise, R. S., Neel, L. T., Shankar, T., Patel, S., Lowery, P., Smith, F., Dhanasekaran, M., & Moore, T. (2021) · Vaccines · doi:10.3390/vaccines9101195 · Cited by 152 · see citing works
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“In animal models of re-infection, spike-specific CD8 T-cell responses can compensate for inadequate antibody responses(24) and are also highly cross-reactive to different variants of concern.(32) Therefore, SARS-CoV-2-specific T cells may provide an additional contribution to the immune correlate of protection.”
SARS-CoV-2-specific T cells in infection and vaccination
Bertoletti, A., Le Bert, N., Qui, M., & Tan, A. T. (2021) · Cellular & Molecular Immunology · doi:10.1038/s41423-021-00743-3 · Cited by 159 · see citing works
“CD4 and CD8 T cells seem to be present in roughly equivalent numbers [72], although initial data suggested that CD4 T cells were predominant [67, 68, 71].”
ResultOosting, S. F., van der Veldt, A. A. M., GeurtsvanKessel, C. H., Fehrmann, R. S. N., van Binnendijk, R. S., Dingemans, A. C., Smit, E. F., Hiltermann, T. J. N., den Hartog, G., Jalving, M., et al. (2021) · The Lancet Oncology · doi:10.1016/s1470-2045(21)00574-x · Cited by 152 · see citing works
Self-citationGut microbiota composition is associated with SARS-CoV-2 vaccine immunogenicity and adverse events
Ng, S. C., Peng, Y., Zhang, L., Mok, C. K. P., Zhao, S., Li, A., Ching, J. Y. L., Liu, Y., Yan, S., Chan, D. L. S., et al. (2022) · Gut · doi:10.1136/gutjnl-2021-326563 · Cited by 177 · see citing works
Molecular characteristics, immune evasion, and impact of SARS-CoV-2 variants
Sun, C., Xie, C., Bu, G., Zhong, L., & Zeng, M. (2022) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-022-01039-2 · Cited by 139 · see citing works
Does infection with or vaccination against SARS-CoV-2 lead to lasting immunity?
Milne, G., Hames, T., Scotton, C. J., Gent, N., Johnsen, A., Anderson, R. M., & Ward, T. (2021) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(21)00407-0 · Cited by 121 · see citing works
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SARS-CoV-2 Mutations and Their Impact on Diagnostics, Therapeutics and Vaccines
Thakur, S., Sasi, S., Pillai, S. G., Nag, A., Shukla, D., Singhal, R., Phalke, S., & Velu, G. S. K. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.815389 · Cited by 158 · see citing works
“Increasing data suggest that variants with antibody-escape spike mutations do not evade T-cell response (35, 36).”
BackgroundAdaptive Immune Responses and Immunity to SARS-CoV-2
Primorac, D., Vrdoljak, K., Brlek, P., Pavelić, E., Molnar, V., Matišić, V., Ivkošić, I. E., & Parčina, M. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.848582 · Cited by 151 · see citing works
“There is also an indication that the key to understanding protection against these VOCs may be hidden in cross-reactive SARS-CoV-2-specific T cell-mediated immunity (33).”
BackgroundCOVID-19 vaccines: Keeping pace with SARS-CoV-2 variants
Çevik, M., Grubaugh, N. D., Iwasaki, A., & Openshaw, P. (2021) · Cell · doi:10.1016/j.cell.2021.09.010 · Cited by 121 · see citing works
Durability of Vaccine-Induced and Natural Immunity Against COVID-19: A Narrative Review
Pooley, N., Karim, S. S. A., Combadière, B., Ooi, E. E., Harris, R. C., Guerche‐Séblain, C. E., Kisomi, M., & Shaikh, N. (2023) · Infectious Diseases and Therapy · doi:10.1007/s40121-022-00753-2 · Cited by 93 · see citing works
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Self-citationDalvie, N. C., Rodriguez-Aponte, S. A., Hartwell, B., Tostanoski, L. H., Biedermann, A. M., Crowell, L. E., Kaur, K., Kumru, O. S., Carter, L., Yu, J.-Y., et al. (2021) · Proceedings of the National Academy of Sciences of the United States of America · doi:10.1073/pnas.2106845118 · Cited by 85 · see citing works
“Such adaptations by the virus could reduce the effectiveness of interventions like monoclonal antibodies and current vaccines based on the original Wuhan-Hu-1 strain (44, 45).”
