Evidence map›Paper›PMID 17371854›Full record

ArticleInfection and immunity2007

Transcutaneous immunization with Clostridium difficile toxoid A induces systemic and mucosal immune responses and toxin A-neutralizing antibodies in mice.

Chandrabali Ghose, Anuj Kalsy, Alaullah Sheikh, Julianne Rollenhagen, Manohar John, John Young, Sean M Rollins, Firdausi Qadri, Stephen B Calderwood, Ciaran P Kelly and 1 more

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

28 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. Major pathogenicIranian journal of basic medical sciences · 2022
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Antibodies for treatment of Clostridium difficile infection.Clinical and vaccine immunology : CVI · 2014
    Review
  9. Article
  10. Article
  11. Review
  12. Vaccines against Clostridium difficile.Human vaccines & immunotherapeutics · 2014
    Review
  13. Review
  14. Article
  15. Article
  16. The host immune response to Clostridium difficile infection.Therapeutic advances in infectious disease · 2013
    Review
  17. Transcutaneous vaccination via laser microporation.Journal of controlled release : official journal of the Controlled Release Society · 2012
    Article
  18. Article
  19. Article
  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

11 authors at 3 institutions in 2 countries.

Chandrabali GhoseDivision of Infectious Diseases, Massachusetts General Hospital, Jackson 504, 55 Fruit Street, Boston, MA 02114, USA. etryan@partners.org
Anuj Kalsy
Alaullah Sheikh
Julianne Rollenhagen
Manohar John
John Young
Sean M Rollins
Firdausi Qadri
Stephen B Calderwood
Ciaran P Kelly
Edward T Ryan
Harvard University · USMassachusetts General Hospital · USInternational Centre for Diarrhoeal Disease Research · BD

Funding

Treatments for Nipah Virus InfectionU54AI057159 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI CUNNINGHAM, JAMES · 2003 to 2013
$113.7M
Training program in vaccine development and public healthD43TW005572 · FIC · MASSACHUSETTS GENERAL HOSPITAL · PI QADRI, FIRDAUSI, RYAN, EDWARD T. · 2000 to 2025
$5.4M
Mucosal Immunity to Antigens Expressed by V.choleraeR01AI040725 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RYAN, EDWARD T. · 1997 to 2006
$2.5M
Immune Response to Clostridium difficileR01AI053069 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KELLY, CIARAN P · 2004 to 2008
$1.7M
FIC NIH HHS D43 TW005572FIC NIH HHS D43 TW 05572NIAID NIH HHS AI 40725NIAID NIH HHS AI 53069NIAID NIH HHS R01 AI040725NIAID NIH HHS R01 AI053069NIAID NIH HHS U54 AI 057159NIAID NIH HHS U54 AI057159
6 · The paper itself

Abstract

Clostridium difficile is the leading cause of nosocomial infectious diarrhea. C. difficile produces two toxins (A and B), and systemic and mucosal anti-toxin A antibodies prevent or limit C. difficile-associated diarrhea. To evaluate whether transcutaneous immunization with formalin-treated C. difficile toxin A (CDA) induces systemic and mucosal anti-CDA immune responses, we transcutaneously immunized three cohorts of mice with CDA with or without immunoadjuvantative cholera toxin (CT) on days 0, 14, 28, and 42. Mice transcutaneously immunized with CDA and CT developed prominent anti-CDA and anti-CT immunoglobulin G (IgG) and IgA responses in serum and anti-CDA and anti-CT IgA responses in stool. Sera from immunized mice were able to neutralize C. difficile toxin A activity in an in vitro cell culture assay. CDA itself demonstrated adjuvant activity and enhanced both serum and stool anti-CT IgA responses. Our results suggest that transcutaneous immunization with CDA toxoid may be a feasible immunization strategy against C. difficile, an important cause of morbidity and mortality against which current preventative strategies are failing.

Indexed as

Immunity, MucosalAdministration, CutaneousAnimalsAntibodies, BacterialBacterial ToxinsClostridioides difficileEnterotoxinsImmunizationMiceMucous MembraneNeutralization TestsToxoidsAntibodies, BacterialBacterial ToxinsEnterotoxinstcdA protein, Clostridium difficileToxoids

Identifiers

PMID17371854
PMCPMC1932889
OpenAlexW2163758302

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.