Evidence map›Paper›PMID 28360258›Full record

Observational studyBMJ open2017

Impact of maternal antibodies and infant gut microbiota on the immunogenicity of rotavirus vaccines in African, Indian and European infants: protocol for a prospective cohort study.

Kuladaipalayam Natarajan C Sindhu, Nigel Cunliffe, Matthew Peak, Mark Turner, Alistair Darby, Nicholas Grassly, Melita Gordon, Queen Dube, Sudhir Babji, Ira Praharaj and 3 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 20% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Impact of dosing schedules on performance of rotavirus vaccines in Ghana.medRxiv : the preprint server for health sciences · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Persistence of G10P[11] neonatal rotavirus infections in southern India.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2021
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. 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

13 authors at 6 institutions in 3 countries.

Kuladaipalayam Natarajan C SindhuDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.
Nigel CunliffeUniversity of Liverpool, Liverpool, UK.
Matthew PeakAlder Hey Children's NHS Foundation Trust, Liverpool, UK.
Mark TurnerUniversity of Liverpool, Liverpool, UK.
Alistair DarbyUniversity of Liverpool, Liverpool, UK.
Nicholas GrasslyLondon School of Hygiene and Tropical Medicine, London, UK.
Melita GordonUniversity of Liverpool, Liverpool, UK.
Queen DubeMalawi College of Medicine, Malawi.
Sudhir BabjiDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.
Ira PraharajDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.
Valsan VergheseDepartment of Child Health, Christian Medical College, Vellore, Tamil Nadu, India.
Miren Iturriza-GómaraUniversity of Liverpool, Liverpool, UK.
Gagandeep KangDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.
University of Liverpool · GBChristian Medical College & Hospital · INAlder Hey Children's NHS Foundation Trust · GBChristian Medical College · INLondon School of Hygiene & Tropical Medicine · GBUniversity of Malawi · MW

Funding

Department of Health [UK]
6 · The paper itself

Abstract

introductionGastroenteritis is the leading cause of morbidity and mortality among young children living in resource-poor settings, majority of which is attributed to rotavirus. Rotavirus vaccination can therefore have a significant impact on infant mortality. However, rotavirus vaccine efficacy in Sub-Saharan Africa and Southeast Asia is significantly lower than in high-income countries. Maternally derived antibodies, infant gut microbiota and concomitant oral polio vaccination have been proposed as potential reasons for poor vaccine performance in low-income settings. The overall aim of this study is to compare the role of maternally derived antibodies and infant gut microbiota in determining immune response to rotavirus vaccine in high-income and low-income settings, using the same vaccine and a similar study protocol. METHODS AND ANALYSIS: The study is an observational cohort in three countries-Malawi, India and UK. Mothers will be enrolled in third trimester of pregnancy and followed up, along with infants after delivery, until the infant completes two doses of oral rotavirus vaccine (along with routine immunisation). The levels of prevaccination maternally derived rotavirus-specific antibodies (IgG) will be correlated with infant seroconversion and antibody titres, 4 weeks after the second dose of rotavirus vaccine. Both within-country and between-country comparisons of gut microbiome will be carried out between children who seroconvert and those who do not. The impact of oral polio vaccine coadministration on rotavirus vaccine response will be studied in Indian infants. ETHICS AND DISSEMINATION: Ethical approvals have been obtained from Integrated Research Application System (IRAS, NHS ethics) in UK, College of Medicine Research and Ethics Committee (COMREC) in Malawi and Institutional Review Board (IRB), Christian Medical College, Vellore in India. Participant recruitment and follow-up is ongoing at all three sites. Analysis of data, followed by publication of the results, is expected in 2018.

Indexed as

AfricaAntibodies, ViralChild, PreschoolDNA, ViralEnglandEnzyme-Linked Immunosorbent AssayEuropeFemaleGastroenteritisGastrointestinal MicrobiomeHumansImmunoglobulin AImmunoglobulin GIndiaInfantProspective StudiesAntibodies, ViralDNA, ViralImmunoglobulin AImmunoglobulin GRotavirus VaccinesImmunogenicityMaternal antibodiesMicrobiotaPolio vaccineRotavirus vaccine

Identifiers

PMID28360258
PMCPMC5372070
OpenAlexW2602314417

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.