Evidence map›Paper›PMID 22457293›Full record

Trial reportThe Journal of infectious diseases2012

Pneumococcal conjugate and plain polysaccharide vaccines have divergent effects on antigen-specific B cells.

Elizabeth A Clutterbuck, Rajeka Lazarus, Ly-Mee Yu, Jaclyn Bowman, Elizabeth A L Bateman, Linda Diggle, Brian Angus, Tim E Peto, Peter C Beverley, David Mant and 1 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IVComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02357823 (Long Term Serological Response and Memory Cells Role After Different Pneumococcal Vaccine Strategies in HIV Adults), which is not on this map. Cited by 132 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 3 pooled it
17.7field-weighted citation impact, top 1% 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.

NCT02357823 withdrawnnot on this mapstarted 2015, after this paper: background citation

Long Term Serological Response and Memory Cells Role After Different Pneumococcal Vaccine Strategies in HIV Adults

TypeobservationalSponsorUniversity of SienaRan2015 to 2017Enrolled0ConditionsHIV, Pneumococcal InfectionsArmsEvaluation of immunological response, Nasopharyngeal swabs analysis
3 · Its place in the literature

Who cites it

132 citing papers in PubMed, 3 syntheses or guidelines pooled it, 277 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Pivotal Phase 3 Randomized Clinical Trial of the Safety, Tolerability, and Immunogenicity of 20-Valent Pneumococcal Conjugate Vaccine in Adults Aged ≥18 Years.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Trial
  10. Trial
  11. Safety, Tolerability, and Immunogenicity of a 20-Valent Pneumococcal Conjugate Vaccine (PCV20) in Adults 60 to 64 Years of Age.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

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

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 4 institutions in 1 country.

Elizabeth A ClutterbuckOxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.
Rajeka Lazarus
Ly-Mee Yu
Jaclyn Bowman
Elizabeth A L Bateman
Linda Diggle
Brian Angus
Tim E Peto
Peter C Beverley
David Mant
Andrew J Pollard
University of Oxford · GBNuffield Health · GBMedawar Building for Pathogen Research · GBOxford Centre for Mission Studies · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA 23-valent unconjugated pneumococcal polysaccharide vaccine (23vP), routinely administered at the age of 65, has limited effectiveness, and revaccination induces attenuated antibody responses. It is not known whether pneumococcal polysaccharide-protein conjugated vaccines (PCV), although highly effective in infants, offer any immunological advantages over 23vP in adults.

methodsWe immunized adults with schedules combining both PCV and 23vP and investigated B-cell responses to establish whether PCV7 (a 7-valent PCV) induced T-dependent responses in adults, to assess the role of memory B cells in 23vP-induced antibody hyporesponsiveness, and to identify the B-cell subtypes involved.

resultsA single dose of PCV7 induced significant increases in serotype-specific memory B-cell populations in peripheral blood indicating a T-dependent response. Conversely, immunization with 23vP resulted in a decrease in memory B-cell frequency. Furthermore, memory B-cell responses to subsequent immunization with PCV7, when given after 23vP, were attenuated. Notably, B1b cells, a subset important in protecting mice against pneumococci, were also depleted following immunization with 23vP in humans.

conclusionsThis study indicates that PCV7 may have an immunological advantage over 23vP in adults and that 23vP-induced depletion of memory and B1b-cell subsets may provide a basis for antibody hyporesponsiveness and the limited effectiveness of 23vP. Clinical Trials Registration. ISRCTN: 78768849.

Indexed as

Immunologic MemoryAgedB-LymphocytesB-Lymphocyte SubsetsHeptavalent Pneumococcal Conjugate VaccineHumansImmunization, SecondaryLeukocytes, MononuclearMiddle AgedPneumococcal VaccinesStreptococcus pneumoniaeVaccines, Conjugate23-valent pneumococcal capsular polysaccharide vaccineHeptavalent Pneumococcal Conjugate VaccinePneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID22457293
PMCPMC3324398
OpenAlexW2166448515

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.