Evidence map›Paper›PMID 21785218›Full record

ArticleThe Journal of clinical investigation2011

Limited efficacy of inactivated influenza vaccine in elderly individuals is associated with decreased production of vaccine-specific antibodies.

Sanae Sasaki, Meghan Sullivan, Carlos F Narvaez, Tyson H Holmes, David Furman, Nai-Ying Zheng, Madhuri Nishtala, Jens Wrammert, Kenneth Smith, Judith A James and 5 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 193 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
193citing papers in PubMed, 1 pooled it
15.2field-weighted citation impact, top 1% of its field
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.

NCT02133781 phase4completednot on this map

U19 Influenza Immunity: Protective Mechanisms Against a Pandemic Respiratory Virus. Project 1: B-cell Immunity to Influenza. Technical Development Project 1: Measuring the Immunome: Genomic Approaches to B-cell Repertoire- Year 1, 2009

TypeinterventionalSponsorStanford UniversityRan2009 to 2009Enrolled51ConditionsInfluenzaArmsFluzone® 2009-2010 Formula, FluMist® 2009-2010 Formula
NCT02765126 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Clifford Craig Vaccine Trial Centre: Heterologous Effect of Diptheria, Tetanus, Acellular Pertussis Vaccination on Influenza Vaccine Challenge in the Elderly

TypeinterventionalSponsorClifford Craig Medical Research TrustRan2016 to 2019Enrolled450ConditionsHeterologous Effects of VaccinesArmsSeasonal influenza vaccine, Diphtheria-tetanus-acellular pertussis vaccine
3 · Its place in the literature

Who cites it

193 citing papers in PubMed, 1 synthesis or guideline pooled it, 299 citations in OpenAlex.

  1. Amantadine and rimantadine for influenza A in children and the elderly.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Trial
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  4. Trial
  5. Trial
  6. Trial
  7. Trial
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  9. Article
  10. Review
  11. Article
  12. Influenza vaccine-specific CD4NPJ vaccines · 2026
    Article
  13. Aging restricts maturation of CXCL13bioRxiv : the preprint server for biology · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

133 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Sanae SasakiDepartment of Immunology and Microbiology, Stanford University School of Medicine, Stanford, California, USA.
Meghan Sullivan
Carlos F Narvaez
Tyson H Holmes
David Furman
Nai-Ying Zheng
Madhuri Nishtala
Jens Wrammert
Kenneth Smith
Judith A James
Cornelia L Dekker
Mark M Davis
Patrick C Wilson
Harry B Greenberg
Xiao-Song He
Stanford University · USUniversity of Chicago · USOklahoma Medical Research Foundation · USVA Palo Alto Health Care System · USEmory University · US

Funding

Viral Pathogenesis and TherapeuticsU54AI057158 · NIAID · WADSWORTH CENTER · PI LIPKIN, W. IAN · 2003 to 2014
$100.8M
Using a tonsil organoid system to probe conditions for the induction of protective antibody and T cell responses to influenza.U19AI057229 · NIAID · STANFORD UNIVERSITY · PI Mark Morris Davis · 2003 to 2026
$88.5M
VACCINE INDUCED IMMUNITY IN THE YOUNG AND AGEDU19AI057266 · NIAID · EMORY UNIVERSITY · PI Rafi Ahmed · 2003 to 2026
$81.7M
Systems Biological Analysis of Innate and Adaptive Responses to VaccinationU19AI090023 · NIAID · EMORY UNIVERSITY · PI AHMED, RAFI, LI, SHUZHAO · 2010 to 2021
$45.0M
Vaccination and infection: indicators of immunological health and responsivenessU19AI090019 · NIAID · STANFORD UNIVERSITY · PI DAVIS, MARK MORRIS · 2010 to 2015
$17.3M
Proteomics/GenomicsP30DK056339 · NIDDK · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2001 to 2010
$10.4M
SNP Confirmation and High Throughput Genotyping CoreP30AR053483 · NIAMS · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI GUTHRIDGE, JOEL MARVIN · 2007 to 2017
$6.7M
NIAID NIH HHS AI057158NIAID NIH HHS AI057229NIAID NIH HHS AI057266NIAID NIH HHS AI090023NIAID NIH HHS HHSN266200500026CNIAID NIH HHS U19 AI057229NIAID NIH HHS U19 AI057266NIAID NIH HHS U19 AI090019NIAID NIH HHS U19 AI090023NIAID NIH HHS U54 AI057158NIAMS NIH HHS P30 AR053483NIDDK NIH HHS DK56339NIDDK NIH HHS P30 DK056339
6 · The paper itself

Abstract

During seasonal influenza epidemics, disease burden is shouldered predominantly by the very young and the elderly. Elderly individuals are particularly affected, in part because vaccine efficacy wanes with age. This has been linked to a reduced ability to induce a robust serum antibody response. Here, we show that this is due to reduced quantities of vaccine-specific antibodies, rather than a lack of antibody avidity or affinity. We measured levels of vaccine-specific plasmablasts by ELISPOT 1 week after immunization of young and elderly adults with inactivated seasonal influenza vaccine. Plasmablast-derived polyclonal antibodies (PPAbs) were generated from bulk-cultured B cells, while recombinant monoclonal antibodies (re-mAbs) were produced from single plasmablasts. The frequency of vaccine-specific plasmablasts and the concentration of PPAbs were lower in the elderly than in young adults, whereas the yields of secreted IgG per plasmablast were not different. Differences were not detected in the overall vaccine-specific avidity or affinity of PPAbs and re-mAbs between the 2 age groups. In contrast, reactivity of the antibodies induced by the inactivated seasonal influenza vaccine toward the 2009 pandemic H1N1 virus, which was not present in the vaccine, was higher in the elderly than in the young. These results indicate that the inferior antibody response to influenza vaccination in the elderly is primarily due to reduced quantities of vaccine-specific antibodies. They also suggest that exposure history affects the cross-reactivity of vaccination-induced antibodies.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAntibodiesAntibodies, MonoclonalAntibody AffinityEnzyme-Linked Immunosorbent AssayHumansImmunoglobulin AImmunoglobulin GInfluenza, HumanInfluenza VaccinesPlasma CellsYoung AdultAntibodiesAntibodies, MonoclonalImmunoglobulin AImmunoglobulin GInfluenza Vaccines

Identifiers

PMID21785218
PMCPMC3148747
OpenAlexW2105359173

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.