Evidence map›Paper›PMID 27190176›Full record

ArticleThe Journal of infectious diseases2016

Enhanced Genetic Characterization of Influenza A(H3N2) Viruses and Vaccine Effectiveness by Genetic Group, 2014-2015.

Brendan Flannery, Richard K Zimmerman, Larisa V Gubareva, Rebecca J Garten, Jessie R Chung, Mary Patricia Nowalk, Michael L Jackson, Lisa A Jackson, Arnold S Monto, Suzanne E Ohmit and 14 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
16.7field-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

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Influenza vaccine effectiveness against outpatient acute respiratory illness with laboratory-confirmed influenza, United States, 2024-25 season.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  6. Article
  7. Metagenomic next-generation sequencing: new horizons in microbiology.Frontiers in cellular and infection microbiology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Vaccine Effectiveness Against Influenza A-Associated Hospitalization, Organ Failure, and Death: United States, 2022-2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  16. Article
  17. Vaccine Effectiveness Against Influenza A(H3N2)-Associated Hospitalized Illness: United States, 2022.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 8 institutions in 2 countries.

Brendan FlanneryInfluenza Division, Centers for Disease Control and Prevention.
Richard K ZimmermanUniversity of Pittsburgh Schools of Health Sciences, Pennsylvania.
Larisa V GubarevaInfluenza Division, Centers for Disease Control and Prevention.
Rebecca J GartenInfluenza Division, Centers for Disease Control and Prevention.
Jessie R ChungInfluenza Division, Centers for Disease Control and Prevention Atlanta Research and Education Foundation, Georgia.
Mary Patricia NowalkUniversity of Pittsburgh Schools of Health Sciences, Pennsylvania.
Michael L JacksonGroup Health Research Institute, Seattle, Washington.
Lisa A JacksonGroup Health Research Institute, Seattle, Washington.
Arnold S MontoDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor.
Suzanne E OhmitDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor.
Edward A BelongiaMarshfield Clinic Research Foundation, Wisconsin.
Huong Q McLeanMarshfield Clinic Research Foundation, Wisconsin.
Manjusha GaglaniBaylor Scott & White Health, Texas A&M Health Science Center College of Medicine, Temple.
Pedro A PiedraDepartment of Molecular Virology and Microbiology, and Pediatrics, Baylor College of Medicine, Houston, Texas.
Vasiliy P MishinInfluenza Division, Centers for Disease Control and Prevention.
Anton P ChesnokovInfluenza Division, Centers for Disease Control and Prevention.
Sarah SpencerInfluenza Division, Centers for Disease Control and Prevention Atlanta Research and Education Foundation, Georgia.
Swathi N ThakerInfluenza Division, Centers for Disease Control and Prevention.
John R BarnesInfluenza Division, Centers for Disease Control and Prevention.
Angie FoustInfluenza Division, Centers for Disease Control and Prevention.
Wendy SessionsInfluenza Division, Centers for Disease Control and Prevention.
Xiyan XuInfluenza Division, Centers for Disease Control and Prevention.
Jacqueline KatzInfluenza Division, Centers for Disease Control and Prevention.
Alicia M FryInfluenza Division, Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention · KEKaiser Permanente Washington Health Research Institute · USMarshfield Clinic · USUniversity of Michigan–Ann Arbor · USUniversity of Pittsburgh · USAtlanta Research and Education Foundation · USBaylor College of Medicine · USTexas A&M Health Science Center · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Core_plus_Option_A_B_Proposal for Influenza Vaccine Effectiveness ResearchU01IP000474 · IP · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MONTO, ARNOLD S · 2011 to 2015
$6.2M
Core_plus Option_A_C_Influenza Surveillance and Vaccine Effectiveness in a LargeU01IP000467 · IP · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZIMMERMAN, RICHARD K · 2011 to 2015
$5.9M
Core_plus Option_B_C_Influenza Vaccine Effectiveness in a Wisconsin PopulationU01IP000471 · IP · MARSHFIELD CLINIC RESEARCH FOUNDATION · PI BELONGIA, EDWARD · 2011 to 2015
$5.6M
Core_Prospective population-based estimation of influenza vaccine effectiveness aU01IP000466 · IP · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI JACKSON, MICHAEL L · 2011 to 2015
$4.1M
Core_RT-PCR based Case-Control: Apt Measure of Influenza Vaccine EffectivenessU01IP000473 · IP · SCOTT AND WHITE MEMORIAL HOSPITAL · PI GAGLANI, MANJUSHA · 2011 to 2015
$4.0M
ACL HHS U01IP000473Intramural CDC HHS CC999999NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1 TR001857NCIRD CDC HHS U01 IP000466NCIRD CDC HHS U01 IP000467NCIRD CDC HHS U01 IP000471NCIRD CDC HHS U01 IP000473NCIRD CDC HHS U01 IP000474NCIRD CDC HHS U01 IP001034NCIRD CDC HHS U01 IP001037NCRR NIH HHS UL1 RR024153
6 · The paper itself

Abstract

backgroundDuring the 2014-2015 US influenza season, expanded genetic characterization of circulating influenza A(H3N2) viruses was used to assess the impact of the genetic variability of influenza A(H3N2) viruses on influenza vaccine effectiveness (VE).

methodsA novel pyrosequencing assay was used to determine genetic group, based on hemagglutinin (HA) gene sequences, of influenza A(H3N2) viruses from patients enrolled at US Influenza Vaccine Effectiveness Network sites. VE was estimated using a test-negative design comparing vaccination among patients infected with influenza A(H3N2) viruses and uninfected patients.

resultsAmong 9710 enrollees, 1868 (19%) tested positive for influenza A(H3N2) virus; genetic characterization of 1397 viruses showed that 1134 (81%) belonged to 1 HA genetic group (3C.2a) of antigenically drifted influenza A(H3N2) viruses. Effectiveness of 2014-2015 influenza vaccination varied by influenza A(H3N2) virus genetic group from 1% (95% confidence interval [CI], -14% to 14%) against illness caused by antigenically drifted influenza A(H3N2) virus group 3C.2a viruses versus 44% (95% CI, 16%-63%) against illness caused by vaccine-like influenza A(H3N2) virus group 3C.3b viruses.

conclusionsEffectiveness of 2014-2015 influenza vaccination varied by genetic group of influenza A(H3N2) virus. Changes in HA genes related to antigenic drift were associated with reduced VE.

Indexed as

Genetic VariationAdolescentAdultAgedAged, 80 and overChild, PreschoolFemaleGenetic DriftHemagglutinin Glycoproteins, Influenza VirusHigh-Throughput Nucleotide SequencingHumansInfantInfluenza A Virus, H3N2 SubtypeInfluenza, HumanInfluenza VaccinesMaleHemagglutinin Glycoproteins, Influenza VirusInfluenza Vaccinesgenetic characterizationinfluenzainfluenza vaccinepyrosequencingvaccine effectiveness

Identifiers

PMID27190176
PMCPMC5812259
OpenAlexW2347141020

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.