Evidence map›Paper›PMID 30247603›Full record

Trial reportThe Journal of infectious diseases2018

Impact of Zostavax Vaccination on T-Cell Accumulation and Cutaneous Gene Expression in the Skin of Older Humans After Varicella Zoster Virus Antigen-Specific Challenge.

Neil P Patel, Milica Vukmanovic-Stejic, Mayte Suarez-Farinas, Emma S Chambers, Daisy Sandhu, Judilyn Fuentes-Duculan, Neil A Mabbott, Malcolm H A Rustin, James Krueger, Arne N Akbar

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Tissue-Resident Memory T Cells in Skin Diseases: A Systematic Review.International journal of molecular sciences · 2021
    Pooled it
  2. Review
  3. Article
  4. How does geographical diversity shape vaccine efficacy?Clinical and experimental vaccine research · 2024
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Skin resident memory CD8Clinical and experimental immunology · 2018
    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

10 authors at 5 institutions in 3 countries.

Neil P PatelDivision of Infection and Immunity, University College London.
Milica Vukmanovic-StejicDivision of Infection and Immunity, University College London.
Mayte Suarez-FarinasLaboratory for Investigative Dermatology, Rockefeller University, New York, New York.
Emma S ChambersDivision of Infection and Immunity, University College London.
Daisy SandhuDivision of Infection and Immunity, University College London.
Judilyn Fuentes-DuculanLaboratory for Investigative Dermatology, Rockefeller University, New York, New York.
Neil A MabbottRoslin Institute, University of Edinburgh, Midlothian, United Kingdom.
Malcolm H A RustinDepartment of Dermatology, Royal Free Hospital, London.
James KruegerLaboratory for Investigative Dermatology, Rockefeller University, New York, New York.
Arne N AkbarDivision of Infection and Immunity, University College London.
Institute of Infection and Immunity · CARockefeller University · USUniversity College London · GBRoslin Institute · GBThe Royal Free Hospital · GB

Funding

Biotechnology and Biological Sciences Research Council BB/BB/P013740/1Medical Research Council MR/M003833/1
6 · The paper itself

Abstract

Background: The live attenuated vaccine Zostavax was developed to prevent varicella zoster virus (VZV) reactivation that causes herpes zoster (shingles) in older humans. However, the impact of vaccination on the cutaneous response to VZV is not known. Methods: We investigated the response to intradermal VZV antigen challenge before and after Zostavax vaccination in participants >70 years of age by immunohistological and transcriptomic analyses of skin biopsy specimens collected from the challenge site. Results: Vaccination increased the proportion of VZV-specific CD4+ T cells in the blood and promoted the accumulation of both CD4+ and CD8+ T cells in the skin after VZV antigen challenge. However, Zostavax did not alter the proportion of resident memory T cells (CD4+ and CD8+) or CD4+Foxp3+ regulatory T cells in unchallenged skin. After vaccination, there was increased cutaneous T-cell proliferation at the challenge site and also increased recruitment of T cells from the blood, as indicated by an elevated T-cell migratory gene signature. CD8+ T-cell-associated functional genes were also highly induced in the skin after vaccination. Conclusion: Zostavax vaccination does not alter the abundance of cutaneous resident memory T cells but instead increases the recruitment of VZV-specific T cells from the blood and enhances T-cell activation, particularly cells of the CD8+ subset, in the skin after VZV antigen challenge.

Indexed as

AdultAgedAged, 80 and overAntigens, ViralCD4-Positive T-LymphocytesCohort StudiesFemaleGene Expression RegulationHerpesvirus 3, HumanHerpes ZosterHerpes Zoster VaccineHumansLymphocyte ActivationMaleT-Lymphocytes, RegulatoryT-Lymphocyte SubsetsAntigens, ViralHerpes Zoster VaccineVaccines, Attenuated

Identifiers

PMID30247603
PMCPMC6151076
OpenAlexW2894528157

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.