Evidence map›Paper›PMID 38402207›Full record

ArticleNature communications2024

Prior flavivirus immunity skews the yellow fever vaccine response to cross-reactive antibodies with potential to enhance dengue virus infection.

Antonio Santos-Peral, Fabian Luppa, Sebastian Goresch, Elena Nikolova, Magdalena Zaucha, Lisa Lehmann, Frank Dahlstroem, Hadi Karimzadeh, Julia Thorn-Seshold, Elena Winheim and 10 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
20.1field-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.

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

32 citing papers in PubMed, 37 citations in OpenAlex.

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  14. Dengue Dilemma: Navigating Cross-Reactivity and Immune Challenges.Current topics in microbiology and immunology · 2026
    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

20 authors at 7 institutions in 2 countries.

Antonio Santos-PeralDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-2167-5432
Fabian LuppaDivision of Infectious Diseases and Tropical Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Sebastian GoreschDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0009-0006-3586-6498
Elena NikolovaDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Magdalena ZauchaDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-3590-1525
Lisa LehmannDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-5153-3371
Frank DahlstroemDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Hadi KarimzadehDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0003-2264-4395
Julia Thorn-SesholdDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-4879-4159
Elena WinheimInstitute for Immunology, Biomedical Center (BMC), Medical Faculty, LMU Munich, Munich, Germany.ORCID 0000-0002-0364-662X
Ev-Marie SchusterMikrobiologisches Institut-Klinische Mikrobiologie, Immunologie und Hygiene, Universitätsklinikum Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.
Gerhard DoblerBundeswehr Institute of Microbiology, Neuherbergstrasse 11, 80937, Munich, Germany.
Michael HoelscherDivision of Infectious Diseases and Tropical Medicine, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-7642-1835
Beate M KümmererInstitute of Virology, Medical Faculty, University of Bonn, 53127, Bonn, Germany.ORCID 0000-0002-9011-2764
Stefan EndresDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Kilian SchoberMikrobiologisches Institut-Klinische Mikrobiologie, Immunologie und Hygiene, Universitätsklinikum Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.ORCID 0000-0001-9323-9472
Anne B KrugInstitute for Immunology, Biomedical Center (BMC), Medical Faculty, LMU Munich, Munich, Germany.ORCID 0000-0002-9556-7207
Michael PritschDivision of Infectious Diseases and Tropical Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Giovanna Barba-Spaeth *Institut Pasteur, Université Paris Cité, CNRS UMR 3569, Unité de Virologie Structurale, Paris, France. giovanna.barba-spaeth@pasteur.fr.ORCID 0000-0003-2069-9501
Simon Rothenfusser *Division of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany. simon.rothenfusser@med.uni-muenchen.de.ORCID 0000-0003-1151-7614
LMU Klinikum · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHelmholtz Zentrum München · DELudwig-Maximilians-Universität München · DECentre National de la Recherche Scientifique · FRUniversität der Bundeswehr München · DEUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The yellow fever 17D vaccine (YF17D) is highly effective but is frequently administered to individuals with pre-existing cross-reactive immunity, potentially impacting their immune responses. Here, we investigate the impact of pre-existing flavivirus immunity induced by the tick-borne encephalitis virus (TBEV) vaccine on the response to YF17D vaccination in 250 individuals up to 28 days post-vaccination (pv) and 22 individuals sampled one-year pv. Our findings indicate that previous TBEV vaccination does not affect the early IgM-driven neutralizing response to YF17D. However, pre-vaccination sera enhance YF17D virus infection in vitro via antibody-dependent enhancement (ADE). Following YF17D vaccination, TBEV-pre-vaccinated individuals develop high amounts of cross-reactive IgG antibodies with poor neutralizing capacity. In contrast, TBEV-unvaccinated individuals elicit a non-cross-reacting neutralizing response. Using YF17D envelope protein mutants displaying different epitopes, we identify quaternary dimeric epitopes as the primary target of neutralizing antibodies. Additionally, TBEV-pre-vaccination skews the IgG response towards the pan-flavivirus fusion loop epitope (FLE), capable of mediating ADE of dengue and Zika virus infections in vitro. Together, we propose that YF17D vaccination conceals the FLE in individuals without prior flavivirus exposure but favors a cross-reactive IgG response in TBEV-pre-vaccinated recipients directed to the FLE with potential to enhance dengue virus infection.

Indexed as

DengueEncephalitis Viruses, Tick-BorneYellow Fever VaccineZika VirusZika Virus InfectionAntibodies, NeutralizingAntibodies, ViralEpitopesHumansImmunoglobulin GAntibodies, NeutralizingAntibodies, ViralEpitopesImmunoglobulin GYellow Fever Vaccine

Identifiers

PMID38402207
PMCPMC10894228
OpenAlexW4392128371

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.