Evidence map›Paper›PMID 42684715›Full record

ArticleThe Journal of experimental medicine2026

Serotype skewing and immune imprinting shape response to the tetravalent dengue virus Qdenga vaccine.

Luciana Conde, Valter Monteiro, Joao C R Freitas, Jameson Crandell, Lauren Lawres, Fernanda Tana, Mallery I Breban, Fahima Akther, Jordan Polster, Abigail Porzucek and 9 more

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Article in The Journal of experimental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Luciana Conde *Department of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-0552-4730
Valter Monteiro *Department of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0003-1785-6713
Joao C R Freitas *Instituto de Microbiologia, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil.ORCID 0000-0001-7247-0886
Jameson CrandellDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0003-2265-6548
Lauren LawresDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-4382-8655
Fernanda TanaDepartamento de Fisiologia e Biofísica, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0002-4692-0836
Mallery I BrebanDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.ORCID 0000-0002-8976-9988
Fahima AktherDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-1916-2785
Jordan PolsterDepartment of Microbiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0009-0000-4038-6540
Abigail PorzucekDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.ORCID 0009-0002-5811-5727
Tauyne M RamiroLaboratório de Pesquisas em Virologia, Departamento de Doenças dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, Brazil.ORCID 0009-0007-8656-2678
Ana B de OliveiraLaboratório de Pesquisas em Virologia, Departamento de Doenças dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, Brazil.
Mauricio L NogueiraLaboratório de Pesquisas em Virologia, Departamento de Doenças dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, Brazil.ORCID 0000-0003-1102-2419
David R MartinezDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-2940-8961
Nathan D GrubaughDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.ORCID 0000-0003-2031-1933
Pedro R J AlmeidaDepartamento de Fisiologia e Biofísica, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0003-0708-7797
Daniela WeiskopfCenter for Vaccine Innovation, La Jolla Institute for Immunology (LJI) , La Jolla, CA, USA.ORCID 0000-0003-2968-7371
Mauro M TeixeiraDepartamento de Fisiologia e Biofísica, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0002-6944-3008
Carolina LucasDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0003-4590-2756

Funding

T Cell Responses Following DENV Natural Infections and Live-Attenuated Dengue Virus VaccinationP01AI106695 · NIAID · UNIVERSITY OF CALIFORNIA BERKELEY · PI Eva Harris · 2015 to 2026
$34.1M
Qdenga Vaccine: Assessment of immunogenicity in a longitudinal cohort studyR21AI197057 · NIAID · YALE UNIVERSITY · PI Carolina Lucas · 2026 to 2026
$252k
Conselho Nacional de Desenvolvimento Científico e Tecnológico 444164/2024/3National Institute of Allergy and Infectious DiseasesNational Institute of Science and Technology in Dengue and Host-Pathogens Interactions 408527/2024-2NIAID NIH HHS R21 AI197057NIH HHS P01AI106695NIH HHS R21AI197057Stavros Niarchos FoundationYale Claude D. Pepper Older Americans Independence Center P30AG021342
6 · The paper itself

Abstract

Dengue causes over 390 million annual infections globally. Qdenga (TAK-003), the only widely available dengue vaccine, has an incompletely defined immunological profile. We performed longitudinal immunological profiling of 110 adults from a dengue-endemic region, including older adults (≥65 years), to assess the effects of immune imprinting and vaccine design on humoral and cellular immunity. Qdenga elicited B and T cell activation across groups but generated serostatus-dependent, serotype-skewed antibody responses. Only 8% of DENV-naïve individuals developed tetravalent neutralizing responses, whereas one-third responded to a single serotype, predominantly DENV-2, the vaccine backbone. DENV-exposed individuals mounted broader responses shaped by preexisting immunity, yet DENV-4 neutralization remained consistently poor. Neutralizing antibody titers plateaued after the first dose, with no increase following the second. These findings clarify why balanced tetravalent immunity is rarely achieved with Qdenga and demonstrate that both immune imprinting and vaccine backbone limit the breadth and magnitude of the responses. This has important implications for deployment, long-term protection in naive populations, and DENV-4-targeted boosters.

Indexed as

DengueDengue VaccinesDengue VirusAgedAntibodies, NeutralizingAntibodies, ViralB-LymphocytesFemaleHumansImmunity, CellularImmunity, HumoralMaleSerogroupT-LymphocytesAntibodies, NeutralizingAntibodies, ViralDengue Vaccines

Identifiers

PMID42684715

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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.