BackgroundPersistence of neutralizing antibodies a year after SARS‐CoV‐2 infection in humans
Haveri, A., Ekström, N., Solastie, A., Virta, C., Österlund, P., Isosaari, E., Nohynek, H., PALMU, A. A. I., & Melin, M. M. (2021) · European Journal of Immunology · doi:10.1002/eji.202149535 · Cited by 85 · see citing works
“reinfection is possible, cellular immunity is not similarly affected by mutations in the RBD site (16) and is likely to provide long-term protection against severe disease.”
BackgroundThiruvengadam, R., Awasthi, A., Medigeshi, G., Bhattacharya, S., Mani, S., Sivasubbu, S., Shrivastava, T., Samal, S., Rathna Murugesan, D., Koundinya Desiraju, B., et al. (2022) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(21)00680-0 · Cited by 96 · see citing works
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A self-amplifying RNA vaccine against COVID-19 with long-term room-temperature stability
Voigt, E. A., Gerhardt, A., Hanson, D., Jennewein, M. F., Battisti, P., Reed, S., Singh, J., Mohamath, R., Bakken, J., Beaver, S., et al. (2022) · npj Vaccines · doi:10.1038/s41541-022-00549-y · Cited by 89 · see citing works
T cell reactivity to the SARS-CoV-2 Omicron variant is preserved in most but not all individuals
Naranbhai, V., Nathan, A., Kaseke, C., Berrios, C., Khatri, A., Choi, S., Getz, M. A., Tano-Menka, R., Ofoman, O., Gayton, A., et al. (2022) · Cell · doi:10.1016/j.cell.2022.03.022 · Cited by 88 · see citing works
Impact of antigenic evolution and original antigenic sin on SARS-CoV-2 immunity
Aguilar-Bretones, M., Fouchier, R. A. M., Koopmans, M., & van Nierop, G. P. (2023) · Journal of Clinical Investigation · doi:10.1172/jci162192 · Cited by 104 · see citing works
Self-citationChen, Y., Yin, S., Tong, X., Tao, Y., Ni, J., Pan, J., Li, M., Wan, Y., Mao, M., Xiong, Y., et al. (2021) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2021.10.006 · Cited by 96 · see citing works
“Besides, the alternative function of vaccineelicited antibody such as antibody-dependent cell-mediated cytotoxicity (ADCC) [27] were not evaluated.”
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“351), as this variant has the greatest impact on reducing neutralization by vaccinee and convalescent sera (Geers et al., 2021; Tada et al., 2021; Wang et al., 2021c) and was associated with reduced vaccine efficacy (Madhi et al.”
BackgroundInfluentialEvaluation of COVID-19 vaccine response in patients with cancer: An interim analysis
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“Fourth, efficacy data of COVID-19 vaccines in patients with cancer against emerging variants of concern are limited, and partial immunogenic escape of SARS-CoV2 variants of concern has been observed in vaccinated individuals [72].”
Immunogenicity of COVID-19 vaccines in patients with diabetes mellitus: A systematic review
Boroumand, A. B., Forouhi, M., Karimi, F., Moghadam, A. S., Naeini, L. G., Kokabian, P., & Naderi, D. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.940357 · Cited by 70 · see citing works
“While, cellular immunity is also involved in immunization after COVID-19 vaccination (77).”
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“Our data demonstrate that the vast majority of T cell epitopes are fully conserved, not only in the “early” variants previously analyzed (Collier et al., 2021; Geers et al., 2021; Keeton et al., 2021; Melo-Gonzalez et al., 2021; Riou et al., 2021; Tarke et al., 2021b), but also in newer variants, suggesting that the c…”
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“However, recent studies have suggested that T cell responses raised to early SARS‐CoV‐2 strains might be minimally impacted by emerging variants.(66,113,114) 4.”
