Evidence map›Paper›PMID 29959387›Full record

ArticleScientific reports2018

Age-related differences in humoral and cellular immune responses after primary immunisation: indications for stratified vaccination schedules.

Angelika Wagner, Erika Garner-Spitzer, Joanna Jasinska, Herwig Kollaritsch, Karin Stiasny, Michael Kundi, Ursula Wiedermann

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04573205 (Primary TBE Vaccination for the Elderly), which is not on this map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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.

NCT04573205 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

Primary TBE Vaccination for the Elderly

TypeinterventionalSponsorRegion Örebro CountyRan2024 to 2025Enrolled90ConditionsTick-borne Encephalitis, VaccineArmsFSME-IMMUN Vaccine
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.

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11 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

7 authors at 1 institution in 1 country.

Angelika WagnerInstitute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, 1090, Austria.
Erika Garner-SpitzerInstitute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, 1090, Austria.
Joanna JasinskaInstitute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, 1090, Austria.
Herwig KollaritschInstitute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, 1090, Austria.
Karin StiasnyCenter of Virology, Medical University of Vienna, Vienna, 1090, Austria.ORCID 0000-0002-1902-8674
Michael KundiInstitute of Environmental Health, Medical University of Vienna, Vienna, 1090, Austria.
Ursula WiedermannInstitute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, 1090, Austria. ursula.wiedermann@meduniwien.ac.at.
Medical University of Vienna · AT

Funding

Austrian Science Fund (FWF Der Wissenschaftsfonds) SFB1814
6 · The paper itself

Abstract

Immunosenescence is characterised by reduced B and T cell responses. Evidence shows that booster vaccinations are less effective in elderly people, but data on the efficacy of primary immunisation are sparse. We conducted a monocentric, open label, phase IV trial to compare immune responses to primary vaccinations using the inactivated, adjuvanted Japanese Encephalitis vaccine by 30 elderly people (mean 69, range 61-78 years) and 30 younger people (mean 24, range 18-30 years). Humoral and cellular immune responses were analysed in relation to age and cytomegalovirus (CMV) seropositivity. Vaccine-specific antibody titres were significantly lower in elderly participants and 47% of them were non- or low responders after the two doses of the vaccine neo-antigen. The reduced humoral immune responses in elderly people correlated with reduced cytokine production, such as interferon gamma (IFN-γ) in vitro, as well as higher frequencies of late-differentiated effector and effector memory T cells and T regulatory cells. These cellular changes and lower antibody titres were particularly prominent in CMV-seropositive elderly participants. If primary vaccination before the age of 60 is not possible, elderly patients may require different vaccination strategies to ensure sufficient long-lasting immunity, such as adapted or accelerated schedules and the use of different adjuvants.

Indexed as

Immunization ScheduleAdolescentAdultAgedAge FactorsAntibodies, ViralFemaleHumansImmunity, CellularImmunity, HumoralInfluenza A virusInfluenza, HumanInfluenza VaccinesMaleMiddle AgedVaccinationAntibodies, ViralInfluenza Vaccines

Identifiers

PMID29959387
PMCPMC6026142
OpenAlexW2810718426

What OpenQuestion holds

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LicenceCC BY
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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.