Evidence map›Paper›PMID 40949320›Full record

ArticleClinical & translational immunology2025

Long-term effects of influenza and Bacille Calmette-Guérin vaccination on systemic inflammation.

Priya A Debisarun, Rutger J Röring, Özlem Bulut, Thijs Ten Doesschate, Thomas W van der Vaart, Vinod Kumar, Helga Lemmers, Heidi Dijkstra, Axel B Janssen, Karin Veerman and 8 more

Abstract read
In one paragraph

Article in Clinical & translational immunology, 2025. 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. Review
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

18 authors.

Priya A DebisarunDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.ORCID https://orcid.org/0000-0003-3171-3903
Rutger J RöringDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.
Özlem BulutDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.
Thijs Ten DoesschateJulius Center for Health Sciences and Primary Care University Medical Center Utrecht, University of Utrecht Utrecht The Netherlands.
Thomas W van der VaartJulius Center for Health Sciences and Primary Care University Medical Center Utrecht, University of Utrecht Utrecht The Netherlands.
Vinod KumarDepartment of Genetics University Medical Center Groningen Groningen The Netherlands.
Helga LemmersDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.
Heidi DijkstraDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.
Axel B JanssenDepartment of Medical Microbiology University Medical Center Utrecht, University of Utrecht Utrecht The Netherlands.
Karin VeermanDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.
Rob Ter HeineDepartment of Pharmacy, Research Institute for Medical Innovation Radboud University Medical Center Nijmegen The Netherlands.
Reinout van CrevelDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.
Jaap Ten OeverDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.
Leo Ab JoostenDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.
Marc J BontenJulius Center for Health Sciences and Primary Care University Medical Center Utrecht, University of Utrecht Utrecht The Netherlands.
Cornelis H van WerkhovenJulius Center for Health Sciences and Primary Care University Medical Center Utrecht, University of Utrecht Utrecht The Netherlands.
Janneke Hhm van de WijgertJulius Center for Health Sciences and Primary Care University Medical Center Utrecht, University of Utrecht Utrecht The Netherlands.
Mihai G NeteaDepartment of Medicine and Radboud Center for Infectious Diseases Radboud University Medical Center Nijmegen The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Chronic systemic inflammation can lead to metabolic, cardiovascular and neurodegenerative complications, but the factors influencing it are incompletely understood. In this study, we evaluated several factors, including Bacille Calmette-Guérin (BCG) and influenza vaccination, SARS-CoV-2 infection and sex, that may impact systemic inflammation as assessed by targeted inflammatory plasma proteome analysis in healthy individuals. Methods: Participants were randomised to BCG or placebo vaccination at the start of the Dutch SARS-CoV-2 epidemic in March/April 2020. They reported their influenza vaccination status for the most recent influenza season. Twelve weeks after BCG or placebo vaccination, we assessed relative concentrations of 69 proteins in plasma of 357 individuals. Results: Both BCG and quadrivalent influenza vaccination were associated with overall trends towards reduced systemic inflammation in both sexes, but with a more pronounced effect in men. However, the impact on specific immunological proteins varied between BCG and influenza vaccinations. SARS-CoV-2 infection in the 12 weeks between randomisation and plasma sampling was also associated with overall trends towards reduced systemic inflammation, reaching significance for CXCL10 and TNF concentrations. Notably, individuals who had received BCG vaccination prior to SARS-CoV-2 infection did not exhibit this protein profile. Furthermore, elevated CXCL11 and OPG concentrations at 12 weeks were associated with subsequent respiratory symptoms during the additional 9 months of follow-up. Conclusions: Our study revealed distinctive alterations in the plasma inflammation proteome associated with BCG vaccination, influenza vaccination, SARS-CoV-2 infection and sex. These findings are exploratory and hypothesis-generating and warrant further investigation in well-controlled longitudinal cohort studies.

Indexed as

Bacille Calmette–Guérininflammatory biomarkersinfluenza vaccinelow‐grade inflammationSARS‐CoV‐2trained immunity

Identifiers

PMID40949320
PMCPMC12423592

What Socratic 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 Socratic graph.