Evidence map›Paper›PMID 28579305›Full record

ArticleThe Journal of infection2017

Frequent capsule switching in 'ultra-virulent' meningococci - Are we ready for a serogroup B ST-11 complex outbreak?

Jay Lucidarme, Aiswarya Lekshmi, Sydel R Parikh, James E Bray, Dorothea M Hill, Holly B Bratcher, Steve J Gray, Anthony D Carr, Keith A Jolley, Jamie Findlow and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-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

21 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Epidemiology and genetic diversity of invasive Neisseria meningitidis strains circulating in Portugal from 2003 to 2020.International microbiology : the official journal of the Spanish Society for Microbiology · 2024
    Article
  3. Review
  4. Review
  5. Article
  6. The Host-Pathogen Interactions and Epicellular Lifestyle ofFrontiers in cellular and infection microbiology · 2022
    Review
  7. Review
  8. Review
  9. Lung abscess due to Neisseria meningitidis serogroup X-unexpected virulence of a commensal resulting from putative serogroup B capsular switching.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  10. Review
  11. Detection of the United StatesEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020
    Article
  12. Article
  13. Serogroup CEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

15 authors at 3 institutions in 1 country.

Jay LucidarmeMeningococcal Reference Unit, Public Health England, Manchester, UK. Electronic address: jay.lucidarme@phe.gov.uk.
Aiswarya LekshmiMeningococcal Reference Unit, Public Health England, Manchester, UK.
Sydel R ParikhImmunisation Department, Public Health England, London, UK.
James E BrayDepartment of Zoology, University of Oxford, Oxford, UK.
Dorothea M HillDepartment of Zoology, University of Oxford, Oxford, UK.
Holly B BratcherDepartment of Zoology, University of Oxford, Oxford, UK.
Steve J GrayMeningococcal Reference Unit, Public Health England, Manchester, UK.
Anthony D CarrMeningococcal Reference Unit, Public Health England, Manchester, UK.
Keith A JolleyDepartment of Zoology, University of Oxford, Oxford, UK.
Jamie FindlowMeningococcal Reference Unit, Public Health England, Manchester, UK.
Helen CampbellImmunisation Department, Public Health England, London, UK.
Shamez N LadhaniImmunisation Department, Public Health England, London, UK; St George's University of London, London, UK.
Mary E RamsayImmunisation Department, Public Health England, London, UK.
Martin C J MaidenDepartment of Zoology, University of Oxford, Oxford, UK.
Ray BorrowMeningococcal Reference Unit, Public Health England, Manchester, UK.
Public Health England · GBUniversity of Oxford · GBSt George's, University of London · GB

Funding

Wellcome Trust 087622
6 · The paper itself

Abstract

The meningococcal ST-11 complex (cc11) causes large invasive disease outbreaks with high case fatality rates, such as serogroup C (MenC) epidemics in industrialised nations in the 1990s and the serogroup W epidemic currently expanding globally. Glycoconjugate vaccines are available for serogroups A, C, W and Y. Broad coverage protein-based vaccines have recently been licensed against serogroup B meningococci (MenB), however, these do not afford universal MenB protection. Capsular switching from MenC to MenB among cc11 organisms is concerning because a large MenB cc11 (B:cc11) outbreak has the potential to cause significant morbidity and mortality. This study aimed to assess the potential for licensed and developmental non-capsular meningococcal vaccines to protect against B:cc11. The population structure and vaccine antigen distribution was determined for a panel of >800 geo-temporally diverse, predominantly MenC cc11 and B:cc11 genomes. The two licensed vaccines potentially protect against many but not all B:cc11 meningococci. Furthermore, strain coverage by these vaccines is often due to a single vaccine antigen and both vaccines are highly susceptible to vaccine escape owing to the apparent dispensability of key proteins used as vaccine antigens. cc11 strains with MenB and MenC capsules warrant special consideration when formulating future non-capsular meningococcal vaccines.

Indexed as

Antigenic VariationMeningococcal InfectionsMeningococcal VaccinesNeisseria meningitidis, Serogroup BAdolescentAdultAgedAntigens, BacterialBacterial CapsulesChildChild, PreschoolDisease OutbreaksGenome, BacterialHumansInfantMiddle AgedAntigens, BacterialMeningococcal VaccinesMeningococcalNeisseria meningitidisSerogroup BST-11 complexVaccine

Identifiers

PMID28579305
PMCPMC5522521
OpenAlexW2620668784

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.