Evidence map›Paper›PMID 26901128›Full record

ArticleHuman vaccines & immunotherapeutics2016

Antibody response to respiratory syncytial virus infection in children <18 months old.

Susanna Esposito, Elisa Scarselli, Mara Lelii, Alessia Scala, Alessandra Vitelli, Stefania Capone, Marco Fornili, Elia Biganzoli, Annalisa Orenti, Alfredo Nicosia and 2 more

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  16. Strategies for active and passive pediatric RSV immunization.Therapeutic advances in vaccines and immunotherapy · 2021
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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

12 authors at 3 institutions in 2 countries.

Susanna Espositoa Paediatric Highly Intensive Care Unit , Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , Milan , Italy.
Elisa Scarsellib ReiThera Srl (formerly Okairos) , Viale Città d'Europa 679, Rome , Italy.
Mara Leliia Paediatric Highly Intensive Care Unit , Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , Milan , Italy.
Alessia Scalaa Paediatric Highly Intensive Care Unit , Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , Milan , Italy.
Alessandra Vitellib ReiThera Srl (formerly Okairos) , Viale Città d'Europa 679, Rome , Italy.
Stefania Caponeb ReiThera Srl (formerly Okairos) , Viale Città d'Europa 679, Rome , Italy.
Marco Fornilic Unit of Medical Statistics, Biometry and Bioinformatics "G.A. Maccacaro"; Università degli Studi di Milano, Fondazione IRCCS Istituto Nazionale Tumori , Milan , Italy.
Elia Biganzolic Unit of Medical Statistics, Biometry and Bioinformatics "G.A. Maccacaro"; Università degli Studi di Milano, Fondazione IRCCS Istituto Nazionale Tumori , Milan , Italy.
Annalisa Orentic Unit of Medical Statistics, Biometry and Bioinformatics "G.A. Maccacaro"; Università degli Studi di Milano, Fondazione IRCCS Istituto Nazionale Tumori , Milan , Italy.
Alfredo Nicosiab ReiThera Srl (formerly Okairos) , Viale Città d'Europa 679, Rome , Italy.
Riccardo Cortesed Keires AG , Bäumleingasse 18, Basel , Switzerland.
Nicola Principia Paediatric Highly Intensive Care Unit , Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , Milan , Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · ITZimmer Biomet (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development of a safe and effective respiratory syncytial virus (RSV) vaccine might be facilitated by knowledge of the natural immune response to this virus. The aims of this study were to evaluate the neutralizing antibody response of a cohort of healthy children <18 months old to RSV infection. During the RSV season, 89 healthy children <18 months old were enrolled and followed up weekly for 12 weeks. At each visit, a nasopharyngeal swab was obtained for RSV detection by real-time polymerase chain reaction (PCR). During the study period, 2 blood samples were drawn and they were used to determine RSV geometric mean neutralizing antibody titres (GMT) against RSV. A total of 35 (39.3%) children had RSV detected during the study period. Among RSV-positive patients, children ≥7 months showed a significantly higher increase in antibody response (p<0.001). A significantly higher number of patients with a ≥4 -fold increase in GMT were ≥7 months old (p = 0.02) and presented lower respiratory tract infections (LRTIs) during the study period (p = 0.01). Viral shedding was longer among children aged ≥7 months (p = 0.06), those with viral load ≥10(6) copies/mL (p = 0.03), and those with LRTIs during the study period (p = 0.03), but it was not associated with the immune response (p = 0.41). In conclusion, natural RSV infection seems to evoke a low immune response in younger children. To be effective in this infant population, which is at highest risk of developing severe LRTIs, vaccines must be able to induce in the first months of life a stronger immune response than that produced by the natural infection.

Indexed as

Antibody FormationAge FactorsAntibodies, NeutralizingAntibodies, ViralFemaleHumansInfantInfant, NewbornMaleProspective StudiesRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsVirus SheddingAntibodies, NeutralizingAntibodies, Viralneutralizing antibodypediatric infectious diseasesrespiratory tract infectionRSVRSV vaccine

Identifiers

PMID26901128
PMCPMC4964805
OpenAlexW2315473307

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.