Evidence map›Paper›PMID 24759173›Full record

ArticleToxins2014

Recombinant Clostridium difficile toxin fragments as carrier protein for PSII surface polysaccharide preserve their neutralizing activity.

Maria R Romano, Rosanna Leuzzi, Emilia Cappelletti, Marta Tontini, Alberto Nilo, Daniela Proietti, Francesco Berti, Paolo Costantino, Roberto Adamo, Maria Scarselli

Open access · goldAbstract read
In one paragraph

Article in Toxins, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Immunization Strategies Against Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Review
  3. Review
  4. Review
  5. Vaccine againstVaccines · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. TargetingFrontiers in microbiology · 2018
    Review
  12. Review
  13. Review
  14. Review
  15. 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

10 authors at 2 institutions in 1 country.

Maria R RomanoNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. maria_rosaria.romano@novartis.com.
Rosanna LeuzziNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. rosanna.leuzzi@novartis.com.
Emilia CappellettiNovartis Vaccines Institute for Global Health, Via Fiorentina 1, Siena 53100, Italy. emilia.cappelletti@novartis.com.
Marta TontiniNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. marta.tontini@novartis.com.
Alberto NiloNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. alberto.nilo@novartis.com.
Daniela ProiettiNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. daniela.proietti@novartis.com.
Francesco BertiNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. francesco.berti@novartis.com.
Paolo CostantinoNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. paolo.costantino@novartis.com.
Roberto AdamoNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. roberto.adamo@novartis.com.
Maria ScarselliNovartis Vaccines, Via Fiorentina 1, Siena 53100, Italy. maria.scarselli@novartis.com.
Novartis (Italy) · ITToscana Life Sciences · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile is a Gram-positive bacterium and is the most commonly diagnosed cause of hospital-associated and antimicrobial-associated diarrhea. Despite the emergence of epidemic C. difficile strains having led to an increase in the incidence of the disease, a vaccine against this pathogen is not currently available. C. difficile strains produce two main toxins (TcdA and TcdB) and express three highly complex cell-surface polysaccharides (PSI, PSII and PSIII). PSII is the more abundantly expressed by most C. difficile ribotypes offering the opportunity of the development of a carbohydrate-based vaccine. In this paper, we evaluate the efficacy, in naive mice model, of PSII glycoconjugates where recombinant toxins A and B fragments (TcdA_B2 and TcdB_GT respectively) have been used as carriers. Both glycoconjugates elicited IgG titers anti-PSII although only the TcdB_GT conjugate induced a response comparable to that obtained with CRM197. Moreover, TcdA_B2 and TcdB_GT conjugated to PSII retained the ability to elicit IgG with neutralizing activity against the respective toxins. These results are a crucial proof of concept for the development of glycoconjugate vaccines against C. difficile infection (CDI) that combine different C. difficile antigens to potentially prevent bacterial colonization of the gut and neutralize toxin activity.

Indexed as

AnimalsAntibodies, NeutralizingBacterial ProteinsBacterial ToxinsBacterial VaccinesClostridioides difficileEnterotoxinsFemaleImmunizationImmunoglobulin GMice, Inbred BALB CPeptide FragmentsPolysaccharides, BacterialRecombinant ProteinsTime FactorsVaccines, ConjugateAntibodies, NeutralizingBacterial ProteinsBacterial ToxinsBacterial VaccinesEnterotoxinsImmunoglobulin GPeptide FragmentsPolysaccharides, BacterialRecombinant ProteinstcdA protein, Clostridium difficiletoxB protein, Clostridium difficileVaccines, ConjugateVaccines, Synthetic

Identifiers

PMID24759173
PMCPMC4014741
OpenAlexW2082036392

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.