Evidence map›Paper›PMID 22286307›Full record

ArticleNature medicine2012

Preexisting influenza-specific CD4+ T cells correlate with disease protection against influenza challenge in humans.

Tom M Wilkinson, Chris K F Li, Cecilia S C Chui, Arthur K Y Huang, Molly Perkins, Julia C Liebner, Rob Lambkin-Williams, Anthony Gilbert, John Oxford, Ben Nicholas and 5 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02933723 (Comparison of Immunogenicity of Adjuvanted and Non-Adjuvanted Influenza Vaccination in a Long-Term Care Population), which is not on this map. Cited by 668 papers.

0numbers the graph read from it
0cells of the map it votes in
668citing papers in PubMed
54.0field-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.

NCT02933723 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Comparison of Immunogenicity of Adjuvanted and Non-Adjuvanted Influenza Vaccination in a Long-Term Care Population

TypeinterventionalSponsorInsight Therapeutics, LLCRan2016 to 2021Enrolled200ConditionsInfluenzaArmsBlood Draw
3 · Its place in the literature

Who cites it

668 citing papers in PubMed, 1,001 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
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  8. Innate-like Gene Expression of Lung-Resident Memory CD8American journal of respiratory and critical care medicine · 2021
    Trial
  9. Article
  10. Review
  11. Article
  12. Influenza.Nature reviews. Disease primers · 2026
    Review
  13. Cytotoxic CD4Parasite immunology · 2026
    Article
  14. Article
  15. Article
  16. CD4Nature immunology · 2026
    Article
  17. Article
  18. Review
  19. Article
  20. Article

608 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 3 countries.

Tom M WilkinsonClinical & Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Chris K F Li
Cecilia S C Chui
Arthur K Y Huang
Molly Perkins
Julia C Liebner
Rob Lambkin-Williams
Anthony Gilbert
John Oxford
Ben Nicholas
Karl J Staples
Tao Dong
Daniel C Douek
Andrew J McMichael
Xiao-Ning Xu
National Institutes of Health · USUniversity of Oxford · GBUniversity of Southampton · GBMRC Human Immunology Unit · GBMedical Research Council · GB

Funding

Medical Research Council G0600520Medical Research Council G1001046Medical Research Council G1001047Medical Research Council MC_U137881015Medical Research Council MC_U137884177
6 · The paper itself

Abstract

Protective immunity against influenza virus infection is mediated by neutralizing antibodies, but the precise role of T cells in human influenza immunity is uncertain. We conducted influenza infection studies in healthy volunteers with no detectable antibodies to the challenge viruses H3N2 or H1N1. We mapped T cell responses to influenza before and during infection. We found a large increase in influenza-specific T cell responses by day 7, when virus was completely cleared from nasal samples and serum antibodies were still undetectable. Preexisting CD4+, but not CD8+, T cells responding to influenza internal proteins were associated with lower virus shedding and less severe illness. These CD4+ cells also responded to pandemic H1N1 (A/CA/07/2009) peptides and showed evidence of cytotoxic activity. These cells are an important statistical correlate of homotypic and heterotypic response and may limit severity of influenza infection by new strains in the absence of specific antibody responses. Our results provide information that may aid the design of future vaccines against emerging influenza strains.

Indexed as

AdolescentAdultAntibodies, ViralCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleHumansImmunity, CellularImmunity, HumoralInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza, HumanMaleMiddle AgedSeverity of Illness IndexTime FactorsAntibodies, Viral

Identifiers

PMID22286307
OpenAlexW2036182565

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.