Evidence map›Paper›PMID 27795303›Full record

ArticleClinical and vaccine immunology : CVI2017

Antibody-Based Immunotherapy To Treat and Prevent Infection with Hypervirulent Klebsiella pneumoniae.

Elizabeth Diago-Navarro, Isabel Calatayud-Baselga, Donglei Sun, Camille Khairallah, Inderjit Mann, Amaia Ulacia-Hernando, Brian Sheridan, Meiqing Shi, Bettina C Fries

Open access · diamondAbstract read
In one paragraph

Article in Clinical and vaccine immunology : CVI, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

56 citing papers in PubMed, 94 citations in OpenAlex.

  1. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
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  4. Materials today. Bio · 2026
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  6. Urinary Multidrug-ResistantMicroorganisms · 2025
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  8. HypervirulentPharmaceuticals (Basel, Switzerland) · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Plant-Origin Components: New Players to Combat Antibiotic Resistance inInternational journal of molecular sciences · 2024
    Review
  15. Review
  16. Article
  17. Autophagy, cell death, and cytokines inEmerging microbes & infections · 2023
    Review
  18. Review
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  20. 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 3 institutions in 2 countries.

Elizabeth Diago-NavarroDepartment of Medicine (Division of Infectious Diseases), Stony Brook University, Stony Brook, New York, USA.
Isabel Calatayud-BaselgaUniversidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, Spain.
Donglei SunDepartment of Veterinary Medicine, University of Maryland at College Park, College Park, Maryland, USA.
Camille KhairallahDepartment of Molecular Genetics and Microbiology, Stony Brook University, Stony Brook, New York, USA.
Inderjit MannDepartment of Medicine (Division of Infectious Diseases), Stony Brook University, Stony Brook, New York, USA.
Amaia Ulacia-HernandoUniversidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, Spain.
Brian SheridanDepartment of Molecular Genetics and Microbiology, Stony Brook University, Stony Brook, New York, USA.
Meiqing ShiDepartment of Veterinary Medicine, University of Maryland at College Park, College Park, Maryland, USA.
Bettina C FriesDepartment of Medicine (Division of Infectious Diseases), Stony Brook University, Stony Brook, New York, USA bettina.fries@stonybrookmedicine.edu.
Stony Brook University · USUniversidad Francisco de Vitoria · ESUniversity of Maryland, College Park · US

Funding

response to phenotypic switch variants to C. neoformansR01AI059681 · NIAID · STATE UNIVERSITY NEW YORK STONY BROOK · PI FRIES, BETTINA · 2004 to 2014
$3.6M
Consequences of replicative aging in Cryptococcus neoformansR21AI087564 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI FRIES, BETTINA · 2010 to 2011
$454k
Development of antibodies to capsule of carbapenem resistant Klebsiella pneumoniaR21AI114259 · NIAID · STATE UNIVERSITY NEW YORK STONY BROOK · PI FRIES, BETTINA · 2015 to 2016
$435k
Brain dissemination of Cryptococcus neoformans mediated by neutrophilsR21AI115086 · NIAID · UNIV OF MARYLAND, COLLEGE PARK · PI SHI, MEIQING · 2015 to 2016
$418k
NIAID NIH HHS R01 AI059681NIAID NIH HHS R21 AI087564NIAID NIH HHS R21 AI114259NIAID NIH HHS R21 AI115086
6 · The paper itself

Abstract

Hypervirulent Klebsiella pneumoniae (hvKp) strains are predicted to become a major threat in Asia if antibiotic resistance continues to spread. Anticapsular antibodies (Abs) were developed because disseminated infections caused by hvKp are associated with significant morbidity and mortality, even with antibiotic-sensitive strains. K1-serotype polysaccharide capsules (K1-CPS) are expressed by the majority of hvKp strains. In this study, K1-CPS-specific IgG Abs were generated by conjugation of K1-CPS to immunogenic anthrax protective antigen (PA) protein. Opsonophagocytic efficacy was measured in vitro and in vivo by intravital microscopy in murine livers. In vivo protection was tested in murine models, including a novel model for dissemination in hvKp-colonized mice. Protective efficacy of monoclonal antibodies (MAbs) 4C5 (IgG1) and 19A10 (IgG3) was demonstrated both in murine sepsis and pulmonary infection. In hvKp-colonized mice, MAb treatment significantly decreased dissemination of hvKp from the gut to mesenteric lymph nodes and organs. Intravital microscopy confirmed efficient opsonophagocytosis and clearance of bacteria from the liver. In vitro studies demonstrate that MAbs work predominantly by promoting FcR-mediated phagocytosis but also indicate that MAbs enhance the release of neutrophil extracellular traps (NETs). In anticipation of increasing antibiotic resistance, we propose further development of these and other Klebsiella-specific MAbs for therapeutic use.

Indexed as

AnimalsAntibodies, BacterialAntibodies, MonoclonalBacterial CapsulesChemopreventionDisease Models, AnimalFemaleImmunotherapyKlebsiella InfectionsKlebsiella pneumoniaeMiceMice, Inbred BALB CPhagocytosisPneumonia, BacterialSepsisTreatment OutcomeAntibodies, BacterialAntibodies, Monoclonaladjuvant therapycolonizationhypervirulenceintestinal colonizationKlebsiella pneumoniaemonoclonal antibodiesopsonophagocytosis

Identifiers

PMID27795303
PMCPMC5216427
OpenAlexW2543439881

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.