Evidence map›Paper›PMID 39937802›Full record

ArticlePloS one2025

Clinical status and cytokine profiles in patients with asthma or chronic obstructive pulmonary disease vaccinated against influenza.

Mikhail Kostinov, Alexander Chuchalin, Anna Chebykina, Isabella Khrapunova, Alexander Cherdantsev, Irina Solov'eva, Nelli Akhmatova, Valentina Polishchuk, Nadezhda Kryukova, Aristitsa Kostinova and 5 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

15 authors.

Mikhail KostinovI.I. Mechnikov Research Institute of Vaccines and Sera, Moscow, Russian Federation.ORCID https://orcid.org/0000-0002-1382-9403
Alexander ChuchalinPirogov Russian National Research Medical University, Moscow, Russian Federation.
Anna ChebykinaKirov State Medical University, Kirov, Russian Federation.
Isabella KhrapunovaI.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Alexander CherdantsevUlyanovsk State University, Ulyanovsk, Russian Federation.
Irina Solov'evaUlyanovsk State University, Ulyanovsk, Russian Federation.
Nelli AkhmatovaI.I. Mechnikov Research Institute of Vaccines and Sera, Moscow, Russian Federation.
Valentina PolishchukI.I. Mechnikov Research Institute of Vaccines and Sera, Moscow, Russian Federation.
Nadezhda KryukovaPirogov Russian National Research Medical University, Moscow, Russian Federation.ORCID https://orcid.org/0000-0002-2626-9206
Aristitsa KostinovaI.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Anna VlasenkoBranch Campus of the Russian Medical Academy of Continuous Professional Education, Novokuznetsk State Institute for Advanced Training of Physicians, Novokuznetsk, Russian Federation.
Marina LoktionovaI.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Yvette AlbahansaI.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Anna Shmit'koI.I. Mechnikov Research Institute of Vaccines and Sera, Moscow, Russian Federation.
Lyudmila ShogenovaPirogov Russian National Research Medical University, Moscow, Russian Federation.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfluenza vaccine is a tool for preventing infection and reducing exacerbations in patients with asthma and chronic obstructive pulmonary disease (COPD). However, the associations between clinical outcomes and changes in the levels of inflammation markers have not been fully delineated. The purpose of this study was to investigate the clinical course and the changes in the levels of inflammation markers in patients with asthma or chronic obstructive pulmonary disease for one year after vaccination against influenza.

methodsThe prospective study for one year included 34 patients with asthma, 20 patients with COPD vaccinated against influenza, both groups being under a basic maintenance therapy, and 26 healthy individuals vaccinated with the trivalent polymer-subunit (adjuvanted) vaccine, containing 5 μg of influenza virus strains and 500 μg of azoximer bromide. The levels of C-reactive protein (CRP) and serum cytokines (IL-2, IL-6, IL-10, and IL-17) were measured by enzyme-linked immunosorbent assay (ELISA) at baseline and 6 and 12 months after vaccination.

resultsOver a year after vaccination against influenza, the frequency and duration of bronchopulmonary exacerbations significantly decreased both in patients with asthma and those with COPD: by 1.9-2 and 2.2-2.5 times, respectively. There was also a significant reduction in the frequency and duration of hospitalization (by 2.0-2.5 and 2.3-3 times, respectively). Other changes observed over the one-year follow-up period included a 1.6-fold reduction (р<0.01) in the need for outpatient care and a reduction in the number of courses of systemic corticosteroids (by 16.7%; р<0.05) in asthma patients; and a 3.6-fold decrease (р<0.05) in the number of courses of antibiotics in COPD patients. Twelve months after vaccination against influenza, the study participants had significantly lower IL-6 levels, and COPD patients, additionally, showed a reduction in IL-10 levels compared to baseline. Our study identified certain correlations between positive clinical outcomes of vaccination and levels of inflammation markers. DISCUSSION: Analysis of the immunological, clinical and functional parameters in asthma and COPD patients showed that vaccination not only reduces the risk of influenza and other respiratory infections due to activation of non-specific protection, but also improves the clinical course of asthma and COPD.

Indexed as

AsthmaCytokinesInfluenza, HumanInfluenza VaccinesPulmonary Disease, Chronic ObstructiveAdultAgedBiomarkersC-Reactive ProteinFemaleHumansMaleMiddle AgedProspective StudiesVaccinationBiomarkersC-Reactive ProteinCytokinesInfluenza Vaccines

Identifiers

PMID39937802
PMCPMC11819544

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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.