Evidence map›Paper›PMID 26541135›Full record

ArticleVaccine2015

Mucosal delivery switches the response to an adjuvanted tuberculosis vaccine from systemic TH1 to tissue-resident TH17 responses without impacting the protective efficacy.

Mark T Orr, Elyse A Beebe, Thomas E Hudson, David Argilla, Po-Wei D Huang, Valerie A Reese, Christopher B Fox, Steven G Reed, Rhea N Coler

Abstract read
In one paragraph

Article in Vaccine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
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  8. Review
  9. Review
  10. Synthetic protein conjugate vaccines provide protection againstProceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  11. Article
  12. Review
  13. Advancing Adjuvants forFrontiers in immunology · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Generation of IL-3-Secreting CD4ImmunoHorizons · 2019
    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

9 authors at 2 institutions in 1 country.

Mark T OrrInfectious Disease Research Institute, Seattle, WA 98102, USA; Department of Global Health, University of Washington, Seattle, WA 98105, USA. Electronic address: Mark.orr@idri.org.
Elyse A BeebeInfectious Disease Research Institute, Seattle, WA 98102, USA.
Thomas E HudsonInfectious Disease Research Institute, Seattle, WA 98102, USA.
David ArgillaInfectious Disease Research Institute, Seattle, WA 98102, USA.
Po-Wei D HuangInfectious Disease Research Institute, Seattle, WA 98102, USA.
Valerie A ReeseInfectious Disease Research Institute, Seattle, WA 98102, USA.
Christopher B FoxInfectious Disease Research Institute, Seattle, WA 98102, USA; Department of Global Health, University of Washington, Seattle, WA 98105, USA.
Steven G ReedInfectious Disease Research Institute, Seattle, WA 98102, USA; Department of Global Health, University of Washington, Seattle, WA 98105, USA.
Rhea N ColerInfectious Disease Research Institute, Seattle, WA 98102, USA; Department of Global Health, University of Washington, Seattle, WA 98105, USA.
Infectious Disease Research Institute · USUniversity of Washington · US

Funding

Development and Manufacture of Adjuvants for Vaccines Targeting MDR TuberculosisU01AI078054 · NIAID · ACCESS TO ADVANCED HEALTH INSTITUTE · PI COLER, RHEA N · 2008 to 2011
$6.2M
NIAID NIH HHS AI-078054NIAID NIH HHS HHSN272200800045CNIAID NIH HHS U01 AI078054PHS HHS HHSN272200800045C
6 · The paper itself

Abstract

Pulmonary tuberculosis (TB) remains one of the leading causes of infectious disease death despite widespread usage of the BCG vaccine. A number of new TB vaccines have moved into clinical evaluation to replace or boost the BCG vaccine including ID93+GLA-SE, an adjuvanted subunit vaccine. The vast majority of new TB vaccines in trials are delivered parenterally even though intranasal delivery can augment lung-resident immunity and protective efficacy in small animal models. Parenteral immunization with the adjuvanted subunit vaccine ID93+GLA-SE elicits robust TH1 immunity and protection against aerosolized Mycobacterium tuberculosis in mice and guinea pigs. Here we describe the immunogenicity and efficacy of this vaccine when delivered intranasally. Intranasal delivery switches the CD4 T cell response from a TH1 to a TH17 dominated tissue-resident response with increased frequencies of ID93-specific cells in both the lung tissue and at the lung surface. Surprisingly these changes do not affect the protective efficacy of ID93+GLA-SE. Unlike intramuscular immunization, ID93+GLA does not require the squalene-based oil-in-water emulsion SE to elicit protective CD4 T cells when delivered intranasally. Finally we demonstrate that TNF and the IL-17 receptor are dispensable for the efficacy of the intranasal vaccine suggesting an alternative mechanism of protection.

Indexed as

Adjuvants, ImmunologicAdministration, MucosalAnimalsAntigens, BacterialBCG VaccineCD4-Positive T-LymphocytesCytokinesGuinea PigsHumansMiceMycobacterium tuberculosisPeptide FragmentsTh17 CellsTh1 CellsTuberculosis, PulmonaryTuberculosis VaccinesAdjuvants, ImmunologicAntigens, BacterialBCG VaccineCytokinesPeptide FragmentsTuberculosis Vaccinestumor necrosis factor (1-26)Tumor Necrosis Factor-alphaID93+GLA-SEiIntranasalMucosalTH17Tuberculosis

Identifiers

PMID26541135
PMCPMC4679420
OpenAlexW1957311162

What OpenQuestion holds

Textmetadata
LicenceTDM
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.