BackgroundSARS-CoV-2 Beta variant infection elicits potent lineage-specific and cross-reactive antibodies
Reincke, S. M., Yuan, M., Kornau, H., Corman, V. M., van Hoof, S., Sánchez-Sendín, E., Ramberger, M., Yu, W., Hua, Y., Tien, H. J., et al. (2022) · Science · doi:10.1126/science.abm5835 · Cited by 73 · see citing works
“reduced neutralizing activity of sera from vaccinated and convalescent individuals against this VOC ( 1 – 6 , 11 , 12 ).”
Defending against SARS-CoV-2: The T cell perspective
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“This indicates that individuals with breakthrough infection do not have a preferential bias toward spike responses, which is especially important given the continued emergence of VoCs and the current increase in the rate of breakthrough infection (131, 226).”
BackgroundAntibody Responses to Natural SARS-CoV-2 Infection or after COVID-19 Vaccination
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“While a complete loss of pre-existing neutralizing antibodies is unlikely to be fully compensated by other mechanisms, partial losses likely can be mitigated by non-neutralizing antibodies, memory B cell responses, and memory T cells, all of which resist viral mutations and persist for far longer than neutralizing ant…”
Influentialvan den Hoogen, L. L., Smits, G. P., van Hagen, C. C. E., Wong, D., Vos, E. R. A., van Boven, M., de Melker, H. E., van Vliet, J., Kuijer, M., Woudstra, L., et al. (2022) · Vaccine · doi:10.1016/j.vaccine.2022.03.009 · Cited by 63 · see citing works
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InfluentialSelf-citationMaringer, Y., Nelde, A., Schroeder, S. M., Schuhmacher, J., Hörber, S., Peter, A., Karbach, J., Jäger, E., & Walz, J. S. (2022) · Science Immunology · doi:10.1126/sciimmunol.add3899 · Cited by 61 · see citing works
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“SARS-CoV-2 T cell responses induced by either natural infection or vaccines have been linked to rapid viral clearance and reduced disease severity [6–8], even when the neutralizing antibody response is reduced [9] or absent [10].”
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Self-citationImmunocompromised Patients with Protracted COVID-19: a Review of “Long Persisters”
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An ACE2 Triple Decoy that neutralizes SARS-CoV-2 shows enhanced affinity for virus variants
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“Interestingly, some observations suggest that memory T cells are less affected by immune escape observed with mutation variants of the virus than antibody-mediated responses and may thus be important for protection against SARS-CoV-2 variants (95, 96).”
BackgroundImmunogenicity Rates After SARS-CoV-2 Vaccination in People With End-stage Kidney Disease
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An Il12 mRNA-LNP adjuvant enhances mRNA vaccine–induced CD8 T cell responses
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The Robustness of Cellular Immunity Determines the Fate of SARS-CoV-2 Infection
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Multiple Sclerosis and SARS-CoV-2: Has the Interplay Started?
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BNT162b2-induced memory T cells respond to the Omicron variant with preserved polyfunctionality
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“Additionally, T cells recognize a broad epitopic landscape largely conserved despite mutations in emergent SARS-CoV-2 variants 46,47 .”
COVID ‐19 and plasma cells: Is there long‐lived protection?*
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B Cell Depletion and SARS‐CoV ‐2 Vaccine Responses in Neuroimmunologic Patients
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“Although most vaccine efforts have focused on the generation of humoral immune responses, T cell-mediated immunity also contributes to vaccine efficacy in healthy controls(17,18) and may be important for the protection against mutant SARS-CoV-2 variants.(19) Moreover, recent data indicate that T cell responses may red…”
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“25,26 For the context of this experiment and its results, it is important to note that our cohort was infected in early 2020 in Australia, where SARS-CoV-2 with unmutated spike amino-acid sequences was prevalent (Figure 6A).”
InfluentialAchtnichts, L., Jakopp, B., Oberle, M., Nedeltchev, K., Fux, C. A., Sellner, J., & Findling, O. (2021) · Vaccines · doi:10.3390/vaccines9121470 · Cited by 40 · see citing works
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“BAU/mL, binding antibody units per milliliter. aP < .001. e194 • CID 2023:76 (1 February) • Sanders et al COVID-19 Vaccination in Kidney Patients • CID 2023:76 (1 February) • e195 second vaccination, especially in KTRs, the levels of neutralizing antibodies against the ancestral and emerging variants as well as T-cell…”
InfluentialSelf-citationPeculiarities of the T Cell Immune Response in COVID-19
Kudlay, D. A., Кофиади, И. А., & Khaitov, M. R. (2022) · Vaccines · doi:10.3390/vaccines10020242 · Cited by 43 · see citing works
Variations within the Glycan Shield of SARS-CoV-2 Impact Viral Spike Dynamics
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“351, do not escape the T-cell-mediated immunity that is elicited through vaccination [32].”
