Evidence map›Paper›PMID 41570068›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Type I IFN autoantibodies underlie chikungunya live-attenuated vaccine encephalitis.

Adrian Gervais, Paul Bastard, Qian Zhang, Marie-Christine Jaffar-Bandjee, Lucy Bizien, Lotfi Dahmane, Marie-Pierre Moiton, Julien Jabot, Radj Cally, Alexis Maillard and 12 more

Abstract readCase Reports
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Autoantibodies neutralizing type I interferons underlie a third of cases of Chikungunya virus encephalitis or myelitis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. High risk of hypoxemic COVID-19 pneumonia in myasthenia gravis patients with type I IFN autoantibodies.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Article
  6. Five Hot Topics in Tropical Medicine: 2025.Infectious disease reports · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. 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

22 authors.

Adrian GervaisLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.
Paul BastardLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.ORCID 0000-0002-5926-8437
Qian ZhangLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.ORCID 0000-0002-9040-3289
Marie-Christine Jaffar-BandjeeAssociated National Reference Center for Arboviruses, Centre Hospitalier Universitaire-Réunion, Saint-Denis, La Réunion 97400, France.
Lucy BizienLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.
Lotfi DahmaneService de Maladies infectieuses, Centre Hospitalier Universitaire Félix Guyon, Saint-Denis, La Réunion 97400, France.
Marie-Pierre MoitonService de Maladies infectieuses, Centre Hospitalier Universitaire Félix Guyon, Saint-Denis, La Réunion 97400, France.
Julien JabotIntensive Care Unit, Centre Hospitalier Universitaire, Saint-Denis, La Réunion 97400, France.
Radj CallyDepartment of Intensive Care Medicine, Felix Guyon University Hospital, Saint-Denis, La Reunion 97400, France.
Alexis MaillardLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.
Etienne FrumenceAssociated National Reference Center for Arboviruses, Centre Hospitalier Universitaire-Réunion, Saint-Denis, La Réunion 97400, France.
Xavier de LamballerieUnité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, Institut de recherche pour le developpement 190, Inserm 1207, Institut de recherche biomédicale des armées), Marseille 13385, France.
Yazdan YazdanpanahDepartment of Infectious Diseases, Bichat-Claude Bernard Hospital, Paris 75018, France.
Jérémie RosainLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.
Aurélie CobatLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.ORCID 0000-0001-7209-6257
Laurent AbelLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.
Anne PuelLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.ORCID 0000-0003-2603-0323
Cyril FerdynusCentre for Clinical Investigation Clinical Epidemiology (INSERM CIC 1410), Centre Hospitalier Universitaire de La Réunion, Saint Pierre, La Reunion 97410, France.
Émilie Mosnier *Service de Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de La Réunion Sites Sud, Saint Pierre, La Réunion 97448, France.
Patrick Gérardin *Centre for Clinical Investigation Clinical Epidemiology (INSERM CIC 1410), Centre Hospitalier Universitaire de La Réunion, Saint Pierre, La Reunion 97410, France.
Shen-Ying Zhang *Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.
Jean-Laurent Casanova *Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris 75015, France.ORCID 0000-0002-7782-4169

Funding

Developing, Demonstrating, and Disseminating Innovative Programs to Achieve Translational SuccessUL1TR001866 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY, KRUEGER, JAMES G · 2016 to 2025
$40.6M
Inborn errors of immunity in patients with life-threatening COVID-19R01AI163029 · NIAID · ROCKEFELLER UNIVERSITY · PI CASANOVA, JEAN-LAURENT, ZHANG, QIAN · 2021 to 2025
$3.7M
Agence Nationale de la Recherche (ANR) ANR-10-IAHU-01Agence Nationale de la Recherche (ANR) ANR-10-LABX-62-01Agence Nationale de la Recherche (ANR) ANR-10-LABX-62-IBEIDAgence Nationale de la Recherche (ANR) ANR-20-CE93-003Agence Nationale de la Recherche (ANR) ANR-22-CE15-0046Agence Nationale de Recherches sur le Sida et les Hépatites Virales (ANRS) ANRS0629Agence Nationale de Recherches sur le Sida et les Hépatites Virales (ANRS) ANRS-23-PEPR-MIE-0007EC | HORIZON EUROPE Framework Programme (Horizon Europe) 21-RHUS-0008EC | HORIZON EUROPE Framework Programme (Horizon Europe) GA 101191725Fondation pour la Recherche Médicale (FRM) EA20170638020Fondation pour la Recherche Médicale (FRM) EQU202503020018French Ministry of Higher Education, Research and Innovation MESRI-COVID-19HHMI (HHMI) n/aHHS | NIH | National Center for Advancing Translational Sciences (NCATS) UL1TR001866HHS | NIH (NIH) R01AI163029NCATS NIH HHS UL1 TR001866NIAID NIH HHS R01 AI163029Stavros Niarchos Foundation (SNF) n/a
6 · The paper itself

Abstract

Human autoantibodies neutralizing type I interferons (IFNs) have emerged as strong, common, and global determinants of a growing number of severe viral diseases, including hypoxemic viral pneumonia, arboviral encephalitis, and adverse reaction to the live-attenuated yellow fever virus (YFV) vaccine. Chikungunya virus (CHIKV) is a growing global health concern that the live-attenuated vaccine VLA1553 (IXCHIQ®) was developed to address. In 2025, five unrelated adults (aged 82 to 88) on the island of La Réunion (France) developed severe reactions postvaccination; two died. The three patients with encephalitis (aged 84 to 85), including one lethal case, had immunoglobulin G autoantibodies in the blood neutralizing high concentrations of both IFN-α and -ω on admission. An 82-y-old survived rhabdomyolysis without encephalitis, and an 88-y-old died during hospitalization following CHIKV infection despite late vaccination; both lacked autoantibodies against type I IFNs. Autoantibodies neutralizing type I IFNs underlie all three cases of live-attenuated CHIKV vaccine encephalitis studied. Individuals with autoantibodies neutralizing type I IFNs should not be inoculated with live-attenuated YFV and CHIKV vaccines.

Indexed as

AutoantibodiesChikungunya FeverChikungunya virusEncephalitis, ViralInterferon Type IViral VaccinesAged, 80 and overAntibodies, NeutralizingAntibodies, ViralFemaleHumansMaleVaccines, AttenuatedAntibodies, NeutralizingAntibodies, ViralAutoantibodiesInterferon Type IVaccines, AttenuatedViral Vaccineschikungunya vaccine encephalitishuman autoantibodieslive-attenuated vaccinestype I interferons

Identifiers

PMID41570068
PMCPMC12846812

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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.