Evidence map›Paper›PMID 25834109›Full record

ArticleScience translational medicine2015

Cytomegalovirus infection enhances the immune response to influenza.

David Furman, Vladimir Jojic, Shalini Sharma, Shai S Shen-Orr, Cesar J L Angel, Suna Onengut-Gumuscu, Brian A Kidd, Holden T Maecker, Patrick Concannon, Cornelia L Dekker and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01827462 (Immune Senescence in the Elderly), which is not on this map. Cited by 223 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
223citing papers in PubMed, 1 pooled it
25.3field-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.

NCT01827462 phase4completednot on this map

Immune Senescence in the Elderly: Comparison of Immune Responses to Influenza Vaccine In Adults of Different Ages

TypeinterventionalSponsorStanford UniversityRan2007 to 2017Enrolled136ConditionsInfluenzaArmsTrivalent, inactivated influenza vaccine (TIV), Quadrivalent, inactivated influenza vaccine (IIV4), High-Dose Trivalent, inactivated influenza vaccine (TIV High-Dose)
3 · Its place in the literature

Who cites it

223 citing papers in PubMed, 1 synthesis or guideline pooled it, 336 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Cytomegalovirus and Aging-How Can the Field Move Forward?The Journal of infectious diseases · 2026
    Article
  10. Article
  11. Antiviral CD4Communications medicine · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. The immunomodulatory role of human cytomegalovirus in cancer in the era of checkpoint immunotherapy.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  18. Multivariate Host-Pathogen Interactions Driving Heterogeneous Viral Shedding and CD8medRxiv : the preprint server for health sciences · 2025
    Article
  19. CMV-specific clonal expansion of Th1, GZMKbioRxiv : the preprint server for biology · 2025
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

David FurmanDepartment of Microbiology and Immunology, School of Medicine, Stanford University, Stanford, CA 94305, USA. mdavis@cmgm.stanford.edu furmand@stanford.edu.
Vladimir JojicDepartment of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Shalini SharmaDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Shai S Shen-OrrDepartment of Immunology, Rappaport Institute of Medical Research, Faculty of Medicine and Faculty of Biology, Technion, Haifa 32000, Israel.
Cesar J L AngelDepartment of Microbiology and Immunology, School of Medicine, Stanford University, Stanford, CA 94305, USA.
Suna Onengut-GumuscuCenter for Public Health Genomics, University of Virginia, Charlottesville, VA 22903, USA.
Brian A KiddInstitute for Immunity, Transplantation and Infection, School of Medicine, Stanford University, Stanford, CA 94305, USA.
Holden T MaeckerInstitute for Immunity, Transplantation and Infection, School of Medicine, Stanford University, Stanford, CA 94305, USA.
Patrick ConcannonCenter for Public Health Genomics, University of Virginia, Charlottesville, VA 22903, USA. Department of Biochemistry and Molecular Genetics, University of Virginia, Charlottesville, VA 22903, USA.
Cornelia L DekkerDivision of Infectious Diseases, Department of Pediatrics, Stanford University, Stanford, CA 94305, USA.
Paul G ThomasDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Mark M DavisDepartment of Microbiology and Immunology, School of Medicine, Stanford University, Stanford, CA 94305, USA. Institute for Immunity, Transplantation and Infection, School of Medicine, Stanford University, Stanford, CA 94305, USA. The Howard Hughes Medical Institute. mdavis@cmgm.stanford.edu furmand@stanford.edu.
Stanford University · USSt. Jude Children's Research Hospital · USUniversity of Virginia · USUniversity of North Carolina at Chapel Hill · US

Funding

Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
Vaccination and infection: indicators of immunological health and responsivenessU19AI090019 · NIAID · STANFORD UNIVERSITY · PI DAVIS, MARK MORRIS · 2010 to 2015
$17.3M
Expression and proteomic characterization of risk loci in type 1 diabetesDP3DK085678 · NIDDK · UNIVERSITY OF VIRGINIA · PI RICH, STEPHEN S. · 2009 to 2009
$6.6M
Mechanisms to diversify repertoire and modify T cell activity after infectionR01AI107625 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI THOMAS, PAUL G. · 2013 to 2017
$2.3M
Howard Hughes Medical InstituteNCATS NIH HHS UL1 TR001085NCRR NIH HHS UL1 RR025744NIAID NIH HHS L30 AI057240NIAID NIH HHS R01 AI107625NIAID NIH HHS R01AI107625NIAID NIH HHS U19 AI057240NIAID NIH HHS U19 AI090019NIDDK NIH HHS DP3 DK085678
6 · The paper itself

Abstract

Cytomegalovirus (CMV) is a β-herpesvirus present in a latent form in most people worldwide. In immunosuppressed individuals, CMV can reactivate and cause serious clinical complications, but the effect of the latent state on healthy people remains elusive. We undertook a systems approach to understand the differences between seropositive and negative subjects and measured hundreds of immune system components from blood samples including cytokines and chemokines, immune cell phenotyping, gene expression, ex vivo cell responses to cytokine stimuli, and the antibody response to seasonal influenza vaccination. As expected, we found decreased responses to vaccination and an overall down-regulation of immune components in aged individuals regardless of CMV status. In contrast, CMV-seropositive young adults exhibited enhanced antibody responses to influenza vaccination, increased CD8(+) T cell sensitivity, and elevated levels of circulating interferon-γ compared to seronegative individuals. Experiments with young mice infected with murine CMV also showed significant protection from an influenza virus challenge compared with uninfected animals, although this effect declined with time. These data show that CMV and its murine equivalent can have a beneficial effect on the immune response of young, healthy individuals, which may explain the ubiquity of CMV infection in humans and many other species.

Indexed as

ImmunityAdultAgedAged, 80 and overAgingAnimalsCD28 AntigensCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCross ProtectionCytomegalovirusCytomegalovirus InfectionsFemaleHumansInfluenza, HumanInterferon-gammaCD28 AntigensInterferon-gamma

Identifiers

PMID25834109
PMCPMC4505610
OpenAlexW2098132870

What OpenQuestion holds

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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.