Evidence map›Paper›PMID 41350922›Full record

Observational studyNature microbiology2026

Influenza A(H5N8) vaccine induces humoral and cell-mediated immunity against highly pathogenic avian influenza clade 2.3.4.4b A(H5N1) viruses in at-risk individuals.

Oona Liedes, Arttu Reinholm, Nina Ekström, Anu Haveri, Anna Solastie, Saimi Vara, Willemijn F Rijnink, Theo M Bestebroer, Mathilde Richard, Rory D de Vries and 14 more

Abstract readObservational Study
In one paragraph

Observational study in Nature microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Avian influenza overview December 2025-February 2026.EFSA journal. European Food Safety Authority · 2026
    Article
  3. Review
  4. 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

24 authors.

Oona LiedesFinnish Institute for Health and Welfare, Helsinki, Finland. oona.liedes@thl.fi.ORCID http://orcid.org/0009-0007-1570-4325
Arttu ReinholmInstitute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.
Nina EkströmFinnish Institute for Health and Welfare, Helsinki, Finland.
Anu HaveriFinnish Institute for Health and Welfare, Helsinki, Finland.
Anna SolastieFinnish Institute for Health and Welfare, Helsinki, Finland.
Saimi VaraFinnish Institute for Health and Welfare, Helsinki, Finland.
Willemijn F RijninkDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0003-3151-3725
Theo M BestebroerDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, the Netherlands.
Mathilde RichardDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0003-0240-9312
Rory D de VriesDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0003-2817-0127
Pinja JalkanenInstitute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.
Erika LindhFinnish Institute for Health and Welfare, Helsinki, Finland.
Niina IkonenFinnish Institute for Health and Welfare, Helsinki, Finland.
Alba GrifoniCenter for Vaccine Innovation, La Jolla Institute for Immunology (LJI), La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-2209-5966
Alessandro SetteCenter for Vaccine Innovation, La Jolla Institute for Immunology (LJI), La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-7013-2250
Terhi LaaksonenFinnish Food Authority, Helsinki, Finland.
Riikka HolopainenFinnish Food Authority, Helsinki, Finland.
Laura KakkolaInstitute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.
Maija LappalainenHUS Diagnostic Center, Helsinki University Hospital, Helsinki, Finland.
Ritva K SyrjänenFinnish Institute for Health and Welfare, Helsinki, Finland.
Pekka KolehmainenInstitute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.
Ilkka JulkunenInstitute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.
Hanna NohynekFinnish Institute for Health and Welfare, Helsinki, Finland.
Merit MelinFinnish Institute for Health and Welfare, Helsinki, Finland.ORCID http://orcid.org/0000-0001-9375-4327

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Finland faced an outbreak of highly pathogenic clade 2.3.4.4b A(H5N1) avian influenza in 2023, which spread from wild birds to fur farms. Vaccinations of at-risk individuals began in June 2024 using the MF59-adjuvanted inactivated A(H5N8) vaccine (Seqirus; A/Astrakhan/3212/2020, clade 2.3.4.4b). Here, in an observational study, we assessed vaccine-induced immune responses in occupational at-risk individuals participating in the phase IV trial, including virus-specific antibody (n = 39 individuals) and T-cell (n = 18 individuals) responses. Vaccination elicited functional antibodies against the vaccine virus and two heterologous clade 2.3.4.4b strains associated with outbreaks on Finnish fur farms and dairy cattle in the United States. Among previously unvaccinated individuals, seroprotection rates against the vaccine virus were 83% (95% CI 70-97%) by microneutralization assay (titre ≥20) and 97% (90-100%) by haemagglutination inhibition assay (titre ≥40). In those previously vaccinated against avian influenza, a single dose induced seroprotection. A(H5N8)-specific memory CD4

Indexed as

Immunity, CellularImmunity, HumoralInfluenza A Virus, H5N1 SubtypeInfluenza A Virus, H5N8 SubtypeInfluenza, HumanInfluenza VaccinesAdultAnimalsAntibodies, NeutralizingAntibodies, ViralCattleFemaleFinlandHumansInfluenza in BirdsMaleAntibodies, NeutralizingAntibodies, ViralInfluenza VaccinesVaccines, Inactivated

Identifiers

PMID41350922
PMCPMC12768969

What OpenQuestion holds

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LicenceCC BY
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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.