Evidence map›Paper›PMID 25483690›Full record

ArticleHuman vaccines & immunotherapeutics2014

Mortality among recipients of the Merck V710 Staphylococcus aureus vaccine after postoperative S. aureus infections: an analysis of possible contributing host factors.

Tessie B McNeely, Najaf A Shah, Arthur Fridman, Amita Joshi, Jonathan S Hartzel, Ravi S Keshari, Florea Lupu, Mark J DiNubile

Open access · bronzeAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
3.4field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 92 citations in OpenAlex.

  1. Trial
  2. Role and plasticity of Th1 and Th17 responses in immunity toHuman vaccines & immunotherapeutics · 2019
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  9. Scaffold vaccination for prevention of orthopedic device infection.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  10. Overcoming Immune Evasion inACS infectious diseases · 2025
    Review
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  13. A promisingClinical and experimental vaccine research · 2025
    Review
  14. Article
  15. Bacterial and host interactions inFrontiers in microbiology · 2025
    Review
  16. Review
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  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Tessie B McNeelya Merck Research Laboratories ; West Point , PA USA.
Najaf A Shah
Arthur Fridman
Amita Joshi
Jonathan S Hartzel
Ravi S Keshari
Florea Lupu
Mark J DiNubile
United States Military Academy · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USCardiovascular Research Center · BRMerck (Japan) · JPOklahoma Medical Research Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a blinded randomized trial, preoperative receipt of the Merck V710 Staphylococcus aureus vaccine was associated with a higher mortality rate than placebo in patients who later developed postoperative S. aureus infections. Of the tested patients, all 12 V710 recipients (but only 1 of 13 placebo recipients) with undetectable serum IL2 levels prior to vaccination and surgery died after postoperative S. aureus infection. The coincidence of 3 factors (low prevaccination IL-2 levels, receipt of V710, and postoperative S. aureus infection) appeared to substantially increase mortality in our study population after major cardiothoracic surgery. Furthermore, 9 of the 10 V710 recipients with undetectable preoperative IL17a levels and postoperative S. aureus infections died. Although the current study is hypothesis-generating and the exact pathophysiology remains speculative, these findings raise concern that immune predispositions may adversely impact the safety and efficacy of staphylococcal vaccines actively under development. The potential benefits of an effective vaccine against S. aureus justify continued but cautious pursuit of this elusive goal.

Indexed as

CytokinesHumansPostoperative ComplicationsStaphylococcal InfectionsStaphylococcal VaccinesStaphylococcus aureusVaccinationCytokinesStaphylococcal VaccinesV710 vaccineCMI, Cell mediated immunityIg, immunoglobulinIL, interleukininterleukinsIsdB, iron-regulated surface determinant BLOD, limit of detectionoriginal antigenic sinpostoperative infectionS. aureusTh, T helperV710 vaccine

Identifiers

PMID25483690
PMCPMC4514053
OpenAlexW2020333907

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.