Evidence map›Paper›PMID 25795257›Full record

ArticleVaccine2015

C-reactive protein response to influenza vaccination as a model of mild inflammatory stimulation in the Philippines.

Thomas W McDade, Judith B Borja, Christopher W Kuzawa, Tita Lorna L Perez, Linda S Adair

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Cycle Effects Are Not Universal: A Case Study of Urinary C-Reactive Protein Concentrations in Rural Polish and Polish American Samples.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  5. Lower Socioeconomic Status Predicts Increased Proinflammatory Signaling in Late Pregnancy: Evidence From a Filipino Cohort.American journal of human biology : the official journal of the Human Biology Council · 2024
    Article
  6. Article
  7. Article
  8. Three common assumptions about inflammation, aging, and health that are probably wrong.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Acute phase protein response to viral infection and vaccination.Archives of biochemistry and biophysics · 2019
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

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

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Thomas W McDadeDepartment of Anthropology, Northwestern University, Evanston, IL 60208, United States; Cells to Society (C2S): The Center on Social Disparities and Health, Institute for Policy Research, Northwestern University, Evanston, IL 60208, United States. Electronic address: t-mcdade@northwestern.edu.
Judith B BorjaOffice of Population Studies Foundation and Department of Nutrition and Dietetics, University of San Carlos, Cebu City, Philippines.
Christopher W KuzawaDepartment of Anthropology, Northwestern University, Evanston, IL 60208, United States; Cells to Society (C2S): The Center on Social Disparities and Health, Institute for Policy Research, Northwestern University, Evanston, IL 60208, United States.
Tita Lorna L PerezOffice of Population Studies Foundation and Department of Nutrition and Dietetics, University of San Carlos, Cebu City, Philippines.
Linda S AdairCarolina Population Center and Department of Nutrition, University of North Carolina, Chapel Hill, NC, United States.
Northwestern University · USUniversity of San Carlos · PHUniversity of North Carolina at Chapel Hill · US

Funding

Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Multidimensional pathways to healthy aging among Filipino womenR01AG039443 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ADAIR, LINDA S · 2011 to 2015
$2.6M
NIA NIH HHS R01 AG039443NIA NIH HHS R01AG039443NICHD NIH HHS P2C HD050924NICHD NIH HHS R24 HD050924
6 · The paper itself

Abstract

backgroundC-reactive protein (CRP) is increasingly measured as a marker of systemic inflammation that predicts elevated risk for cardiovascular disease. Influenza vaccination is a mild pro-inflammatory stimulus, and the CRP response to vaccination may provide additional information on individual differences in inflammatory response and risk for disease.

aimTo document the pattern of CRP response to influenza vaccination among a large sample of older women in the Philippines. The Philippines exemplifies current global trends toward increasing rates of overweight/obesity, but also maintains relatively high rates of infectious disease. The secondary aim of the study is to investigate the impact of infectious symptoms on the pattern of response to vaccination.

methodsA community-based sample of 934 women (mean age=55.4 years) received the influenza vaccine. CRP was assessed at baseline and 72h post-vaccination. Descriptive, non-parametric, and parametric analyses were implemented to assess the magnitude of CRP response, and to investigate whether responses were associated with baseline CRP or the presence of infectious symptoms prior to vaccination.

resultsInfluenza vaccination resulted in a statistically significant CRP response of 0.35mg/L (p<0.001), representing a 30.2% increase from baseline. For individuals with symptoms of infectious disease at baseline, the CRP response was smaller (12.9%) and not statistically significant (p=0.77). Lower CRP at baseline was associated with larger CRP response to vaccination in the entire sample, and among participants without recent symptoms of infection.

conclusionsInfluenza vaccination produces a mild CRP response in the Philippines. This study extends prior research in US and European populations validating influenza vaccination as an in vivo model for investigating the dynamics of inflammation, but also raises potential complications in settings where rates of infectious disease are elevated.

Indexed as

InflammationAgedBiomarkersC-Reactive ProteinFemaleHumansInfluenza VaccinesMiddle AgedPhilippinesVaccinationBiomarkersC-Reactive ProteinInfluenza VaccinesC-reactive proteinInflammationInfluenza vaccination

Identifiers

PMID25795257
PMCPMC4386725
OpenAlexW1997749266

What OpenQuestion holds

Textmetadata
LicenceTDM
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.