Evidence map›Paper›PMID 26958929›Full record

ReviewAnnual review of virology2015

Innate and Adaptive Immune Regulation During Chronic Viral Infections.

Elina I Zuniga, Monica Macal, Gavin M Lewis, James A Harker

Open access · greenAbstract readReview
In one paragraph

Review in Annual review of virology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

112 citing papers in PubMed, 148 citations in OpenAlex.

  1. Trial
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  5. CD4Science (New York, N.Y.) · 2026
    Article
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  8. Causal links among gut microbiota, immune-inflammatory and compensatory immune-regulatory systems, and schizophrenia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
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  10. Review
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  19. Review
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52 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

4 authors at 2 institutions in 2 countries.

Elina I ZunigaMolecular Biology Section, Division of Biological Sciences, University of California, San Diego, La Jolla, California 92093; email: eizuniga@ucsd.edu.
Monica MacalMolecular Biology Section, Division of Biological Sciences, University of California, San Diego, La Jolla, California 92093; email: eizuniga@ucsd.edu.
Gavin M LewisMolecular Biology Section, Division of Biological Sciences, University of California, San Diego, La Jolla, California 92093; email: eizuniga@ucsd.edu.
James A HarkerSection of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London SW7 2AZ, United Kingdom.
University of California, San Diego · USImperial College London · GB

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Maile Ann Young Karris · 1994 to 2026
$78.4M
Inhibitory Pathways Underlying Viral Persistence In VivoR01AI081923 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Elina I Zuniga · 2009 to 2026
$6.6M
Positive Immune-regulators During Chronic Viral InfectionsR01AI113923 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ZUNIGA, ELINA I · 2015 to 2024
$5.1M
NIAID NIH HHS AI0113923NIAID NIH HHS AI081923NIAID NIH HHS P30 AI036214NIAID NIH HHS R01 AI081923NIAID NIH HHS R01 AI113923Wellcome Trust 101372
6 · The paper itself

Abstract

Chronic viral infections represent a unique challenge to the infected host. Persistently replicating viruses outcompete or subvert the initial antiviral response, allowing the establishment of chronic infections that result in continuous stimulation of both the innate and adaptive immune compartments. This causes a profound reprogramming of the host immune system, including attenuation and persistent low levels of type I interferons, progressive loss (or exhaustion) of CD8(+) T cell functions, and specialization of CD4(+) T cells to produce interleukin-21 and promote antibody-mediated immunity and immune regulation. Epigenetic, transcriptional, posttranscriptional, and metabolic changes underlie this adaptation or recalibration of immune cells to the emerging new environment in order to strike an often imperfect balance between the host and the infectious pathogen. In this review we discuss the common immunological hallmarks observed across a range of different persistently replicating viruses and host species, the underlying molecular mechanisms, and the biological and clinical implications.

Indexed as

Adaptive ImmunityImmunity, InnateAnimalsHumansVirus DiseasesVirusesVirus Physiological Phenomenachronic viral infectionHCVHIVinterferonLCMVT cells

Identifiers

PMID26958929
PMCPMC4785831
OpenAlexW2166840738

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.