Evidence map›Paper›PMID 27770789›Full record

ArticleBMC infectious diseases2016

A DNA vaccine targeting TcdA and TcdB induces protective immunity against Clostridium difficile.

Bao-Zhong Zhang, Jianpiao Cai, Bin Yu, Yanhong Hua, Candy Choiyi Lau, Richard Yi-Tsun Tsun Kao, Kong-Hung Sze, Kwok-Yung Yuen, Jian-Dong Huang

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 49 citations in OpenAlex.

  1. The state of play of rodent models for the study ofJournal of medical microbiology · 2024
    Review
  2. Article
  3. Article
  4. Immunization Strategies Against Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Review
  5. Host Immune Responses toTropical medicine and infectious disease · 2023
    Review
  6. Review
  7. Host Immune Responses toFrontiers in microbiology · 2021
    Review
  8. Article
  9. Article
  10. Review
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 2 countries.

Bao-Zhong ZhangSchool of Biomedical Sciences, The University of Hong Kong, Li Ka Shing Faculty of Medicine, 3/F, Laboratory Block, 21 Sassoon Road, Pokfulam, Hong Kong, China.
Jianpiao CaiDepartment of Microbiology, The University of Hong Kong, University Pathology Building, Pokfulam, Hong Kong, China.
Bin YuSchool of Biomedical Sciences, The University of Hong Kong, Li Ka Shing Faculty of Medicine, 3/F, Laboratory Block, 21 Sassoon Road, Pokfulam, Hong Kong, China.
Yanhong HuaSchool of Biomedical Sciences, The University of Hong Kong, Li Ka Shing Faculty of Medicine, 3/F, Laboratory Block, 21 Sassoon Road, Pokfulam, Hong Kong, China.
Candy Choiyi LauDepartment of Microbiology, The University of Hong Kong, University Pathology Building, Pokfulam, Hong Kong, China.
Richard Yi-Tsun Tsun KaoDepartment of Microbiology, The University of Hong Kong, University Pathology Building, Pokfulam, Hong Kong, China.
Kong-Hung SzeDepartment of Microbiology, The University of Hong Kong, University Pathology Building, Pokfulam, Hong Kong, China.
Kwok-Yung YuenDepartment of Microbiology, The University of Hong Kong, University Pathology Building, Pokfulam, Hong Kong, China. kyyuen@hkucc.hku.hk.
Jian-Dong HuangSchool of Biomedical Sciences, The University of Hong Kong, Li Ka Shing Faculty of Medicine, 3/F, Laboratory Block, 21 Sassoon Road, Pokfulam, Hong Kong, China. jdhuang@hku.hk.
University of Hong Kong · HKCity University of Hong Kong, Shenzhen Research Institute · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClostridium difficile-associated disease (CDAD) constitutes a great majority of hospital diarrhea cases in industrialized countries and is induced by two types of large toxin molecules: toxin A (TcdA) and toxin B (TcdB). Development of immunotherapeutic approaches, either active or passive, has seen a resurgence in recent years. Studies have described vaccine plasmids that express either TcdA and/or TcdB receptor binding domain (RBD). However, the effectiveness of one vector encoding both toxin RBDs against CDAD has not been evaluated.

methodsIn the study, we constructed highly optimized plasmids to express the receptor binding domains of both TcdA and TcdB from a single vector. The DNA vaccine was evaluated in two animal models for its immunogenicity and protective effects.

resultsThe DNA vaccine induced high levels of serum antibodies to toxin A and/or B and demonstrated neutralizing activity in both in vitro and in vivo systems. In a C. difficile hamster infection model, immunization with the DNA vaccine reduced infection severity and conferred significant protection against a lethal C. difficile strain.

conclusionsThis study has demonstrated a single plasmid encoding the RBD domains of C. difficile TcdA and TcdB as a DNA vaccine that could provide protection from C. difficile disease.

Indexed as

AnimalsBacterial ProteinsBacterial ToxinsBacterial VaccinesClostridioides difficileCOS CellsEnterocolitis, PseudomembranousEnterotoxinsFemaleMesocricetusMice, Inbred BALB CPlasmidsVaccines, DNABacterial ProteinsBacterial ToxinsBacterial VaccinesEnterotoxinstcdA protein, Clostridium difficiletoxB protein, Clostridium difficileVaccines, DNAClostridium difficileDNA vaccineToxin A (TcdA)Toxin B (TcdB)

Identifiers

PMID27770789
PMCPMC5075199
OpenAlexW2532131636

What OpenQuestion holds

Textmetadata
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.