Evidence map›Paper›PMID 31672891›Full record

Observational studyScience (New York, N.Y.)2019

Measles virus infection diminishes preexisting antibodies that offer protection from other pathogens.

Michael J Mina, Tomasz Kula, Yumei Leng, Mamie Li, Rory D de Vries, Mikael Knip, Heli Siljander, Marian Rewers, David F Choy, Mark S Wilson and 5 more

2 registry-linked trialsOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Science (New York, N.Y.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 241 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
241citing papers in PubMed, 1 pooled it
39.1field-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.

NCT06923631 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Unravelling the Measles Paradox in Children: a Disease Associated With Both Immune Suppression and Immune Activation

TypeobservationalSponsorErasmus Medical CenterRan2026 to 2029Enrolled100ConditionsMEASLES DISEASE
NCT07267585 recruitingnot on this mapstarted 2025, after this paper: background citation

Unravelling the Measles Paradox: a Disease Associated With Both Immune Suppression and Immune Activation

TypeobservationalSponsorErasmus Medical CenterRan2025 to 2028Enrolled300ConditionsMEASLES DISEASE
3 · Its place in the literature

Who cites it

241 citing papers in PubMed, 1 synthesis or guideline pooled it, 445 citations in OpenAlex.

  1. Pooled it
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  4. Can Malaria Induce Loss of Vaccine Immunity?The Journal of infectious diseases · 2026
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  17. Beyond the rash: The long-term consequences of vertically and horizontally acquired measles in infants and children.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2026
    Article
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181 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 3 countries.

Michael J MinaDivision of Genetics, Brigham and Women's Hospital, Howard Hughes Medical Institute, Boston, MA 02115, USA. selledge@genetics.med.harvard.edu mmina@hsph.harvard.edu.ORCID 0000-0002-0674-5762
Tomasz KulaDivision of Genetics, Brigham and Women's Hospital, Howard Hughes Medical Institute, Boston, MA 02115, USA.ORCID 0000-0002-6458-9833
Yumei LengDivision of Genetics, Brigham and Women's Hospital, Howard Hughes Medical Institute, Boston, MA 02115, USA.ORCID 0000-0003-2512-9284
Mamie LiDepartment of Genetics, Harvard Medical School, Boston, MA 02115, USA.
Rory D de VriesDepartment of Viroscience, Postgraduate School of Molecular Medicine, Erasmus MC, University Medical Centre Rotterdam, 3015 CN, Rotterdam, Netherlands.
Mikael KnipChildren's Hospital, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, Finland.ORCID 0000-0003-0474-0033
Heli SiljanderChildren's Hospital, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, Finland.ORCID 0000-0002-6899-2822
Marian RewersBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Denver, CO 80045, USA.ORCID 0000-0003-3829-9207
David F ChoyGenentech Inc., South San Francisco, CA 94080, USA.
Mark S WilsonGenentech Inc., South San Francisco, CA 94080, USA.ORCID 0000-0003-1737-1281
H Benjamin LarmanDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Ashley N NelsonW. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.ORCID 0000-0003-4647-7667
Diane E GriffinW. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.ORCID 0000-0001-6643-2429
Rik L de SwartDepartment of Viroscience, Postgraduate School of Molecular Medicine, Erasmus MC, University Medical Centre Rotterdam, 3015 CN, Rotterdam, Netherlands.ORCID 0000-0003-3599-8969
Stephen J ElledgeDivision of Genetics, Brigham and Women's Hospital, Howard Hughes Medical Institute, Boston, MA 02115, USA. selledge@genetics.med.harvard.edu mmina@hsph.harvard.edu.ORCID 0000-0001-7923-6283
Howard Hughes Medical Institute · USJohns Hopkins University · USErasmus University Rotterdam · NLUniversity of Helsinki · FIBrigham and Women's Hospital · USHarvard University · USUniversity of Colorado Health · US

Funding

Natural History of Pre-Diabetic Autoimmunity (DAISY)R01DK032493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J · 1986 to 2024
$9.3M
Physiological and immunological responses to measles vaccineR01AI131228 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GRIFFIN, DIANE E · 2018 to 2021
$2.7M
Vitamin A-Mediated Protection in MeaslesR21AI095981 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GRIFFIN, DIANE E · 2013 to 2014
$446k
Howard Hughes Medical InstituteNIAID NIH HHS R01 AI131228NIAID NIH HHS R21 AI095981NIDDK NIH HHS R01 DK032493
6 · The paper itself

Abstract

Measles virus is directly responsible for more than 100,000 deaths yearly. Epidemiological studies have associated measles with increased morbidity and mortality for years after infection, but the reasons why are poorly understood. Measles virus infects immune cells, causing acute immune suppression. To identify and quantify long-term effects of measles on the immune system, we used VirScan, an assay that tracks antibodies to thousands of pathogen epitopes in blood. We studied 77 unvaccinated children before and 2 months after natural measles virus infection. Measles caused elimination of 11 to 73% of the antibody repertoire across individuals. Recovery of antibodies was detected after natural reexposure to pathogens. Notably, these immune system effects were not observed in infants vaccinated against MMR (measles, mumps, and rubella), but were confirmed in measles-infected macaques. The reduction in humoral immune memory after measles infection generates potential vulnerability to future infections, underscoring the need for widespread vaccination.

Indexed as

Immune ToleranceImmunologic MemoryAdolescentAnimalsAntibodies, BacterialAntibodies, ViralAntibody DiversityChildChild, PreschoolEpitopesHumansMacaca mulattaMaleMeaslesMeasles-Mumps-Rubella VaccineAntibodies, BacterialAntibodies, ViralEpitopesMeasles-Mumps-Rubella Vaccine

Identifiers

PMID31672891
PMCPMC8590458
OpenAlexW2982502551

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.