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Cited by 309

The DOI matches its Crossref record; 106 of the 106 references it cites were found in a registry or an index.

On Natural and Artificial Vaccinations

Zinkernagel, Rolf M.·2003·Annual Review of Immunology

Abstract

This review summarizes the general parameters of cell- and antibody-mediated immune protection and the basic mechanisms responsible for what we call immunological memory. From this basis, the various successes and difficulties of vaccines are evaluated with respect to the role of antigen in maintaining protective immunity. Based on the fact that in humans during the first 12–48 months maternal antibodies from milk and serum protect against classical acute childhood and other infections, the concept is developed that maternal antibodies attenuate most infections of babies and infants and turn them into effective vaccines. If this “natural vaccination” under passive protective conditions does not occur, acute childhood diseases may be severe, unless infants are actively vaccinated with conventional vaccines early enough, i.e., in synchronization with the immune system's maturation. Although vaccines are available against the classical childhood diseases, they are not available for many seemingly milder childhood infections such as gastrointestinal and respiratory infections; these may eventually trigger immunopathological diseases. These changing balances between humans and infections caused by changes in nursing habits but also in hygiene levels may well be involved in changing disease patterns including increased frequencies of certain autoimmune and degenerative diseases.

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Crossref · 10.1146/annurev.immunol.21.120601.141045

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Metadata

Authors
Zinkernagel, R. M.
Venue
Annual Review of Immunology
Published
2003-04
Volume
21
Issue
1
Pages
515-546
ISSN
  • 0732-0582 (ISSN-L)
  • 1545-3278
OpenAlex
W2117156406
Cited by
309
References
106
FWCI
1.31
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: On Natural and Artificial Vaccinations. https://app.cochat.ai/papers/10.1146/annurev.immunol.21.120601.141045
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Zinkernagel, R. M. (2003). On Natural and Artificial Vaccinations. Annual Review of Immunology. https://doi.org/10.1146/annurev.immunol.21.120601.141045

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.