Evidence map›Paper›PMID 26177480›Full record

Trial reportPloS one2015

Delta Inulin Adjuvant Enhances Plasmablast Generation, Expression of Activation-Induced Cytidine Deaminase and B-Cell Affinity Maturation in Human Subjects Receiving Seasonal Influenza Vaccine.

Lei Li, Yoshikazu Honda-Okubo, Connie Li, Dimitar Sajkov, Nikolai Petrovsky

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Deaminase Modulation Driving a New Era in Drug Development.International journal of molecular sciences · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Neonatal vaccine effectiveness and the role of adjuvants.Expert review of clinical immunology · 2019
    Review
  17. Adjuvanted influenza vaccines.Human vaccines & immunotherapeutics · 2018
    Review
  18. Article
  19. Article
  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

5 authors at 2 institutions in 1 country.

Lei LiVaxine Pty Ltd, Flinders Medical Centre, Bedford Park, Adelaide, Australia.
Yoshikazu Honda-OkuboVaxine Pty Ltd, Flinders Medical Centre, Bedford Park, Adelaide, Australia.
Connie LiVaxine Pty Ltd, Flinders Medical Centre, Bedford Park, Adelaide, Australia.
Dimitar SajkovAustralian Respiratory and Sleep Medicine Institute, Flinders Medical Centre, Bedford Park, Adelaide, Australia.
Nikolai PetrovskyVaxine Pty Ltd, Flinders Medical Centre, Bedford Park, Adelaide, Australia; Department of Endocrinology, Flinders Medical Centre/Flinders University, Adelaide, Australia.
Flinders Medical Centre · AUVaxine (Australia) · AU

Funding

Novel vaccine adjuvants to counter bioterrorist threatsU01AI061142 · NIAID · FLINDERS UNIVERSITY OF SOUTH AUSTRALIA · PI PETROVSKY, NIKOLAI · 2005 to 2009
$3.5M
NIAID NIH HHS HHSN272200800039CNIAID NIH HHS U01 AI061142NIAID NIH HHS U01‐AI061142
6 · The paper itself

Abstract

unlabelledThere is a major need for new adjuvants to improve the efficacy of seasonal and pandemic influenza vaccines. Advax is a novel polysaccharide adjuvant based on delta inulin that has been shown to enhance the immunogenicity of influenza vaccine in animal models and human clinical trials. To better understand the mechanism for this enhancement, we sought to assess its effect on the plasmablast response in human subjects. This pilot study utilised cryopreserved 7 day post-vaccination (7dpv) peripheral blood mononuclear cell samples obtained from a subset of 25 adult subjects from the FLU006-12 trial who had been immunized intramuscularly with a standard dose of 2012 trivalent inactivated influenza vaccine (TIV) alone (n=9 subjects) or combined with 5mg (n=8) or 10mg (n=8) of Advax adjuvant. Subjects receiving Advax adjuvant had increased 7dpv plasmablasts, which in turn exhibited a 2-3 fold higher rate of non-silent mutations in the B-cell receptor CDR3 region associated with higher expression of activation-induced cytidine deaminase (AID), the major enzyme controlling BCR affinity maturation. Together, these data suggest that Advax adjuvant enhances influenza immunity in immunized subjects via multiple mechanisms including increased plasmablast generation, AID expression and CDR3 mutagenesis resulting in enhanced BCR affinity maturation and increased production of high avidity antibody. How Advax adjuvant achieves these beneficial effects on plasmablasts remains the subject of ongoing investigation.

trial registrationAustralia New Zealand Clinical Trials Register ACTRN12612000709842 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=362709.

Indexed as

SeasonsAdultAgedAged, 80 and overAntibody AffinityAntibody FormationComplementarity Determining RegionsCytidine DeaminaseFemaleHumansImmunoglobulin GInfluenza VaccinesInulinMaleMiddle AgedMutationComplementarity Determining RegionsCytidine Deaminasedelta inulinImmunoglobulin GInfluenza VaccinesInulinReceptors, Antigen, B-Cell

Identifiers

PMID26177480
PMCPMC4503308
OpenAlexW1658267367

What OpenQuestion holds

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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.