Evidence map›Paper›PMID 21040693›Full record

ArticleVaccine2010

Effects of maternal and infant co-infections, and of maternal immunisation, on the infant response to BCG and tetanus immunisation.

Alison M Elliott, Patrice A Mawa, Emily L Webb, Margaret Nampijja, Nancy Lyadda, Joseph Bukusuba, Moses Kizza, Proscovia B Namujju, Juliet Nabulime, Juliet Ndibazza and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 12% 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
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  4. The Efficacy of Doxycycline Treatment onThe American journal of tropical medicine and hygiene · 2019
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  13. Large-scale production ofFrontiers in tropical diseases · 2024
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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

12 authors at 4 institutions in 2 countries.

Alison M ElliottMRC/UVRI Uganda Research Unit on AIDS, P.O. Box 49, Entebbe, Uganda. alison.tom@infocom.co.ug
Patrice A Mawa
Emily L Webb
Margaret Nampijja
Nancy Lyadda
Joseph Bukusuba
Moses Kizza
Proscovia B Namujju
Juliet Nabulime
Juliet Ndibazza
Moses Muwanga
James A G Whitworth
Uganda Virus Research Institute · UGMinistry of Agriculture, Animal Industry and Fisheries · UGLondon School of Hygiene & Tropical Medicine · GBUniversity of London · GB

Funding

TUBERCULOSIS RESEARCH MATERIALSN01AI025147 · NIAID · COLORADO STATE UNIVERSITY-FORT COLLINS · PI BRENNAN, PATRICK JOSEPH · 1992 to 1997
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Medical Research Council G0700837NIAID NIH HHS N0I-AI-25147Wellcome Trust 064693Wellcome Trust 079110
6 · The paper itself

Abstract

Some vaccines show poor efficacy in tropical countries. Within a birth cohort in Uganda, we investigated factors that might influence responses to BCG and tetanus immunisation. Whole blood assay responses to crude culture filtrate proteins of Mycobacterium tuberculosis (cCFP)) and tetanus toxoid (TT) were examined among 1506 and 1433 one-year-olds, respectively. Maternal Mansonella perstans infection was associated with higher interleukin (IL)-10 responses to both immunogens but no reduction in gamma interferon (IFN-γ), IL-5 and IL-13 responses; other maternal helminth infections showed little effect. Tetanus immunisation during pregnancy was associated with higher infant responses to TT; maternal BCG scar (from past immunisation) with lower infant IL-5 and IL-13 responses to cCFP. IFN-γ, IL-5 and IL-13 to TT were reduced in HIV-exposed-uninfected infants; infant malaria and HIV were associated with lower IFN-γ, IL-5 and IL-13 responses to both immunogens. We conclude that maternal helminth infections are unlikely to explain poor vaccine efficacy in the tropics. Effects of maternal immunisation on infant responses to vaccines should be explored. Prevention of infant malaria and HIV could contribute to effectiveness of immunisation programmes.

Indexed as

AdultAntibodies, BacterialBCG VaccineCohort StudiesCytokinesFemaleHIV InfectionsHumansInfantInfant, NewbornLymphocytesMalariaMaleMansonelliasisMycobacterium tuberculosisPregnancyAntibodies, BacterialBCG VaccineCytokinesTetanus Toxoid

Identifiers

PMID21040693
PMCPMC3021124
OpenAlexW2071121025

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.