Evidence map›Paper›PMID 38793778›Full record

ReviewVaccines2024

Immunogenicity of Recombinant Zoster Vaccine: A Systematic Review, Meta-Analysis, and Meta-Regression.

Lorenzo Losa, Ippazio Cosimo Antonazzo, Giuseppe Di Martino, Giampiero Mazzaglia, Silvio Tafuri, Lorenzo Giovanni Mantovani, Pietro Ferrara

Abstract readReview
In one paragraph

Review in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Varicella zoster virus and the central nervous system.Nature reviews. Microbiology · 2026
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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

7 authors.

Lorenzo LosaCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0002-1451-1878
Ippazio Cosimo AntonazzoCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0001-8046-4574
Giuseppe Di MartinoDepartment of Medicine and Ageing Sciences, "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0001-7047-7611
Giampiero MazzagliaCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0003-4933-2148
Silvio TafuriInterdisciplinary Department of Medicine, Aldo Moro University of Bari, 70121 Bari, Italy.ORCID 0000-0003-4194-0210
Lorenzo Giovanni MantovaniCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.
Pietro FerraraCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0002-0349-3221

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe adjuvanted recombinant zoster vaccine (RZV), consisting of varicella-zoster virus glycoprotein E (gE) and the AS01

methodsThis systematic review examined post-vaccination parameters: humoral and cell-mediated immunity, avidity index, geometric mean concentration of antibody (GMC), and immunity persistence. The meta-analysis used a random-effects model, and subgroup and meta-regression analyses were conducted.

resultsAmong 37 included articles, after one month from RZV-dose 2, the pooled response rate for anti-gE humoral immunity was 95.2% (95%CI 91.9-97.2), dropping to 77.6% (95%CI 64.7-86.8) during immunosuppression. The anti-gE cell-mediated immunity-specific response reached 84.6% (95%CI 75.2-90.9). Varying factors, such as age, sex, coadministration with other vaccines, prior HZ, or live-attenuated zoster vaccine, did not significantly affect response rates. RZV induced a substantial increase in gE avidity. Immunity persistence was confirmed, with more rapid waning in the very elderly.

conclusionsThis systematic review indicates that RZV elicits robust immunogenicity and overcomes immunocompromising conditions. The findings underscore the need for further research, particularly on long-term immunity, and have the potential to support HZ vaccination policies and programs.

Indexed as

cell-mediated immunityherpes zosterhumoral immunityimmunogenicityrecombinant zoster vaccinevaccine response

Identifiers

PMID38793778
PMCPMC11125663

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.