Measles, mumps, and rubella (MMR) vaccine and COVID-19: a systematic review

Moslem Taheri Soodejani1, Moslem Basti1, Seyyed Mohammad Tabatabaei2

  • 1Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences Yazd, Iran.

Insights

This systematic review explored the measles, mumps, and rubella (MMR) vaccine

Area of Science:

  • Immunology
  • Vaccinology
  • Infectious Diseases

Background:

  • The COVID-19 pandemic prompted investigation into potential protective effects of existing vaccines.
  • The measles, mumps, and rubella (MMR) vaccine, targeting common respiratory pathogens, was considered for its potential impact on SARS-CoV-2 infection.

Purpose of the Study:

  • To systematically review and synthesize published literature on the association between the MMR vaccine and COVID-19.
  • To identify studies investigating any potential link, hypothesis, or effect of the MMR vaccine on COVID-19 severity or outcomes.

Main Methods:

  • A systematic literature search was conducted across major databases (Cochrane, PubMed, Scopus, Web of Science) and key journals/organizations (Lancet, NEJM, JAMA, CDC).
  • Included studies were screened for relevance to the MMR vaccine and COVID-19 association, with a focus on reported associations, hypotheses, and empirical findings.

Main Results:

  • Out of 169 documents, 56 were related to the MMR vaccine and COVID-19; 11 mentioned an association, and 8 proposed hypotheses.
  • A quasi-trial suggested the MMR vaccine may reduce COVID-19 symptom severity.
  • Studies indicated associations between mumps/rubella immunoglobulin G (IgG) levels and COVID-19, and genomic analysis suggested Rubella IgG's effect.

Conclusions:

  • Preliminary evidence suggests a potential positive effect of the MMR vaccine on COVID-19 severity.
  • Further in-depth investigation is warranted due to the etiological similarities between measles, mumps, rubella, and COVID-19.
  • The role of the MMR vaccine in managing COVID-19 requires more rigorous research.