Evidence map›Paper›PMID 28978802›Full record

Trial reportJCI insight2017

Early molecular correlates of adverse events following yellow fever vaccination.

Candice Yy Chan, Kuan Rong Chan, Camillus Jh Chua, Sharifah Nur Hazirah, Sujoy Ghosh, Eng Eong Ooi, Jenny G Low

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07527247 (Using AS01 Adjuvant to Improve Immune Response in Older Adults Through Trained Immunity), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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.

NCT07527247 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Using AS01 Adjuvant to Improve Immune Response in Older Adults Through Trained Immunity

TypeinterventionalSponsorSingapore General HospitalRan2025 to 2029Enrolled40ConditionsImmune System Responses and Trained Immunity After AS01 Administration, Healthy AdultArmsAS01 adjuvant (0.5 mL intramuscular), YF17D (Stamaril, Sanofi-Pasteur), Placebo (NaCl 09%, 0.5mL)
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Towards personalized vaccines.Frontiers in immunology · 2024
    Review
  10. Review
  11. Article
  12. Associations of Immunogenicity and Reactogenicity After Severe Acute Respiratory Syndrome Coronavirus 2 mRNA-1273 Vaccine in the COVE and TeenCOVE Trials.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
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.

Candice Yy ChanProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Kuan Rong ChanProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Camillus Jh ChuaSingHealth Translational Immunology and Inflammation Centre (STIIC), Singapore.
Sharifah Nur HazirahSingHealth Translational Immunology and Inflammation Centre (STIIC), Singapore.
Sujoy GhoshCentre for Computational Biology, Duke-NUS Medical School, Singapore.
Eng Eong OoiProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.
Jenny G LowProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The innate immune response shapes the development of adaptive immunity following infections and vaccination. However, it can also induce symptoms such as fever and myalgia, leading to the possibility that the molecular basis of immunogenicity and reactogenicity of vaccination are inseparably linked. To test this possibility, we used the yellow fever live-attenuated vaccine (YFLAV) as a model to study the molecular correlates of reactogenicity or adverse events (AEs). We analyzed the outcome of 68 adults who completed a YFLAV clinical trial, of which 43 (63.2%) reported systemic AEs. Through whole-genome profiling of blood collected before and after YFLAV dosing, we observed that activation of innate immune genes at day 1, but not day 3 after vaccination, was directly correlated with AEs. These findings contrast with the gene expression profile at day 3 that we and others have previously shown to be correlated with immunogenicity. We conclude that although the innate immune response is a double-edged sword, its expression that induces AEs is temporally distinct from that which engenders robust immunity. The use of genomic profiling thus provides molecular insights into the biology of AEs that potentially forms a basis for the development of safer vaccines.

Indexed as

AdultAntibodies, ViralCentral Nervous System DiseasesFemaleGene Expression ProfilingHumansImmunity, InnateMaleMiddle AgedMusculoskeletal DiseasesUp-RegulationVaccinationViremiaYellow FeverYellow Fever VaccineYellow fever virusAntibodies, ViralYellow Fever Vaccine

Identifiers

PMID28978802
PMCPMC5841882

What OpenQuestion holds

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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.