Evidence map›Paper›PMID 41381433›Full record

ArticleNature communications2025

Anti-neuraminidase and anti-HA stalk antibodies reduce the susceptibility to and infectivity of influenza A/H3N2 virus.

Gregory Hoy, Thomas Cortier, Hannah E Maier, Guillermina Kuan, Roger Lopez, Nery Sanchez, Sergio Ojeda, Miguel Plazaola, Daniel Stadlbauer, Abigail Shotwell and 4 more

Abstract read
In one paragraph

Article in Nature communications, 2025. 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. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Gregory Hoy *School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Thomas Cortier *Mathematical Modelling of Infectious Diseases Unit, Institut Pasteur, Université Paris Cité INSERM U1332, CNRS UMR2000, Paris, France.
Hannah E MaierSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0001-5761-0801
Guillermina KuanSustainable Sciences Institute, Managua, Nicaragua.
Roger LopezSustainable Sciences Institute, Managua, Nicaragua.
Nery SanchezSustainable Sciences Institute, Managua, Nicaragua.
Sergio OjedaSustainable Sciences Institute, Managua, Nicaragua.
Miguel PlazaolaSustainable Sciences Institute, Managua, Nicaragua.
Daniel StadlbauerDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Abigail ShotwellSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Angel BalmasedaSustainable Sciences Institute, Managua, Nicaragua.
Florian KrammerDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0003-4121-776X
Simon CauchemezMathematical Modelling of Infectious Diseases Unit, Institut Pasteur, Université Paris Cité INSERM U1332, CNRS UMR2000, Paris, France. simon.cauchemez@pasteur.fr.ORCID http://orcid.org/0000-0001-9186-4549
Aubree GordonSchool of Public Health, University of Michigan, Ann Arbor, MI, USA. gordonal@umich.edu.ORCID http://orcid.org/0000-0002-9352-7877

Funding

COLLABORATIVE INFLUENZA VACCINE INNOVATION CENTER: UNIVERSAL INFLUENZA VACCINE RESEARCH75N93019C00051 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KRAMMER, FLORIAN · 2019 to 2025
$105.4M
NIAID Centers of Excellence for Influenza Research and Response: Universal Influenza Vaccine Research Activities75N93021C00016 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WEBBY, RICHARD · 2021 to 2025
$91.4M
Flu Dynamics COVID-19 SupplementR01AI120997 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GORDON, AUBREE L · 2017 to 2021
$4.1M
NIAID NIH HHS 75N93019C00051NIAID NIH HHS 75N93021C00016NIAID NIH HHS HHSN272201400006CNIAID NIH HHS R01 AI120997
6 · The paper itself

Abstract

Immune responses against neuraminidase (NA) and hemagglutinin (HA) are critical for developing effective influenza vaccines, yet their role in influenza transmission remains unclear. We conducted household transmission studies in Managua, Nicaragua, to assess the impact of anti-NA and anti-HA antibodies induced by natural infection on influenza A/H3N2 susceptibility and infectivity. Using mathematical models capturing household transmission dynamics, we found that high pre-existing antibody levels against the HA head (>31, [95% CrI 13-67]), HA stalk (>35, [95% CrI 11-66]), and NA (>31, [95% CrI 12-68]) are associated with reduced susceptibility to infection (relative susceptibility: HA head, 0.63 [95% CrI 0.42-0.98]; HA stalk, 0.66 [95% CrI 0.44-0.99]; NA, 0.49 [95% CrI 0.30-0.76]). HA stalk (>58 [95% CrI: 47-70]) and NA (>27 [95% CrI: 15-43]) are associated with reduced infectivity (relative infectivity: NA, 0.55 [95% CrI: 0.32-0.98], HA stalk 0.53 [95% CrI: 0.27-0.97]). These findings suggest that influenza vaccines designed to elicit NA immunity in addition to HA immunity may not only enhance protection against infection but also reduce onward transmission.

Indexed as

Antibodies, ViralHemagglutinin Glycoproteins, Influenza VirusInfluenza A Virus, H3N2 SubtypeInfluenza, HumanNeuraminidaseAdultDisease SusceptibilityFemaleHumansInfluenza VaccinesMaleMiddle AgedAntibodies, ViralHemagglutinin Glycoproteins, Influenza VirusInfluenza VaccinesNeuraminidase

Identifiers

PMID41381433
PMCPMC12698684

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.