Evidence map›Paper›PMID 28982123›Full record

ArticlePloS one2017

Kinetics of antibodies against pneumococcal proteins and their relationship to nasopharyngeal carriage in the first two months of life.

Awa L Mendy, Schadrac C Agbla, Aderonke A Odutola, Martin Antonio, Brian M Greenwood, Jayne S Sutherland, Martin O C Ota

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 3 countries.

Awa L MendyVaccines & Immunity Theme, Medical Research Council Unit, Fajara, The Gambia.
Schadrac C AgblaVaccines & Immunity Theme, Medical Research Council Unit, Fajara, The Gambia.
Aderonke A OdutolaVaccines & Immunity Theme, Medical Research Council Unit, Fajara, The Gambia.
Martin AntonioVaccines & Immunity Theme, Medical Research Council Unit, Fajara, The Gambia.
Brian M GreenwoodFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Jayne S SutherlandVaccines & Immunity Theme, Medical Research Council Unit, Fajara, The Gambia.
Martin O C OtaVaccines & Immunity Theme, Medical Research Council Unit, Fajara, The Gambia.ORCID http://orcid.org/0000-0003-1642-7239
MRC Unit the Gambia · GMLondon School of Hygiene & Tropical Medicine · GBUniversity of Warwick · GB

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionThe currently used Streptococcus pneumoniae vaccines have had a significant impact on the pneumococcal diseases caused by the serotypes they cover. Their limitations have stimulated a search for alternate vaccines that will cover all serotypes, be affordable and effective in young children. Pneumococcal protein antigens are potential vaccine candidates that may meet some of the shortfalls of the current vaccines. Thus, this study aimed to determine the relationship between antibodies against pneumococcal protein antigens and nasopharyngeal carriage in infants.

methodsOne hundred and twenty mother-infant pairs were enrolled into the study. They had nasopharyngeal swabs(NPS) taken at birth and every two weeks for the first eight weeks after delivery, and blood samples were obtained at birth and every four weeks for the first eight weeks after delivery. Nasopharyngeal carriage of S. pneumoniae was determined from the NPS and antibodies against the pneumococcal proteins CbpA, PspA and rPly were measured in the blood samples.

resultsThe S. pneumoniae carriage rate in infants increased to that of mothers by eight weeks of age. The odds of carriage in infants was 6.2 times (95% CI: 2.0-18.9) higher when their mothers were also carriers. Bacterial density in infants was lower at birth compared to their mothers (p = 0.004), but increased with age and became higher than that of their mothers at weeks 4 (p = 0.009), 6 (p = 0.002) and 8 (p<0.0001). At birth, the infants' antibodies against CbpA, and rPly pneumococcal protein antigens were similar, but that of PspA was lower (p<0.0001), compared to their mothers. Higher antibody concentrations to CbpA [OR (95% CI): 0.49 (0.26-0.92, p = 0.03)], but not PspA and rPly, were associated with protection against carriage in the infants.

conclusionNaturally induced antibodies against the three pneumococcal protein antigens were transferred from mother to child. The proportion of infants with nasopharyngeal carriage and the bacterial density of S. pneumoniae increased with age within the first eight weeks of life. Higher concentrations of antibodies against CbpA, but not PspA and rPly, were associated with reduced risk of nasopharyngeal carriage of S. pneumoniae in infants.

Indexed as

AdultAntibodies, BacterialAntigens, BacterialBacterial ProteinsFemaleHumansInfant, NewbornLongitudinal StudiesNasopharynxReal-Time Polymerase Chain ReactionStreptococcus pneumoniaeAntibodies, BacterialAntigens, BacterialBacterial Proteins

Identifiers

PMID28982123
PMCPMC5628860
OpenAlexW2762056969

What OpenQuestion holds

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LicenceCC BY
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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.