Evidence map›Paper›PMID 23974722›Full record

ArticleGlycoconjugate journal2013

Investigating the candidacy of a lipoteichoic acid-based glycoconjugate as a vaccine to combat Clostridium difficile infection.

Andrew D Cox, Frank St Michael, Annie Aubry, Chantelle M Cairns, Philippa C R Strong, Alexander C Hayes, Susan M Logan

Abstract read
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In one paragraph

Article in Glycoconjugate journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 50 citations in OpenAlex.

  1. Frontiers in immunology · 2026
    Article
  2. Review
  3. Immunization Strategies Against Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Review
  4. Article
  5. Major pathogenicIranian journal of basic medical sciences · 2022
    Review
  6. Article
  7. Article
  8. Review
  9. An atypical lipoteichoic acid fromThe Journal of biological chemistry · 2020
    Article
  10. Vaccines · 2020
    Article
  11. Article
  12. Article
  13. Review
  14. Frontiers in cellular and infection microbiology · 2018
    Review
  15. TargetingFrontiers in microbiology · 2018
    Review
  16. Review
  17. Article
  18. Article
  19. Novel approaches to treating Clostridium difficile-associated colitis.Expert review of gastroenterology & hepatology · 2016
    Review
  20. 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

7 authors at 2 institutions in 2 countries.

Andrew D CoxVaccine Program, Human Health Therapeutics Portfolio, National Research Council, Ottawa, ON, K1A 0R6, Canada, Andrew.Cox@nrc-cnrc.gc.ca.
Frank St Michael
Annie Aubry
Chantelle M Cairns
Philippa C R Strong
Alexander C Hayes
Susan M Logan
National Research Council Canada · CANational Academies of Sciences, Engineering, and Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A lipoteichoic acid has recently been shown to be conserved in the majority of strains from Clostridium difficile and as such is being considered as a possible vaccine antigen. In this study we examine the candidacy of the conserved lipoteichoic acid by demonstrating that it is possible to elicit antibodies against C. difficile strains following immunisation of rabbits and mice with glycoconjugates elaborating the conserved lipoteichoic acid antigen. The present study describes a conjugation strategy that utilises an amino functionality, present at approximately 33 % substitution of the N-acetyl-glucosamine residues within the LTA polymer repeating unit, as the attachment point for conjugation. A maleimide-thiol linker strategy with the maleimide linker on the carboxyl residues of the carrier protein and the thiol linker on the carbohydrate was employed. Immunisation derived antisera from rabbits and mice, recognised all strains of C. difficile vegetative cells examined, despite an immune response to the linkers also being observed. These sera recognised live cells in an immunofluorescence assay and were also able to recognise the spore form of the bacterium. This study has illustrated that the LTA polymer is a highly conserved surface polymer of C. difficile that is easily accessible to the immune system and as such merits consideration as a vaccine antigen to combat C. difficile infection.

Indexed as

AnimalsAntibodies, BacterialBacterial VaccinesClostridioides difficileImmunizationLipopolysaccharidesMiceRabbitsTeichoic AcidsVaccines, ConjugateAntibodies, BacterialBacterial VaccinesLipopolysaccharideslipoteichoic acidTeichoic AcidsVaccines, Conjugate

Identifiers

PMID23974722
OpenAlexW2062232226

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.