Evidence map›Paper›PMID 41677158›Full record

ArticleEuropean journal of immunology2026

Multi-Omics Analysis Reveals Sex-Specific Signatures for BCG Vaccine Efficacy.

Qiuyao Zhan, Liang Zhou, Jianbo Fu, Xun Jiang, Xuan Liu, Wenchao Li, Simone J C F M Moorlag, Valerie A C M Koeken, L Charlotte J de Bree, Vera P Mourits and 4 more

Abstract read
In one paragraph

Article in European journal of immunology, 2026. 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

14 authors.

Qiuyao ZhanCentre For Individualised Infection Medicine (CiiM), a Joint Venture Between the Helmholtz Centre For Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany.ORCID 0009-0007-7928-9300
Liang ZhouCentre For Individualised Infection Medicine (CiiM), a Joint Venture Between the Helmholtz Centre For Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany.
Jianbo FuCentre For Individualised Infection Medicine (CiiM), a Joint Venture Between the Helmholtz Centre For Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany.
Xun JiangCentre For Individualised Infection Medicine (CiiM), a Joint Venture Between the Helmholtz Centre For Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany.
Xuan LiuCentre For Individualised Infection Medicine (CiiM), a Joint Venture Between the Helmholtz Centre For Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany.
Wenchao LiCentre For Individualised Infection Medicine (CiiM), a Joint Venture Between the Helmholtz Centre For Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany.
Simone J C F M MoorlagDepartment of Internal Medicine and Radboud Community For Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Valerie A C M KoekenDepartment of Internal Medicine and Radboud Community For Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
L Charlotte J de BreeDepartment of Internal Medicine and Radboud Community For Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Vera P MouritsDepartment of Internal Medicine and Radboud Community For Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Leo A B JoostenDepartment of Internal Medicine and Radboud Community For Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Yang LiCentre For Individualised Infection Medicine (CiiM), a Joint Venture Between the Helmholtz Centre For Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany.
Mihai G NeteaDepartment of Internal Medicine and Radboud Community For Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Cheng-Jian XuCentre For Individualised Infection Medicine (CiiM), a Joint Venture Between the Helmholtz Centre For Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany.

Funding

Deutsche Forschungsgemeinschaft (DFG) Fund 497673685ERC Advanced 833247ERC Starting 948207Lower Saxony MWK Sprung Fund 19777006
6 · The paper itself

Abstract

Vaccines are a cornerstone of global public health, but their efficacy can vary significantly among individuals. Bacille Calmette-Guérin (BCG) vaccine against tuberculosis is one of the most used vaccines, and its efficacy is influenced by numerous factors, including sex, age, and geographical location. Systematic investigations using large-scale multi-omics analyses to dissect sex-specific determinants of vaccine efficacy remain limited. To better understand this variability and improve vaccine efficacy, we analyzed multi-omics data from a cohort of 321 healthy individuals vaccinated with BCG, integrating immune cell frequencies, single-cell RNA sequencing, plasma proteins, metabolites, and DNA methylation profiles. Our findings revealed significant sex-specific differences in immune pathways that contribute to BCG efficacy. In males, pre-vaccination signatures were associated with a stronger pro-inflammatory response, highlighting the importance of an innate-driven immune response, while females exhibited enhanced antigen presentation pathways and adaptive immune responses. This study underscores the need for understanding individual baseline immune status in relation to biological sex, an approach that could represent a promising path to optimizing vaccine effectiveness.

Indexed as

BCG VaccineTuberculosisVaccine EfficacyAdaptive ImmunityDNA MethylationFemaleHumansImmunity, InnateMaleMultiomicsSex FactorsVaccinationBCG Vaccinebaseline immune statusBCG vaccine efficacymulti‐omicssex‐specificsystems immunology

Identifiers

PMID41677158
PMCPMC12896084

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.