Evidence map›Paper›PMID 28778612›Full record

ArticleVaccine2017

Effects of prior influenza virus vaccination on maternal antibody responses: Implications for achieving protection in the newborns.

Lisa M Christian, Chloe Beverly, Amanda M Mitchell, Erik Karlsson, Kyle Porter, Stacey Schultz-Cherry, Octavio Ramilo

Registry-linked trialAbstract read
In one paragraph

Article in Vaccine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02148874 (Immune Responses to the Flu Shot During Pregnancy), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT02148874 completednot on this map

Immune Responses to the Flu Shot During Pregnancy

TypeobservationalSponsorLisa ChristianRan2013 to 2019Enrolled287ConditionsPregnancyArmsinfluenza virus vaccination
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Influenza in High-Risk Hosts-Lessons Learned from Animal Models.Cold Spring Harbor perspectives in medicine · 2020
    Review
  9. Article
  10. Article
  11. Article
  12. 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

7 authors at 3 institutions in 1 country.

Lisa M ChristianDepartment of Psychiatry, The Ohio State University Wexner Medical Center, Columbus, OH, USA; The Institute for Behavioral Medicine Research, The Ohio State University Wexner Medical Center, Columbus, OH, USA; Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address: Lisa.Christian@osumc.edu.
Chloe BeverlyDepartment of Epidemiology, The Ohio State University, Columbus, OH, USA.
Amanda M MitchellDepartment of Psychiatry, The Ohio State University Wexner Medical Center, Columbus, OH, USA; The Institute for Behavioral Medicine Research, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Erik KarlssonDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, USA.
Kyle PorterCenter for Biostatistics, The Ohio State University, Columbus, OH, USA.
Stacey Schultz-CherryDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, USA.
Octavio RamiloDivision of Infectious Diseases and Center for Vaccines and Immunity, Nationwide Children's Hospital, Columbus, OH, USA; Department of Pediatrics, The Ohio State University, Columbus, OH, USA.
The Ohio State University · USSt. Jude Children's Research Hospital · USThe Ohio State University Wexner Medical Center · US

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
Maternal Stress, Obesity, and Influenza Virus Vaccine Immunogenicity in PregnancyR01NR013661 · NINR · OHIO STATE UNIVERSITY · PI CHRISTIAN, LISA MICHELLE · 2013 to 2017
$1.9M
NCATS NIH HHS UL1 TR001070NINR NIH HHS R01 NR013661
6 · The paper itself

Abstract

backgroundIn the US, influenza vaccination is recommended annually to everyone ≥6months. Prior receipt of influenza vaccine can dampen antibody responses to subsequent vaccination. This may have implications for pregnant women and their newborns, groups at high risk for complications from influenza infection.

objectiveThis study examined effects of prior vaccination on maternal and cord blood antibody levels in a cohort of pregnant women in the US. STUDY

designInfluenza antibody titers were measured in 141 pregnant women via the hemagglutination inhibition (HAI) assay prior to receipt of quadrivalent influenza vaccine, 30days post-vaccination, and at delivery (maternal and cord blood). Logistic regression analyses adjusting for age, BMI, parity, gestational age at vaccination, and year of vaccination compared HAI titers, seroprotection, and seroconversion in women with versus without vaccination in the prior year.

resultsCompared to those without vaccination in the previous year (n=50), women with prior vaccination (n=91) exhibited higher baseline antibody titers and/or seroprotection rates against all four strains after controlling for covariates. Prior vaccination also predicted lower antibody responses and seroconversion rates at one month post-vaccination. However, at delivery, there were no significant differences in antibody titers or seroprotection rates in women or newborns, and no meaningful differences in the efficiency of antibody transfer, as indicated by the ratio of cord blood to maternal antibody titers at the time of delivery.

conclusionIn this cohort of pregnant women, receipt of influenza vaccine the previous year predicted higher baseline antibody titers and decreased antibody responses at one month post-vaccination against all influenza strains. However, prior maternal vaccination did not significantly affect either maternal antibody levels at delivery or antibody levels transferred to the neonate. This study is registered with the NIH as a clinical trial (NCT02148874).

Indexed as

AdultAntibody FormationFemaleGestational AgeHemagglutination Inhibition TestsHumansInfant, NewbornInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza, HumanInfluenza VaccinesMalePregnancySeroconversionVaccinationYoung AdultInfluenza VaccinesAntibody titersCord bloodImmunogenicityInfluenza virus vaccinePregnancyPrior vaccinationSeroconversionSeroprotection

Identifiers

PMID28778612
PMCPMC5657512
OpenAlexW2740690321

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.