BackgroundCOVID-19: From emerging variants to vaccination
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Self-citationDurability of ChAdOx1 nCoV-19 vaccination in people living with HIV
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“One 400 study assessing T cell responses between 21 – 28 days after full BNT162b2 401 vaccination found no differences between WT and VOC CD4 responses [66].”
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COVID-19 vaccines: Immune correlates and clinical outcomes
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- Authors
- Geers, D., Shamier, M. C., Bogers, S., den Hartog, G., Gommers, L., Nieuwkoop, N. N., Schmitz, K. S., Rijsbergen, L. C., van Osch, J. A. T., Dijkhuizen, E., Smits, G., Comvalius, A., van Mourik, D., Caniels, T. G., van Gils, M. J., Sanders, R. W., Oude Munnink, B. B., Molenkamp, R., de Jager, H. J., Haagmans, B. L., de Swart, R. L., Koopmans, M. P. G., van Binnendijk, R. S., de Vries, R. D., & GeurtsvanKessel, C. H.
- Affiliations
- Erasmus MC (NL)
- Centre for Immunology of Infectious Diseases and Vaccines, National Institute for Public Health and the Environment, Bilthoven, Netherlands.
- Department of Viroscience, Erasmus MC, Rotterdam, Netherlands.
- National Institute for Public Health and the Environment (NL)
- Amsterdam University Medical Centers (NL)
- Department of Medical Microbiology, Amsterdam UMC, Amsterdam, Netherlands.
- Cornell University (US)
- Department of Occupational Health Services, Erasmus MC, Rotterdam, Netherlands.
- Corresponding author
- Geers, Daryl
- Shamier, Marc C.
- GeurtsvanKessel, Corine H.
- ORCID
- Geers, Daryl
- Shamier, Marc C.
- Bogers, Susanne
- den Hartog, Gerco
- Gommers, Lennert
- Schmitz, Katharina S.
- Rijsbergen, Laurine C.
- Smits, Gaby
- Caniels, Tom G.
- van Gils, Marit J.
- Sanders, Rogier W.
- Oude Munnink, Bas B.
- Molenkamp, Richard
- de Jager, Herbert J.
- Haagmans, Bart L.
- de Swart, Rik L.
- Koopmans, Marion P. G.
- van Binnendijk, Robert S.
- de Vries, Rory D.
- GeurtsvanKessel, Corine H.
- Venue
- Science Immunology
- Published
- 2021-05-28
- Volume
- 6
- Issue
- 59
- ISSN
- 2470-9468 (ISSN-L)
- PMC
- PMC9268159
- OpenAlex
- W3165367963
- Cited by
- 529
- References
- 83
- Citations by year
- 2026: 15 · 2025: 40 · 2024: 75 · 2023: 94 · 2022: 204 · 2021: 101
- FWCI
- 37.69
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Science Immunology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, cc-by)
- Pure Amsterdam UMC (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, cc-by)
- Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
- Rivm (National Institute for Public Health and the Environment) (submittedVersion)
- Funders
- Bill and Melinda Gates Foundation (INV-002022)
- Netherlands Organization for Scientific Research (VICI)
- ZonMW (10150062010005)
- Amsterdam UMC (AMC Fellowship)
- Top Sector Life Sciences Health; Health~Holland (EMCLHS20017)
- European Union’s Horizon 2020 RECoVER (101003589)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Keywords
- SARS-CoV-2, variants of concern, spike protein mutations, CD4+ T cells, humoral immunity, T cell response, vaccine recipients, immune evasion, SARS-CoV-2 spike protein
- MeSH terms
- COVID-19, SARS-CoV-2, COVID-19 Vaccines, Antibodies, Viral, Cell Line, Cross Reactions, Humans, Immunologic Memory, Vaccination, CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes, Spike Glycoprotein, Coronavirus
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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