Evidence map›Paper›PMID 29150209›Full record

ArticleVaccine2017

Exploring the relationship between polio type 2 serum neutralizing antibodies and intestinal immunity using data from two randomized controlled trials of new bOPV-IPV immunization schedules.

Ananda S Bandyopadhyay, Edwin J Asturias, Miguel O'Ryan, M Steven Oberste, William Weldon, Ralf Clemens, Ricardo Rüttimann, John F Modlin, Chris Gast

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Article
  7. Mucosal immunity to poliovirus.Mucosal immunology · 2022
    Review
  8. Article
  9. Immunogenicity of New Primary Immunization Schedules With Inactivated Poliovirus Vaccine and Bivalent Oral Polio Vaccine for the Polio Endgame: A Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    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 6 institutions in 2 countries.

Ananda S BandyopadhyayBill & Melinda Gates Foundation, Seattle, WA, USA.
Edwin J AsturiasDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA; Center for Global Health and Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA.
Miguel O'RyanMillennium Institute of Immunology and Immunotherapy, Faculty of Medicine, University of Chile, Santiago, Chile.
M Steven ObersteCenters for Disease Control and Prevention, Atlanta, GA, USA.
William WeldonCenters for Disease Control and Prevention, Atlanta, GA, USA.
Ralf ClemensGlobal Research in Infectious Diseases (GRID), Rio de Janeiro, Brazil.
Ricardo RüttimannFighting Infectious Diseases in Emerging Countries (FIDEC), Miami, FL, USA.
John F ModlinBill & Melinda Gates Foundation, Seattle, WA, USA.
Chris GastFred Hutchinson Cancer Research Center, Seattle, WA, USA. Electronic address: chris@gastsc.com.
Bill & Melinda Gates Foundation · USCenters for Disease Control and Prevention · USFighting Infectious Diseases in Emerging Countries · USFred Hutch Cancer Center · USUniversity of Chile · CLUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInactivated polio vaccine (IPV) is now the only source of routine type 2 protection. The relationship, if any, between vaccine-induced type 2 humoral and intestinal immunity is poorly understood.

methodsTwo clinical trials in five Latin American countries of mixed or sequential bOPV-IPV schedules in 1640 infants provided data on serum neutralizing antibodies (NAb) and intestinal immunity, assessed as viral shedding following oral mOPV2 challenge. Analyses with generalized additive and quantile regression models examined the relationships between prechallenge NAb titers and proportion, duration and titers (magnitude) of viral shedding.

resultsWe found a statistically significant (p < .0001) but weak relationship between NAb titer at the time of mOPV2 challenge and the Shedding Index Endpoint, the mean log

conclusionsTaken alone, the weak association between pre-challenge NAb titers following IPV or mixed/sequential bOPV/IPV immunization and differences in intestinal immunity is insufficient to predict polio type 2 intestinal immunity; even very high titers may not preclude viral shedding. Further research is needed to identify predictive markers of intestinal immunity in the context of global OPV cessation and IPV-only immunization.

Indexed as

Antibodies, NeutralizingImmunization ScheduleIntestinesPoliomyelitisPoliovirus Vaccine, InactivatedPoliovirus Vaccine, OralAntibodies, ViralFecesFemaleHumansImmunity, HumoralInfantLatin AmericaMalePoliovirusRandomized Controlled Trials as TopicAntibodies, NeutralizingAntibodies, ViralPoliovirus Vaccine, InactivatedPoliovirus Vaccine, OralEndgameHumoral immunityIntestinal immunityPoliovirusVaccination

Identifiers

PMID29150209
PMCPMC5725506
OpenAlexW2770032196

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.