Evidence map›Paper›PMID 27642668›Full record

ArticleNature microbiology2016

Cross-reactive antibodies enhance live attenuated virus infection for increased immunogenicity.

Kuan Rong Chan, Xiaohui Wang, Wilfried A A Saron, Esther Shuyi Gan, Hwee Cheng Tan, Darren Z L Mok, Summer Li-Xin Zhang, Yie Hou Lee, Cui Liang, Limin Wijaya and 7 more

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Nature microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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.

NCT04267809 phase2completednot on this mapstarted 2021, after this paper: background citation

Modulating Endoplasmic Reticulum Stress as a Prophylactic Approach Against Symptomatic Viral Infection

TypeinterventionalSponsorSingapore General HospitalRan2021 to 2023Enrolled32ConditionsEndoplasmic Reticulum Stress, Viral Infection, Yellow FeverArmsMetformin Hydrochloride, Calcium and Vitamin D
NCT05568953 phase2unknown statusnot on this mapstarted 2022, after this paper: background citation

An Experimental Medicine Decipher of a Minimum Correlate of Cellular Immunity

TypeinterventionalSponsorSingapore General HospitalRan2022 to 2025Enrolled70ConditionsInfectious Disease, Yellow Fever, Japanese Encephalitis, Viral InfectionArmsStamaril, Imojev, Ixiaro
NCT07527247 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Using AS01 Adjuvant to Improve Immune Response in Older Adults Through Trained Immunity

TypeinterventionalSponsorSingapore General HospitalRan2025 to 2029Enrolled40ConditionsImmune System Responses and Trained Immunity After AS01 Administration, Healthy AdultArmsAS01 adjuvant (0.5 mL intramuscular), YF17D (Stamaril, Sanofi-Pasteur), Placebo (NaCl 09%, 0.5mL)
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Duration of Protection After Vaccination Against Yellow Fever: A Systematic Review and Meta-Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Pooled it
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  11. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
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  13. Human T Cell Responses to Flavivirus Vaccines.European journal of immunology · 2025
    Review
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  15. Article
  16. Article
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6 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

17 authors at 6 institutions in 3 countries.

Kuan Rong ChanProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.
Xiaohui WangProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.
Wilfried A A SaronProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.ORCID http://orcid.org/0000-0002-7974-5288
Esther Shuyi GanProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.
Hwee Cheng TanProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.
Darren Z L MokDepartment of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597.
Summer Li-Xin ZhangProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.
Yie Hou LeeInterdisciplinary Research Group in Infectious Diseases, Singapore-MIT Alliance for Research & Technology (SMART), Singapore 138602.
Cui LiangInterdisciplinary Research Group in Infectious Diseases, Singapore-MIT Alliance for Research & Technology (SMART), Singapore 138602.
Limin WijayaDepartment of Infectious Diseases, Singapore General Hospital, Singapore 169856.
Sujoy GhoshCentre for Computational Biology, Duke-NUS Medical School, Singapore 169857.ORCID http://orcid.org/0000-0002-7601-165X
Yin Bun CheungCenter for Quantitative Medicine, Duke-NUS Medical School, Singapore 169857.
Steven R TannenbaumInterdisciplinary Research Group in Infectious Diseases, Singapore-MIT Alliance for Research & Technology (SMART), Singapore 138602.
Soman N AbrahamProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.
Ashley L St JohnProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.
Jenny G H LowDepartment of Infectious Diseases, Singapore General Hospital, Singapore 169856.
Eng Eong OoiProgram in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857.
Duke-NUS Medical School · SGNational University of Singapore · SGSingapore General Hospital · SGSingapore-MIT Alliance for Research and Technology · SGDuke University · USKK Women's and Children's Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaccination has achieved remarkable successes in the control of childhood viral diseases. To control emerging infections, however, vaccines will need to be delivered to older individuals who, unlike infants, probably have had prior infection or vaccination with related viruses and thus have cross-reactive antibodies against the vaccines. Whether and how these cross-reactive antibodies impact live attenuated vaccination efficacy is unclear. Using an open-label randomized trial design, we show that subjects with a specific range of cross-reactive antibody titres from a prior inactivated Japanese encephalitis vaccination enhanced yellow fever (YF) immunogenicity upon YF vaccination. Enhancing titres of cross-reactive antibodies prolonged YF vaccine viraemia, provoked greater pro-inflammatory responses, and induced adhesion molecules intrinsic to the activating Fc-receptor signalling pathway, namely immune semaphorins, facilitating immune cell interactions and trafficking. Our findings clinically demonstrate antibody-enhanced infection and suggest that vaccine efficacy could be improved by exploiting cross-reactive antibodies.

Identifiers

PMID27642668
PMCPMC7097525
OpenAlexW2522844564

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.