Evidence map›Paper›PMID 12782709›Full record

ArticleThe Journal of experimental medicine2003

Vaccine immunity to pathogenic fungi overcomes the requirement for CD4 help in exogenous antigen presentation to CD8+ T cells: implications for vaccine development in immune-deficient hosts.

Marcel Wuthrich, Hanna I Filutowicz, Tom Warner, George S Deepe, Bruce S Klein

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

83 citing papers in PubMed, 178 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Fungal immunization potentiates CD4Frontiers in immunology · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Comparative Genomics ofJournal of fungi (Basel, Switzerland) · 2023
    Article
  12. Review
  13. GM-CSFCell reports · 2022
    Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Effects ofPeerJ · 2019
    Article
  20. The Rise ofFrontiers in immunology · 2019
    Review

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Marcel WuthrichDepartment of Pediatrics, University of Wisconsin Medical School, University of Wisconsin Hospital and Clinics, Madison, WI 53792, USA.
Hanna I Filutowicz
Tom Warner
George S Deepe
Bruce S Klein
UW Health University Hospital · USUniversity of Cincinnati Medical Center · US

Funding

PROTECTIVE IMMUNE RESPONSES TO BLASTOMYCES DERMATITIDISR01AI040996 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI KLEIN, BRUCE STEVEN, WUETHRICH, MARCEL · 1997 to 2023
$10.4M
Molecular Pathogenesis of BlastomycosisR37AI035681 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI BRUCE Steven KLEIN · 2004 to 2026
$6.9M
MOLECULAR PATHOGENESIS OF BLASTOMYCOSISR01AI035681 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI KLEIN, BRUCE STEVEN · 1995 to 2019
$3.9M
PROTECTIVE ANTIGENS FROM HISTOPLASMA CAPSULATUMR01AI034361 · NIAID · UNIVERSITY OF CINCINNATI · PI DEEPE, GEORGE S. · 1993 to 2007
$2.5M
T CELL RECEPTOR USAGE IN PULMONARY HISTOPLASMOSISR37AI042747 · NIAID · UNIVERSITY OF CINCINNATI · PI DEEPE, GEORGE S. · 1997 to 2006
$2.2M
NIAID NIH HHS AI34361NIAID NIH HHS AI35681NIAID NIH HHS AI40996NIAID NIH HHS AI42747NIAID NIH HHS R01 AI034361NIAID NIH HHS R01 AI035681NIAID NIH HHS R01 AI040996NIAID NIH HHS R37 AI035681
6 · The paper itself

Abstract

Systemic fungal infections with primary and opportunistic pathogens have become increasingly common and represent a growing health menace in patients with AIDS and other immune deficiencies. T lymphocyte immunity, in particular the CD4+ Th 1 cells, is considered the main defense against these pathogens, and their absence is associated with increased susceptibility. It would seem illogical then to propose vaccinating these vulnerable patients against fungal infections. We report here that CD4+ T cells are dispensable for vaccine-induced resistance against experimental fungal pulmonary infections with two agents, Blastomyces dermatitidis an extracellular pathogen, and Histoplasma capsulatum a facultative intracellular pathogen. In the absence of T helper cells, exogenous fungal antigens activated memory CD8+ cells in a major histocompatibility complex class I-restricted manner and CD8+ T cell-derived cytokines tumor necrosis factor alpha, interferon gamma, and granulocyte/macrophage colony-stimulating factor-mediated durable vaccine immunity. CD8+ T cells could also rely on alternate mechanisms for robust vaccine immunity, in the absence of some of these factors. Our results demonstrate an unexpected plasticity of immunity in compromised hosts at both the cellular and molecular level and point to the feasibility of developing vaccines against invasive fungal infections in patients with severe immune deficiencies, including those with few or no CD4+ T cells.

Indexed as

AnimalsAntigen PresentationBlastomycesBlastomycosisCD4 AntigensCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFungal VaccinesGranulocyte-Macrophage Colony-Stimulating FactorHistocompatibility Antigens Class IHistoplasmaHistoplasmosisInterferon-gammaLungLung Diseases, FungalMiceCD4 AntigensFungal VaccinesGranulocyte-Macrophage Colony-Stimulating FactorHistocompatibility Antigens Class IInterferon-gammaTumor Necrosis Factor-alpha

Identifiers

PMID12782709
PMCPMC2193905
OpenAlexW2170807815

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.