Evidence map›Paper›PMID 25157133›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2014

Induction of broadly cross-reactive antibody responses to the influenza HA stem region following H5N1 vaccination in humans.

Ali H Ellebedy, Florian Krammer, Gui-Mei Li, Matthew S Miller, Christopher Chiu, Jens Wrammert, Cathy Y Chang, Carl W Davis, Megan McCausland, Rivka Elbein and 9 more

Abstract readClinical Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers.

0numbers the graph read from it
0cells of the map it votes in
167citing papers in PubMed
–field-weighted citation impact
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

167 citing papers in PubMed.

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107 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

19 authors.

Ali H EllebedyEmory Vaccine Center, and Department of Microbiology and Immunology.
Florian KrammerDepartment of Microbiology.
Gui-Mei LiEmory Vaccine Center, and Department of Microbiology and Immunology.
Matthew S MillerDepartment of Microbiology.
Christopher ChiuEmory Vaccine Center, and Department of Microbiology and Immunology.
Jens WrammertEmory Vaccine Center, and Department of Pediatrics.
Cathy Y ChangEmory Vaccine Center, and Department of Microbiology and Immunology.
Carl W DavisEmory Vaccine Center, and Department of Microbiology and Immunology.
Megan McCauslandEmory Vaccine Center, and Department of Microbiology and Immunology.
Rivka ElbeinEmory Transplant Center, Emory University School of Medicine, Atlanta, GA 30322;
Srilatha EdupugantiDivision of Infectious Diseases, Department of Medicine.
Paul SpearmanDepartment of Pediatrics.
Sarah F AndrewsDepartment of Medicine, Section of Rheumatology, Committee on Immunology, The Knapp Center for Lupus and Immunology Research, University of Chicago, Chicago, IL 60637.
Patrick C WilsonDepartment of Medicine, Section of Rheumatology, Committee on Immunology, The Knapp Center for Lupus and Immunology Research, University of Chicago, Chicago, IL 60637.
Adolfo García-SastreDepartment of Microbiology, Department of Medicine, and Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029; and.
Mark J MulliganDivision of Infectious Diseases, Department of Medicine, Hope Clinic of the Emory Vaccine Center.
Aneesh K MehtaEmory Transplant Center, Emory University School of Medicine, Atlanta, GA 30322; Division of Infectious Diseases, Department of Medicine, Hope Clinic of the Emory Vaccine Center.
Peter PaleseDepartment of Microbiology, Department of Medicine, and.
Rafi AhmedEmory Vaccine Center, and Department of Microbiology and Immunology, rahmed@emory.edu.

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Toward a Universal Influenza Virus VaccineP01AI097092 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GARCIA-SASTRE, ADOLFO · 2012 to 2022
$17.6M
Understanding Human B Cell Responses to Influenza to Improve the Influenza U19AI109946 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI RAVETCH, JEFFREY VICTOR · 2014 to 2018
$9.6M
University of Chicago Autoimmunity Center of ExcellenceU19AI082724 · NIAID · UNIVERSITY OF CHICAGO · PI CLARK, MARCUS RAMSAY · 2009 to 2023
$7.2M
Training a New Generation of VaccinologistsT32AI074492 · NIAID · EMORY UNIVERSITY · PI Rama Rao Amara, Benjamin A Lopman · 2009 to 2026
$6.4M
Medical Research Council G0902266Medical Research Council G1000758Medical Research Council MC_G1001212NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1TR000454NIAID NIH HHS 1P01AI097092NIAID NIH HHS 1U19AI109946-01NIAID NIH HHS HHSN266200700006CNIAID NIH HHS HHSN272200800005CNIAID NIH HHS P01 AI097092NIAID NIH HHS T32 AI074492NIAID NIH HHS T32AI074492NIAID NIH HHS U19 AI082724NIAID NIH HHS U19 AI109946NIH HHS P51 OD011132PHS HHS HHSN26620070010C
6 · The paper itself

Abstract

The emergence of pandemic influenza viruses poses a major public health threat. Therefore, there is a need for a vaccine that can induce broadly cross-reactive antibodies that protect against seasonal as well as pandemic influenza strains. Human broadly neutralizing antibodies directed against highly conserved epitopes in the stem region of influenza virus HA have been recently characterized. However, it remains unknown what the baseline levels are of antibodies and memory B cells that are directed against these conserved epitopes. More importantly, it is also not known to what extent anti-HA stem B-cell responses get boosted in humans after seasonal influenza vaccination. In this study, we have addressed these two outstanding questions. Our data show that: (i) antibodies and memory B cells directed against the conserved HA stem region are prevalent in humans, but their levels are much lower than B-cell responses directed to variable epitopes in the HA head; (ii) current seasonal influenza vaccines are efficient in inducing B-cell responses to the variable HA head region but they fail to boost responses to the conserved HA stem region; and (iii) in striking contrast, immunization of humans with the avian influenza virus H5N1 induced broadly cross-reactive HA stem-specific antibodies. Taken together, our findings provide a potential vaccination strategy where heterologous influenza immunization could be used for increasing the levels of broadly neutralizing antibodies and for priming the human population to respond quickly to emerging pandemic influenza threats.

Indexed as

VaccinationAdultAntibody FormationAntibody SpecificityCross ReactionsHemagglutinin Glycoproteins, Influenza VirusHumansImmunoglobulin GImmunologic MemoryInfluenza A Virus, H5N1 SubtypeInfluenza, HumanInfluenza VaccinesPlasma CellsHemagglutinin Glycoproteins, Influenza VirusImmunoglobulin GInfluenza Vaccinesbreadthimmunoglobulinneutralizationstalk

Identifiers

PMID25157133
PMCPMC4246941

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.