Evidence map›Paper›PMID 27473306›Full record

Trial reportVaccine2016

High-dose influenza vaccine favors acute plasmablast responses rather than long-term cellular responses.

Jin Hyang Kim, H Keipp Talbot, Margarita Mishina, Yuwei Zhu, Jufu Chen, Weiping Cao, Adrian J Reber, Marie R Griffin, David K Shay, Sarah M Spencer and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

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  3. Antiviral CD4Communications medicine · 2026
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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

11 authors at 3 institutions in 1 country.

Jin Hyang KimInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA.
H Keipp TalbotVanderbilt University Medical Center, A2200 MCN, 1161 21st Ave. South, Nashville, TN 37232, USA. Electronic address: Keipp.talbot@vanderbilt.edu.
Margarita MishinaBatelle Memorial Institute, 2987 Clairmont Road, Suite 450, Atlanta, GA 30329, USA.
Yuwei ZhuVanderbilt University Medical Center, A2200 MCN, 1161 21st Ave. South, Nashville, TN 37232, USA.
Jufu ChenInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA.
Weiping CaoInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA.
Adrian J ReberInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA.
Marie R GriffinVanderbilt University Medical Center, A2200 MCN, 1161 21st Ave. South, Nashville, TN 37232, USA.
David K ShayInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA.
Sarah M SpencerInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA.
Suryaprakash SambharaInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA.
Centers for Disease Control and Prevention · USNational Center for Immunization and Respiratory Diseases · USVanderbilt University Medical Center · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Annual Estimates of Influenza Vaccine Effectiveness: Davidson County, TNU18IP000184 · IP · VANDERBILT UNIVERSITY · PI GRIFFIN, MARIE R. · 2008 to 2010
$3.9M
Adult flu hospitalizations: evaulating diagnostic methods & vaccine effectivenessK23AI074863 · NIAID · VANDERBILT UNIVERSITY · PI TALBOT, HELEN KEIPP · 2008 to 2011
$502k
NCATS NIH HHS UL1 TR000445NCIRD CDC HHS U18 IP000184NIAID NIH HHS K23 AI074863
6 · The paper itself

Abstract

unlabelledHigh-dose (HD) influenza vaccine shows improved relative efficacy against influenza disease compared to standard-dose (SD) vaccine in individuals ⩾65years. This has been partially credited to superior serological responses, but a comprehensive understanding of cell-mediated immunity (CMI) of HD vaccine remains lacking. In the current study, a total of 105 participants were randomly administered HD or SD vaccine and were evaluated for serological responses. Subsets of the group (n=12-26 per group) were evaluated for B and T cell responses at days 0, 7, 14 and 28 post-vaccination by flow cytometry or ELISPOT assay. HD vaccine elicited significantly higher hemagglutination inhibition (HI) titers than SD vaccine at d28, but comparable titers at d365 post-vaccination. HD vaccine also elicited higher vaccine-specific plasmablast responses at d7 post-vaccination than SD vaccine. However, long-lived memory B cell induction, cytokine-secreting T cell responses and persistence of serological memory were comparable regardless of vaccine dose. More strategies other than increased Ag amount may be needed to improve CMI in older adults.

trial registrationClinicalTrials.gov NCT 01189123.

Indexed as

Dose-Response Relationship, ImmunologicAgedAntibodies, ViralB-LymphocytesFemaleHemagglutination Inhibition TestsHumansImmunity, CellularImmunity, HumoralImmunologic MemoryInfluenza, HumanInfluenza VaccinesMalePlasma CellsAntibodies, ViralInfluenza VaccinesCell-mediated immunityHigh-dose influenza vaccineOlder adultsPlasmablast response

Identifiers

PMID27473306
PMCPMC4996724
OpenAlexW2487967895

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.