Evidence map›Paper›PMID 10496886›Full record

ArticleInfection and immunity1999

Local and systemic neutralizing antibody responses induced by intranasal immunization with the nontoxic binding domain of toxin A from Clostridium difficile.

S J Ward, G Douce, G Dougan, B W Wren

Open access · bronzeAbstract read
In one paragraph

Article in Infection and immunity, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

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

22 citing papers in PubMed, 45 citations in OpenAlex.

  1. Major pathogenicIranian journal of basic medical sciences · 2022
    Review
  2. Frontiers in antibiotic alternatives forWorld journal of gastroenterology · 2021
    Article
  3. Article
  4. Article
  5. Antibodies for treatment of Clostridium difficile infection.Clinical and vaccine immunology : CVI · 2014
    Review
  6. Article
  7. Vaccines against Clostridium difficile.Human vaccines & immunotherapeutics · 2014
    Review
  8. Article
  9. Article
  10. The host immune response to Clostridium difficile infection.Therapeutic advances in infectious disease · 2013
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Update on Clostridium difficile infection.Current gastroenterology reports · 2000
    Review
  20. Article
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

4 authors at 2 institutions in 1 country.

S J WardMicrobial Pathogenicity Research Group, Department of Microbiology, St. Bartholomew's and the Royal London School of Medicine and Dentistry, West Smithfield, London ECIA 7BE, United Kingdom.
G Douce
G Dougan
B W Wren
Imperial College London · GBSt Bartholomew's Hospital · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Fourteen of the 38 C-terminal repeats from Clostridium difficile toxin A (14CDTA) were cloned and expressed either with an N-terminal polyhistidine tag (14CDTA-HIS) or fused to the nontoxic binding domain from tetanus toxin (14CDTA-TETC). The recombinant proteins were successfully purified by bovine thyroglobulin affinity chromatography. Both C. difficile toxin A fusion proteins bound to known toxin A ligands present on the surface of rabbit erythrocytes. Intranasal immunization of BALB/c mice with three separate 10-microg doses of 14CDTA-HIS or -TETC generated significant levels of anti-toxin A serum antibodies compared to control animals. The coadministration of the mucosal adjuvant heat labile toxin (LT) from Escherichia coli (1 microg) significantly increased the anti-toxin A response in the serum and at the mucosal surface. Importantly, the local and systemic antibodies generated neutralized toxin A cytotoxicity. Impressive systemic and mucosal anti-toxin A responses were also seen following coadministration of 14CDTA-TETC with LTR72, an LT derivative with reduced toxicity which shows potential as a mucosal adjuvant for humans.

Indexed as

Bacterial ToxinsAdministration, IntranasalAnimalsAntibodies, BacterialCHO CellsClostridioides difficileCricetinaeEnterotoxinsFemaleHemagglutinationImmunizationImmunoglobulin A, SecretoryMiceMice, Inbred BALB CPeptide FragmentsRabbitsAntibodies, BacterialBacterial ToxinsEnterotoxinsImmunoglobulin A, SecretoryPeptide FragmentsRecombinant ProteinstcdA protein, Clostridium difficileTetanus Toxin

Identifiers

PMID10496886
PMCPMC96861
OpenAlexW2108819576

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.