Evidence map›Paper›PMID 33133599›Full record

ArticleClinical & translational immunology2020

Limited effect of duration of CMV infection on adaptive immunity and frailty: insights from a 27-year-long longitudinal study.

Leonard Daniël Samson, Sara Ph van den Berg, Peter Engelfriet, Annemieke Mh Boots, Marion Hendriks, Lia Gh de Rond, Mary-Lène de Zeeuw-Brouwer, Wm Monique Verschuren, José Am Borghans, Anne-Marie Buisman and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical & translational immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Associations of common infections with frailty and mortality in two UK cohort studies.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  3. The immunomodulatory role of human cytomegalovirus in cancer in the era of checkpoint immunotherapy.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  4. The immune response to human cytomegalovirus: impact of age, co-morbidities and the significance of anti-viral activity assessment.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
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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

11 authors at 3 institutions in 2 countries.

Leonard Daniël SamsonCentre for Infectious Disease Control National Institute for Public Health and the Environment Bilthoven The Netherlands.ORCID https://orcid.org/0000-0002-6252-7639
Sara Ph van den BergCentre for Infectious Disease Control National Institute for Public Health and the Environment Bilthoven The Netherlands.
Peter EngelfrietCentre for Nutrition, Prevention and Health Services National Institute for Public Health and the Environment Bilthoven The Netherlands.
Annemieke Mh BootsDepartment of Rheumatology and Clinical Immunology University Medical Center Groningen University of Groningen Groningen The Netherlands.
Marion HendriksCentre for Infectious Disease Control National Institute for Public Health and the Environment Bilthoven The Netherlands.
Lia Gh de RondCentre for Infectious Disease Control National Institute for Public Health and the Environment Bilthoven The Netherlands.
Mary-Lène de Zeeuw-BrouwerCentre for Infectious Disease Control National Institute for Public Health and the Environment Bilthoven The Netherlands.
Wm Monique VerschurenCentre for Nutrition, Prevention and Health Services National Institute for Public Health and the Environment Bilthoven The Netherlands.
José Am BorghansCenter for Translational Immunology University Medical Center Utrecht Utrecht The Netherlands.
Anne-Marie BuismanCentre for Infectious Disease Control National Institute for Public Health and the Environment Bilthoven The Netherlands.
Debbie van BaarleCentre for Infectious Disease Control National Institute for Public Health and the Environment Bilthoven The Netherlands.
National Institute for Public Health and the Environment · NLUniversity Medical Center Utrecht · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCytomegalovirus infection is thought to affect the immune system and to impact general health during ageing. Higher CMV-specific antibody levels in the elderly are generally assumed to reflect experienced viral reactivation during life. Furthermore, high levels of terminally differentiated and CMV-specific T cells are hallmarks of CMV infection, which are thought to expand over time, a process also referred to as memory inflation.

methodsWe studied CMV-specific antibody levels over ~ 27 years in 268 individuals (aged 60-89 years at study endpoint), and to link duration of CMV infection to T-cell numbers, CMV-specific T-cell functions, frailty and cardiovascular disease at study endpoint.

resultsIn our study, 136/268 individuals were long-term CMV seropositive and 19 seroconverted during follow-up (seroconversion rate: 0.56%/year). CMV-specific antibody levels increased slightly over time. However, we did not find an association between duration of CMV infection and CMV-specific antibody levels at study endpoint. No clear association between duration of CMV infection and the size and function of the memory T-cell pool was observed. Elevated CMV-specific antibody levels were associated with the prevalence of cardiovascular disease but not with frailty. Age at CMV seroconversion was positively associated with CMV-specific antibody levels, memory CD4

conclusionCytomegalovirus-specific memory T cells develop shortly after CMV seroconversion but do not seem to further increase over time. Age-related effects other than duration of CMV infection seem to contribute to CMV-induced changes in the immune system. Although CMV-specific immunity is not evidently linked to frailty, it tends to associate with higher prevalence of cardiovascular disease.

Indexed as

ageingcardiovascular diseaseCMV‐specific antibodiescytomegalovirus infectionfrailtyT‐cell response

Identifiers

PMID33133599
PMCPMC7586993
OpenAlexW3093637584

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.