Evidence map›Paper›PMID 25381448›Full record

ArticleThe Journal of infectious diseases2015

Hyperimmune bovine colostrum as a novel therapy to combat Clostridium difficile infection.

Jerlyn K Sponseller, Jennifer A Steele, Diane J Schmidt, Hyeun Bum Kim, Gillian Beamer, Xingmin Sun, Saul Tzipori

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  3. Article
  4. Review
  5. Colostrum Quality in Different Goat Breeds Reared in Northern Italy.Animals : an open access journal from MDPI · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Frontiers in antibiotic alternatives forWorld journal of gastroenterology · 2021
    Article
  14. Article
  15. Review
  16. Alteration of Intestinal Microbiome ofAntibiotics (Basel, Switzerland) · 2021
    Article
  17. Article
  18. Review
  19. Anti-virulence strategies forGut microbes · 2020
    Review
  20. Article
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.

Jerlyn K SponsellerDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Jennifer A SteeleDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Diane J SchmidtDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Hyeun Bum KimDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts Department of Animal Resources Science, Dankook University, Cheonan, Choongnam, Republic of Korea.
Gillian BeamerDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Xingmin SunDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Saul TziporiDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Tufts University · USDankook University · KR

Funding

Development of Vaccines against Clostridium difficile InfectionR01AI088748 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI FENG, HANPING, TZIPORI, SAUL R · 2010 to 2014
$3.1M
The relative contribution of TcdA and TcdB to C. difficile associated diseaseF32AI081497 · NIAID · TUFTS UNIVERSITY BOSTON · PI STEELE, JENNIFER A. · 2009 to 2010
$98k
GENETICS AND ROLE OF ALGINATE IN P. AERUGINOSA INFECTIONR29AI030050 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI GOLDBERG, JOANNA B. · 1991 to 1995
–
NIAID NIH HHS F32 AI081497NIAID NIH HHS F32AI081497NIAID NIH HHS N01 AI030050NIAID NIH HHS R01 AI088748NIAID NIH HHS R01AI088748
6 · The paper itself

Abstract

backgroundClostridium difficile is a primary cause of antibiotic-associated diarrhea that typically develops when gut microbiota is altered. Conventional treatment for C. difficile infection (CDI) is additional antimicrobial administration, which further disrupts normal intestinal microbiota, often resulting in poor treatment outcomes.

methodsA pregnant dairy cow was repeatedly immunized with recombinant mutants of toxins A and B produced by C. difficile, and the resultant hyperimmune bovine colostrum (HBC) was evaluated for therapeutic efficacy in gnotobiotic piglets with diarrhea due to CDI. Control piglets received nonimmune colostrum. To determine the impact of HBC on gut microbiota, 1 of 2 groups of piglets transplanted with normal human gut microbiota was treated with HBC.

resultsNonimmune colostrum-treated piglets developed moderate to severe diarrhea and colitis. In contrast, HBC-treated piglets had mild or no diarrhea and mild or no colitis. Lyophilization had no detectable impact on HBC efficacy. HBC had no discernible effect on the composition of normal human gut microbiota in the porcine intestinal tract.

conclusionsHBC provides an oral, cost-effective, and safe alternative to antibiotic therapy for CDI. By preserving intestinal microbiota, HBC may be more efficacious than antibiotics. Additional studies are warranted to establish HBC as a viable immunotherapeutic agent for human use against CDI.

Indexed as

AgedAnimalsAnti-Bacterial AgentsCattleClostridioides difficileClostridium InfectionsColitisColostrumDiarrheaFemaleHumansImmunologic FactorsIntestinal DiseasesIntestinesMaleMiddle AgedAnti-Bacterial AgentsImmunologic FactorsClostridium difficilehyperimmune bovine colostrumimmunotherapeuticintestinal microbiotaintestinal microflora

Identifiers

PMID25381448
PMCPMC4447838
OpenAlexW2146081597

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.