Evidence map›Paper›PMID 23446627›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2013

A serologic correlate of protective immunity against community-onset Staphylococcus aureus infection.

Stephanie A Fritz, Kristin M Tiemann, Patrick G Hogan, Emma K Epplin, Marcela Rodriguez, Duha N Al-Zubeidi, Juliane Bubeck Wardenburg, David A Hunstad

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

97 citing papers in PubMed, 140 citations in OpenAlex.

  1. Trial
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  4. Single-Cell Profiling Identifies Skin-Resident Memory CD4European journal of immunology · 2026
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  10. Pathogens (Basel, Switzerland) · 2025
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  11. Frontiers in immunology · 2025
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  13. The Complex Intracellular Lifecycle ofInternational journal of molecular sciences · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Molecular Characteristics and Pathogenicity ofInternational journal of molecular sciences · 2023
    Review
  18. Anti-Alpha-Toxin Antibody Responses and Clinical Outcomes ofJournal of Korean medical science · 2023
    Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Stephanie A FritzDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Kristin M Tiemann
Patrick G Hogan
Emma K Epplin
Marcela Rodriguez
Duha N Al-Zubeidi
Juliane Bubeck Wardenburg
David A Hunstad
Washington University in St. Louis · USUniversity of Illinois Chicago · US

Funding

Vaccines and Therapies Against BotulismU54AI057153 · NIAID · UNIVERSITY OF CHICAGO · PI SCHLESINGER, LARRY S. · 2003 to 2013
$87.6M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
TRANSLATIONAL RESEARCH UNIVERSITY OF CHICAGO: CLINICAL TRIALSUL1RR024999 · NCRR · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2007 to 2011
$25.3M
Washington University Institute of Clinical and Translational Sciences (KL2)KL2RR024994 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$8.6M
Role of Staphylococcus aureus alpha-hemolysin in diseaseR01AI097434 · NIAID · WASHINGTON UNIVERSITY · PI BUBECK WARDENBURG, JULIANE · 2012 to 2021
$4.0M
EPIDEMIOLOGY AND ERADICATION OF MRSA IN HOUSEHOLDS WITH CHILDRENR01HS021736 · AHRQ · WASHINGTON UNIVERSITY · PI FRITZ, STEPHANIE ANN · 2012 to 2016
$2.5M
Genetics of MRSA InfectionRC2HG005680 · NHGRI · WASHINGTON UNIVERSITY · PI WEINSTOCK, GEORGE M · 2009 to 2010
$2.0M
TRANSMISSION DYNAMICS OF CA-MRSA AMONG HOUSEHOLD MEMBERS AND THE HOME ENVIRONMENTK23AI091690 · NIAID · WASHINGTON UNIVERSITY · PI FRITZ, STEPHANIE ANN · 2011 to 2014
$506k
AHRQ HHS R01 HS021736AHRQ HHS R01-HS021736NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1-TR000448NCRR NIH HHS KL2 RR024994NCRR NIH HHS KL2-RR024994NCRR NIH HHS UL1 RR024992NCRR NIH HHS UL1-RR024992NCRR NIH HHS UL1 RR024999NCRR NIH HHS UL1-RR024999NHGRI NIH HHS RC2 HG005680NHGRI NIH HHS RC2-HG005680NIAID NIH HHS K23 AI091690NIAID NIH HHS K23-AI091690NIAID NIH HHS R01 AI097434NIAID NIH HHS R01-AI097434NIAID NIH HHS U54 AI057153NIAID NIH HHS U54-AI057153
6 · The paper itself

Abstract

backgroundStaphylococcus aureus is among the leading causes of human infection. Widespread drug resistance, emergence of highly virulent strains, and the ability of S. aureus to colonize >30% of the human population contribute to this organism's pathogenic success. Human serologic responses to S. aureus and their relationship to protective immunity remain incompletely defined, challenging the strategic development of efficacious vaccines.

methodsWe measured humoral responses to 2 staphylococcal exotoxins, α-hemolysin (Hla) and Panton-Valentine leukocidin (PVL; LukF-PV/LukS-PV subunits), both premier targets of current vaccine and immunotherapy development. We correlated acute and convalescent serum antibody levels with incidence of recurrent infection over 12 months follow-up in 235 children with S. aureus colonization, primary or recurrent skin and soft tissue infection, or invasive disease.

resultsCutaneous infection elicited transient increases in anti-Hla and anti-PVL antibodies; however, subsequent infection risk was similar between primary and recurrent cutaneous infection cohorts. Patients with invasive infections had the lowest preexisting titers against Hla and LukF but displayed the highest convalescent titers. Across cohorts, convalescent anti-Hla titers correlated with protection against subsequent S. aureus infection.

conclusionsCutaneous S. aureus infection does not reliably provoke durable, protective immune responses. This study provides the first link between protection from disease recurrence and the humoral response to Hla, a virulence factor already implicated in disease pathogenesis. These observations can be utilized to refine ongoing vaccine and immunotherapy efforts and inform the design of clinical trials.

Indexed as

AdolescentAnalysis of VarianceBacterial ProteinsBacterial ToxinsChildChild, PreschoolCohort StudiesCommunity-Acquired InfectionsEnzyme-Linked Immunosorbent AssayExotoxinsFemaleHemolysin ProteinsHumansLeukocidinsMaleRecurrenceBacterial ProteinsBacterial ToxinsExotoxinsHemolysin ProteinsLeukocidinsPanton-Valentine leukocidinhumoral immunityPanton–Valentine leukocidinStaphylococcus aureusα-hemolysin

Identifiers

PMID23446627
PMCPMC3641868
OpenAlexW2097039487

What OpenQuestion holds

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Registered trials

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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.