Evidence map›Paper›PMID 26734066›Full record

ArticleImmunity & ageing : I & A2016

Cytomegalovirus viral load within blood increases markedly in healthy people over the age of 70 years.

Helen M Parry, Jianmin Zuo, Guido Frumento, Nikhil Mirajkar, Charlotte Inman, Emma Edwards, Mike Griffiths, Guy Pratt, Paul Moss

Open access · goldAbstract read
In one paragraph

Article in Immunity & ageing : I & A, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
14.3field-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.

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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 126 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. The indirect effects of cytomegalovirus infection-mechanisms and consequences.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Children (Basel, Switzerland) · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. CD4Frontiers in immunology · 2023
    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

9 authors at 2 institutions in 1 country.

Helen M ParryInstitute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, B152TT UK.
Jianmin ZuoInstitute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, B152TT UK.
Guido FrumentoInstitute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, B152TT UK.
Nikhil MirajkarUniversity of Birmingham Medical and Dental School, Vincent Drive, Birmingham, B15 2TT UK.
Charlotte InmanInstitute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, B152TT UK.
Emma EdwardsInstitute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, B152TT UK ; Charles Darwin Building, Henwick Grove, University of Worcester, Worcester, WR2 6AJ UK.
Mike GriffithsWest Midlands Regional Genetics Laboratories, Birmingham Women's NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2TG UK.
Guy PrattInstitute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, B152TT UK.
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, B152TT UK ; University Hospitals NHS Foundation Trust, Birmingham, UK.
University of Birmingham · GBUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

Medical Research Council G1000622Wellcome Trust
6 · The paper itself

Abstract

backgroundCytomegalovirus (CMV) is a highly prevalent herpesvirus, which maintains lifelong latency and places a significant burden on host immunity. Infection is associated with increased rates of vascular disease and overall mortality in the elderly and there is an urgent need for improved understanding of the viral-host balance during ageing. CMV is extremely difficult to detect in healthy donors, however, using droplet digital PCR of DNA from peripheral blood monocytes, we obtained an absolute quantification of viral load in 44 healthy donors across a range of ages.

resultsViral DNA was detected in 24 % (9/37) of donors below the age of 70 but was found in all individuals above this age. Furthermore, the mean CMV load was only 8.6 copies per 10,000 monocytes until approximately 70 years of age when it increased by almost 30 fold to 249 copies in older individuals (p < 0.0001). CMV was found within classical CD14+ monocytes and was not detectable within the CD14-CD16+ subset. The titre of CMV-specific IgG increased inexorably with age indicating that loss of humoral immunity is not a determinant of the increased viral load. In contrast, although cellular immunity to the structural late protein pp65 increased with age, the T cell response to the immediate early protein IE1 decreased in older donors.

conclusionThese data reveal that effective control of CMV is impaired during healthy ageing, most probably due to loss of cellular control of early viral reactivation. This information will be of value in guiding efforts to reduce CMV-associated health complications in the elderly.

Indexed as

AgeingCytomegalovirusddPCRLifespanMonocyte

Identifiers

PMID26734066
PMCPMC4700608
OpenAlexW2222815228

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.