Evidence map›Paper›PMID 27157064›Full record

ReviewNature reviews. Immunology2016

Harnessing the beneficial heterologous effects of vaccination.

Helen S Goodridge, S Sohail Ahmed, Nigel Curtis, Tobias R Kollmann, Ofer Levy, Mihai G Netea, Andrew J Pollard, Reinout van Crevel, Christopher B Wilson

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04659941 (Use of BCG Vaccine as a Preventive Measure for COVID-19 in Health Care Workers), which is not on this map. Cited by 145 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 2 pooled it
11.5field-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.

NCT04659941 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

Use of BCG Vaccine as a Preventive Measure for COVID-19 in Health Care Workers

TypeinterventionalSponsorUniversidade Federal do Rio de JaneiroRan2020 to 2024Enrolled752ConditionsCOVID 19 VaccineArmsBCG vaccine, 0.9% sodium chloride (NaCl) saline solution
3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 2 syntheses or guidelines pooled it, 254 citations in OpenAlex.

  1. Trained innate immunity.Immunologic research · 2021
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Differential effects of BCG vaccine on immune responses induced by vi polysaccharide typhoid fever vaccination: an explorative randomized trial.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Trial
  7. Bacillus Calmette-Guérin vaccination at birth and in vitro cytokine responses to non-specific stimulation. A randomized clinical trial.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Trial
  8. Trial
  9. Route of BCG administration determines success.Human vaccines & immunotherapeutics · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Trained Innate Immunity.Advances in experimental medicine and biology · 2025
    Review
  19. Article
  20. Article

85 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

9 authors at 9 institutions in 6 countries.

Helen S GoodridgeCedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, California 90048, USA.
S Sohail AhmedImmunology, Inflammation, and Infectious Diseases (Disease and Therapeutic Area), Roche Pharma Research &Early Development, F. Hoffmann-La Roche Ltd, Basel 4070, Switzerland.
Nigel CurtisDepartment of Paediatrics, The University of Melbourne; and Murdoch Children's Research Institute, Royal Children's Hospital Melbourne, Parkville 3052, Australia.
Tobias R KollmannDivision of Infectious Disease, Department of Paediatrics, University of British Columbia, Vancouver, British Columbia V5Z4H4, Canada.
Ofer LevyPrecision Vaccines Program, Division of Infectious Diseases, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA.
Mihai G NeteaDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands.
Andrew J PollardOxford Vaccine Group, Department of Paediatrics, University of Oxford; and at the NIHR Oxford Biomedical Research Centre, Centre for Clinical Vaccinology and Tropical Medicine (CCVTM), Churchill Hospital, Oxford OX3 7LJ, UK.
Reinout van CrevelDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands.
Christopher B WilsonGlobal Health Program, Bill and Melinda Gates Foundation, Seattle, Washington 98105, USA.
Cedars-Sinai Medical Center · USChurchill Hospital · GBGates Foundation · USHarvard University · USRadboud University Medical Center · NLRadboud University Nijmegen · NLRoche (Switzerland) · CHRoyal Children's Hospital · AUUniversity of British Columbia · CA

Funding

Modeling distinct neonatal purine metabolism to inform vaccine developmentR01AI100135 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI LEVY, OFER · 2012 to 2016
$2.5M
CIHR 300819European Research Council 310372NIAID NIH HHS R01 AI100135
6 · The paper itself

Abstract

Clinical evidence strongly suggests that certain live vaccines, in particular bacille Calmette-Guérin (BCG) and measles vaccines, can reduce all-cause mortality, most probably through protection against non-targeted pathogens in addition to the targeted pathogen. The underlying mechanisms are currently unknown. We discuss how heterologous lymphocyte activation and innate immune memory could promote protection beyond the intended target pathogen and consider how vaccinologists could leverage heterologous immunity to improve outcomes in vulnerable populations, in particular the very young and the elderly.

Indexed as

ImmunityVaccinationAdjuvants, ImmunologicAge FactorsAnimalsAntigensHost-Pathogen InteractionsHumansImmune SystemImmunity, CellularImmunity, InnateImmunologic MemoryVaccinesAdjuvants, ImmunologicAntigensVaccines

Identifiers

PMID27157064
PMCPMC4931283
OpenAlexW2345654247

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.