Evidence map›Paper›PMID 29416317›Full record

SynthesisDrug design, development and therapy2018

The influence of prebiotic or probiotic supplementation on antibody titers after influenza vaccination: a systematic review and meta-analysis of randomized controlled trials.

Tzu-Lin Yeh, Pei-Ching Shih, Shu-Jung Liu, Chao-Hsu Lin, Jui-Ming Liu, Wei-Te Lei, Chien-Yu Lin

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Drug design, development and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05157425 (Efficacy and Safety of a Multistrain Probiotic Formula to Boost the Immune Response to Influenza Virus Vaccination), which is not on this map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
7.1field-weighted citation impact, top 2% of its field
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.

NCT05157425 nacompletednot on this mapstarted 2021, after this paper: background citation

Efficacy and Safety of a Multistrain Probiotic Formula to Boost the Immune Response to Influenza Virus Vaccination

TypeinterventionalSponsorAB Biotics, SARan2021 to 2022Enrolled140ConditionsInfluenza VaccineArmsFood Supplement, Placebo
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Trial
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  7. Review
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  9. Functional Food Ingredients Enhancing Immune Health.International journal of molecular sciences · 2025
    Review
  10. BMJ open · 2025
    Article
  11. Review
  12. How does geographical diversity shape vaccine efficacy?Clinical and experimental vaccine research · 2024
    Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
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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

7 authors at 2 institutions in 2 countries.

Tzu-Lin YehDepartment of Family Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu.
Pei-Ching ShihDepartment of Family Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu.
Shu-Jung LiuDepartment of Medical Library, MacKay Memorial Hospital, Tamsui Branch, New Taipei City.
Chao-Hsu LinDepartment of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu.
Jui-Ming LiuDepartment of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan.
Wei-Te Lei *Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu.
Chien-Yu Lin *Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu.
Mackay Memorial Hospital · TWMinistry of Health and Welfare · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfluenza infection is a common disease with a huge disease burden. Influenza vaccination has been widely used, but concerns regarding vaccine efficacy exist, especially in the elderly. Probiotics are live microorganisms with immunomodulatory effects and may enhance the immune responses to influenza vaccination.

methodsWe conducted a systematic review and meta-analysis to determine the influence of prebiotics/probiotics/synbiotics supplementation on vaccine responses to influenza vaccination. Studies were systematically identified from electronic databases up to July 2017. Information regarding study population, influenza vaccination, components of supplements, and immune responses were extracted and analyzed. Twelve studies, investigating a total of 688 participants, were included in this review.

resultsPatients with prebiotics/probiotics supplements were found to have higher influenza hemagglutination inhibition antibody titers after vaccination (for A/H1N1, 42.89 vs 35.76, mean difference =7.14, 95% CI =2.73, 11.55,

conclusionSupplementation with prebiotics or probiotics may enhance the influenza hemagglutination inhibition antibody titers in all A/H1N1, A/H3N2, and B strains (20%, 19.5%, and 13.6% increases, respectively). Concomitant prebiotics or probiotics supplementation with influenza vaccination may hold great promise for improving vaccine efficacy. However, high heterogeneity was observed and further studies are warranted.

Indexed as

PrebioticsProbioticsAntibodies, ViralAntibody FormationDietary SupplementsHumansInfluenza, HumanInfluenza VaccinesRandomized Controlled Trials as TopicAntibodies, ViralInfluenza VaccinesPrebioticsantibody titerimmune responseinfluenzainfluenza vaccineprebioticsprobioticssynbiotics

Identifiers

PMID29416317
PMCPMC5790137
OpenAlexW2790466811

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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 Socratic graph.