Evidence map›Paper›PMID 40956083›Full record

ReviewJournal of virology2025

High seroprevalence and high risk: why are older adults more prone to respiratory syncytial virus?

Piotr Rzymski, Barbara Poniedziałek, Dorota Zarębska-Michaluk, Krzysztof Tomasiewicz, Robert Flisiak

Abstract readReview
In one paragraph

Review in Journal of virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
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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

5 authors.

Piotr RzymskiDepartment of Environmental Medicine, Poznan University of Medical Sciences, Poznań, Poland.ORCID 0000-0002-4713-0801
Barbara PoniedziałekDepartment of Environmental Medicine, Poznan University of Medical Sciences, Poznań, Poland.
Dorota Zarębska-MichalukDepartment of Infectious Diseases and Allergology, Jan Kochanowski University, Kielce, Poland.
Krzysztof TomasiewiczDepartment of Infectious Diseases, Medical University of Lublin, Lublin, Poland.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Bialystok, Poland.

Funding

Pfizer Poland Z/00705/25
6 · The paper itself

Abstract

Despite widespread seropositivity, respiratory syncytial virus (RSV) remains a major cause of severe illness in adults aged 60 years and older. This review examines why infection-acquired immunity fails to protect this group, focusing on four key factors: structural lung decline, comorbidities, immunosenescence, and impaired antibody responses. Age-related changes weaken mechanical defenses and antiviral immunity, while chronic diseases amplify RSV risk. Critically, repeated RSV infections may preferentially boost non-neutralizing antibodies targeting the postfusion F protein, limiting protection and possibly enhancing disease. The review also highlights how newly approved vaccines, based on stabilized prefusion F protein, can overcome these barriers by inducing strong neutralizing responses, offering a targeted strategy to reduce RSV burden in older adults.

Indexed as

Respiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAgedAge FactorsAntibodies, NeutralizingAntibodies, ViralHumansMiddle AgedRespiratory Syncytial Virus VaccinesSeroepidemiologic StudiesAntibodies, NeutralizingAntibodies, ViralRespiratory Syncytial Virus Vaccinesantibody-dependent enhancementimmunosenescenceolder adultsprefusion F proteinrespiratory syncytial virusvaccination

Identifiers

PMID40956083
PMCPMC12548383

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.