Evidence map›Paper›PMID 23291935›Full record

ArticleHuman vaccines & immunotherapeutics2013

An improved whole cell pertussis vaccine with reduced content of endotoxin.

Waldely Oliveira Dias, Arno A J van der Ark, Maria Aparecida Sakauchi, Flávia Saldanha Kubrusly, Ana Fabíola R O Prestes, Monamaris Marques Borges, Noemi Furuyama, Denise S P Q Horton, Wagner Quintilio, Marta Antoniazi and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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  7. Clinical microbiology reviews · 2023
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  8. Review
  9. Review
  10. Review
  11. Regulated Expression ofInternational journal of molecular sciences · 2022
    Article
  12. Article
  13. Article
  14. Review
  15. Neonatal Immunity toJournal of immunology research · 2019
    Review
  16. Review
  17. Pertussis.Human vaccines & immunotherapeutics · 2015
    Review
  18. Review
  19. Development of improved pertussis vaccine.Human vaccines & immunotherapeutics · 2014
    Review
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

13 authors at 3 institutions in 2 countries.

Waldely Oliveira DiasCenter of Biotechnology; Instituto Butantan; São Paulo, Brazil.
Arno A J van der Ark
Maria Aparecida Sakauchi
Flávia Saldanha Kubrusly
Ana Fabíola R O Prestes
Monamaris Marques Borges
Noemi Furuyama
Denise S P Q Horton
Wagner Quintilio
Marta Antoniazi
Betsy Kuipers
Bernard A M van der Zeijst
Isaias Raw
Instituto Butantan · BRNetherlands Environmental Assessment Agency · NLNational Institute for Public Health and the Environment · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An improved whole cell pertussis vaccine, designated as Plow, which is low in endotoxicity due to a chemical extraction of lipo-oligosaccharide (LOS) from the outer membrane, was evaluated for safety, immunogenicity and potency, comparatively to a traditional whole cell pertussis vaccine. Current whole cell pertussis vaccines are effective but contain large quantities of endotoxin and consequently display local and systemic adverse reactions after administration. Endotoxin is highly inflammatory and contributes considerably to the reactogenicity as well as the potency of these vaccines. In contrast, acellular pertussis vaccines hardly contain endotoxin and are significantly less reactogenic, but their elevated costs limit their global use, especially in developing countries. In this paper, bulk products of Plow and a traditional whole cell vaccine, formulated as plain monocomponents or combined with diphtheria and tetanus toxoids (DTPlow or DTP, respectively) were compared by in vitro and in vivo assays. Chemical extraction of LOS resulted in a significant decrease in endotoxin content (20%) and a striking decline in endotoxin related toxicity (up to 97%), depending on the used in vitro or in vivo test. The LOS extraction did not affect the integrity of the product and, more importantly, did not affect the potency and/or stability of DTPlow. Moreover, hardly any differences in antibody and T-cell responses were observed. The development of Plow is a significant improvement regarding the endotoxicity of whole cell pertussis vaccines and therefore a promising and affordable alternative to currently available whole cell or acellular pertussis vaccines for developing countries.

Indexed as

Vaccine PotencyAnimalsDrug StabilityEndotoxinsFemaleMicePertussis VaccineRabbitsEndotoxinsPertussis VaccineBordetella pertussisendotoxicityimmunogenicitylypo-oligosaccharidepertussis vaccinesreactogenicitysafety

Identifiers

PMID23291935
PMCPMC3859757
OpenAlexW2044145403

What OpenQuestion holds

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LicenceCC BY-NC
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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.