Evidence map›Paper›PMID 26214839›Full record

ArticlePLoS biology2015

Imperfect Vaccination Can Enhance the Transmission of Highly Virulent Pathogens.

Andrew F Read, Susan J Baigent, Claire Powers, Lydia B Kgosana, Luke Blackwell, Lorraine P Smith, David A Kennedy, Stephen W Walkden-Brown, Venugopal K Nair

Abstract read
In one paragraph

Article in PLoS biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 218 papers.

0numbers the graph read from it
0cells of the map it votes in
218citing papers in PubMed
–field-weighted citation impact
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

218 citing papers in PubMed.

  1. Article
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  14. Article
  15. Global vaccination coverage and disease incidence in cattle, pigs, and poultry.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Article
  17. Behavioural ecology in the twenty-first century.Nature ecology & evolution · 2025
    Review
  18. Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Andrew F ReadCenter for Infectious Disease Dynamics, Departments of Biology and Entomology, The Pennsylvania State University, University Park, Pennsylvania, United States of America; Fogarty International Center, National Institutes of Health, Bethesda, Maryland, United States of America.
Susan J BaigentAvian Oncogenic Virus Group, The Pirbright Institute, Compton, Newbury, Berkshire, United Kingdom.
Claire PowersAvian Oncogenic Virus Group, The Pirbright Institute, Compton, Newbury, Berkshire, United Kingdom.
Lydia B KgosanaAvian Oncogenic Virus Group, The Pirbright Institute, Compton, Newbury, Berkshire, United Kingdom.
Luke BlackwellAvian Oncogenic Virus Group, The Pirbright Institute, Compton, Newbury, Berkshire, United Kingdom.
Lorraine P SmithAvian Oncogenic Virus Group, The Pirbright Institute, Compton, Newbury, Berkshire, United Kingdom.
David A KennedyCenter for Infectious Disease Dynamics, Departments of Biology and Entomology, The Pennsylvania State University, University Park, Pennsylvania, United States of America; Fogarty International Center, National Institutes of Health, Bethesda, Maryland, United States of America.
Stephen W Walkden-BrownSchool of Environmental and Rural Science, The University of New England, Armidale, Australia.
Venugopal K NairAvian Oncogenic Virus Group, The Pirbright Institute, Compton, Newbury, Berkshire, United Kingdom.

Funding

Vaccines as drivers of disease emergence: transmission ecology and virulence evolR01GM105244 · NIGMS · PENNSYLVANIA STATE UNIVERSITY, THE · PI READ, ANDREW F. · 2012 to 2016
$1.2M
Biotechnology and Biological Sciences Research Council BB/E003230/1Biotechnology and Biological Sciences Research Council BB/E003540/2NIGMS NIH HHS R01 GM105244NIGMS NIH HHS R01GM105244
6 · The paper itself

Abstract

Could some vaccines drive the evolution of more virulent pathogens? Conventional wisdom is that natural selection will remove highly lethal pathogens if host death greatly reduces transmission. Vaccines that keep hosts alive but still allow transmission could thus allow very virulent strains to circulate in a population. Here we show experimentally that immunization of chickens against Marek's disease virus enhances the fitness of more virulent strains, making it possible for hyperpathogenic strains to transmit. Immunity elicited by direct vaccination or by maternal vaccination prolongs host survival but does not prevent infection, viral replication or transmission, thus extending the infectious periods of strains otherwise too lethal to persist. Our data show that anti-disease vaccines that do not prevent transmission can create conditions that promote the emergence of pathogen strains that cause more severe disease in unvaccinated hosts.

Indexed as

Selection, GeneticAnimalsChickensMardivirusMarek DiseaseMarek Disease VaccinesVirus SheddingMarek Disease Vaccines

Identifiers

PMID26214839
PMCPMC4516275

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.