Evidence map›Paper›PMID 30795982›Full record

ArticleCell host & microbe2019

Influenza Virus Vaccination Elicits Poorly Adapted B Cell Responses in Elderly Individuals.

Carole Henry, Nai-Ying Zheng, Min Huang, Alexandra Cabanov, Karla Thatcher Rojas, Kaval Kaur, Sarah F Andrews, Anna-Karin E Palm, Yao-Qing Chen, Yang Li and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed
15.8field-weighted citation impact, top 1% 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

116 citing papers in PubMed, 162 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Review
  6. The ageing immune system and its battle with viruses.The Journal of general virology · 2026
    Review
  7. Review
  8. Influenza vaccine-specific CD4NPJ vaccines · 2026
    Article
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  10. Review
  11. Article
  12. Review
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 8 institutions in 1 country.

Carole HenryDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA. Electronic address: carolehenry@uchicago.edu.
Nai-Ying ZhengDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Min HuangDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Alexandra CabanovDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Karla Thatcher RojasDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Kaval KaurDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Sarah F AndrewsDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Anna-Karin E PalmDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Yao-Qing ChenDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Yang LiDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Katerina HoskovaDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Henry A UtsetDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA.
Marcos C VieiraDepartment of Ecology and Evolution, The University of Chicago, Chicago, IL 60637, USA.
Jens WrammertEmory Vaccine Center, Department of Pediatrics, Division of Infectious Disease, Emory University School of Medicine, Atlanta, GA 30317, USA.
Rafi AhmedEmory Vaccine Center, Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30317, USA.
Jeanne Holden-WiltseDepartment of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY 14642, USA.
David J TophamCenter for Vaccine Biology & Immunology, Department of Microbiology & Immunology, University of Rochester Medical Center, Rochester, NY 14642, USA.
John J TreanorDivision of Infectious Disease, Department of Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA.
Hildegund C ErtlThe Wistar Institute Vaccine and Immunotherapy Center, Philadelphia, PA 19104, USA.
Kenneth E SchmaderDivision of Geriatrics, Duke University Medical Center and GRECC, Durham VA Medical Center, Durham, NC 27710, USA.
Sarah CobeyDepartment of Ecology and Evolution, The University of Chicago, Chicago, IL 60637, USA.
Florian KrammerDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Scott E HensleyDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Harry GreenbergDepartments of Medicine and Immunology and Microbiology, Stanford University School of Medicine, Stanford, CA 94305, USA; VA Palo Alto Health Care System, Palo Alto, CA 94304, USA.
Xiao-Song HeDepartments of Medicine and Immunology and Microbiology, Stanford University School of Medicine, Stanford, CA 94305, USA; VA Palo Alto Health Care System, Palo Alto, CA 94304, USA.
Patrick C WilsonDepartment of Medicine, Section of Rheumatology, The University of Chicago, Chicago, IL 60637, USA. Electronic address: wilsonp@uchicago.edu.
University of Chicago · USUniversity of Rochester Medical Center · USEmory University · USUniversity of Pennsylvania · USVA Palo Alto Health Care System · USGeriatric Research Education and Clinical Center · USIcahn School of Medicine at Mount Sinai · USThe Wistar Institute · US

Funding

Using a tonsil organoid system to probe conditions for the induction of protective antibody and T cell responses to influenza.U19AI057229 · NIAID · STANFORD UNIVERSITY · PI Mark Morris Davis · 2003 to 2026
$88.5M
VACCINE INDUCED IMMUNITY IN THE YOUNG AND AGEDU19AI057266 · NIAID · EMORY UNIVERSITY · PI Rafi Ahmed · 2003 to 2026
$81.7M
The University of Rochester's Clinical and Translational Science InstituteUL1TR002001 · NCATS · UNIVERSITY OF ROCHESTER · PI WILSON, KAREN M., ZAND, MARTIN S · 2016 to 2024
$34.6M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Toward a Universal Influenza Virus VaccineP01AI097092 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI PALESE, PETER · 2012 to 2022
$17.6M
INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007090 · NIAID · UNIVERSITY OF CHICAGO · PI Peter Aidan Savage · 1985 to 2026
$11.7M
Understanding Human B Cell Responses to Influenza to Improve the Influenza U19AI109946 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI RAVETCH, JEFFREY VICTOR · 2014 to 2018
$9.6M
University of Chicago Autoimmunity Center of ExcellenceU19AI082724 · NIAID · UNIVERSITY OF CHICAGO · PI CLARK, MARCUS RAMSAY · 2009 to 2023
$7.2M
Impact of prior influenza exposures on antibody repertoires to new viral strainsR01AI108686 · NIAID · WISTAR INSTITUTE · PI HENSLEY, SCOTT ERIC · 2014 to 2022
$3.7M
The effect of human pre-exposure history on antigenic drift of influenza virusesR01AI113047 · NIAID · WISTAR INSTITUTE · PI HENSLEY, SCOTT ERIC · 2014 to 2018
$2.5M
Broad humoral protection induced by influenza B neuraminidase-based immunogensR01AI117287 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KRAMMER, FLORIAN · 2016 to 2020
$2.4M
Modeling the Evolutionary Dynamics of Immunity to Influenza for Vaccine DevelopmeDP2AI117921 · NIAID · UNIVERSITY OF CHICAGO · PI COBEY, SARAH · 2014 to 2014
$2.1M
NCATS NIH HHS UL1 TR002001NIAID NIH HHS DP2 AI117921NIAID NIH HHS HHSN272201400005CNIAID NIH HHS HHSN272201400008CNIAID NIH HHS P01 AI097092NIAID NIH HHS R01 AI108686NIAID NIH HHS R01 AI113047NIAID NIH HHS R01 AI117287NIAID NIH HHS R01 AI128821NIAID NIH HHS T32 AI007090NIAID NIH HHS U19 AI057229NIAID NIH HHS U19 AI057266NIAID NIH HHS U19 AI082724NIAID NIH HHS U19 AI109946NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

Influenza is a leading cause of death in the elderly, and the vaccine protects only a fraction of this population. A key aspect of antibody-mediated anti-influenza virus immunity is adaptation to antigenically distinct epitopes on emerging strains. We examined factors contributing to reduced influenza vaccine efficacy in the elderly and uncovered a dramatic reduction in the accumulation of de novo immunoglobulin gene somatic mutations upon vaccination. This reduction is associated with a significant decrease in the capacity of antibodies to target the viral glycoprotein, hemagglutinin (HA), and critical protective epitopes surrounding the HA receptor-binding domain. Immune escape by antigenic drift, in which viruses generate mutations in key antigenic epitopes, becomes highly exaggerated. Because of this reduced adaptability, most B cells activated in the elderly cohort target highly conserved but less potent epitopes. Given these findings, vaccines driving immunoglobulin gene somatic hypermutation should be a priority to protect elderly individuals.

Indexed as

Immunity, HumoralAdultAgedAged, 80 and overB-LymphocytesEpitopesHealthy VolunteersHumansInfluenza VaccinesMiddle AgedMutationOrthomyxoviridaeYoung AdultEpitopesInfluenza Vaccineselderly populationimmunoglobulin genesinfluenza vaccinemonoclonal antibodies

Identifiers

PMID30795982
PMCPMC6452894
OpenAlexW2915524618

What OpenQuestion holds

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Registered trials

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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.