Evidence map›Paper›PMID 27927680›Full record

ArticleClinical and vaccine immunology : CVI2017

Functional and Antigen-Specific Serum Antibody Levels as Correlates of Protection against Shigellosis in a Controlled Human Challenge Study.

Avital A Shimanovich, Amanda D Buskirk, Shannon J Heine, William C Blackwelder, Rezwanul Wahid, Karen L Kotloff, Marcela F Pasetti

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 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

69 citing papers in PubMed, 85 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Antibodies Elicited by theFrontiers in immunology · 2021
    Trial
  5. Human vaccines & immunotherapeutics · 2026
    Review
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  9. Characterization ofApplied and environmental microbiology · 2025
    Article
  10. Article
  11. mBio · 2025
    Article
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  17. Immunogenicity evaluation of altSonflex1-2-3Frontiers in immunology · 2025
    Article
  18. Article
  19. Oral immunization withmSphere · 2024
    Article
  20. Article

9 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

7 authors at 1 institution in 1 country.

Avital A ShimanovichDepartment of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Amanda D BuskirkDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Shannon J HeineDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
William C BlackwelderInstitute for Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Rezwanul WahidDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Karen L KotloffDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Marcela F PasettiDepartment of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, Maryland, USA mpasetti@medicine.umaryland.edu.
University of Maryland, Baltimore · US

Funding

Serological assays to predict Shigella vaccine efficacyR01AI125841 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI PASETTI, MARCELA F · 2016 to 2020
$2.8M
Vaccines and maternally acquired immunity to prevent shigellosis in childrenR01AI117734 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI PASETTI, MARCELA F · 2015 to 2019
$2.0M
NIAID NIH HHS R01 AI117734NIAID NIH HHS R01 AI125841
6 · The paper itself

Abstract

Shigella is an important cause of diarrheal disease in young children living in developing countries. No approved vaccines are available, and the development of vaccine candidates has been hindered by the lack of firm immunological correlates of protection, among other reasons. To address this gap in knowledge, we established quantitative assays to measure Shigella-specific serum bactericidal antibody (SBA) and opsonophagocytic killing antibody (OPKA) activities and investigated their potential association with protection against disease in humans. SBA, OPKA, and Ipa-, VirG (IscA)-, and Shigella flexneri 2a lipopolysaccharide-specific serum IgG titers were determined in adult volunteers who received Shigella vaccine candidate EcSf2a-2 and in unvaccinated controls, all of whom were challenged with virulent Shigella flexneri 2a. Prechallenge antibody titers were compared with disease severity after challenge. SBA and OPKA, as well as IpaB- and VirG-specific IgG, significantly correlated with reduced illness. SBA and OPKA assays were also used to evaluate the immunogenicity of leading live attenuated vaccine candidates Shigella CVD 1204 and CVD 1208S in humans. A single oral immunization with CVD 1204 or CVD 1208S resulted in SBA seroconversion rates of 71% and 47% and OPKA seroconversion rates of 57% and 35%, respectively. Higher functional antibody responses were induced by CVD 1204, which is consistent with its lower attenuation. This is the first demonstration of SBA, OPKA, and IpaB- and VirG-specific IgG levels as potential serological correlates of protection against shigellosis in humans. These results warrant further studies to establish their capacity to predict protective immunity and vaccine efficacy.

Indexed as

Blood Bactericidal ActivityAdultAntibodies, BacterialAntigens, BacterialDysentery, BacillaryHumansOpsonin ProteinsPhagocytosisSeverity of Illness IndexShigella flexneriShigella VaccinesVolunteersAntibodies, BacterialAntigens, BacterialOpsonin ProteinsShigella Vaccinescorrelates of protectionfunctional antibodiesShigella

Identifiers

PMID27927680
PMCPMC5299116
OpenAlexW2560777220

What OpenQuestion holds

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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.