Evidence map›Paper›PMID 29263862›Full record

ArticleNPJ vaccines2017

Neutrophil swarming and extracellular trap formation play a significant role in Alum adjuvant activity.

J Stephen, H E Scales, R A Benson, D Erben, P Garside, J M Brewer

Open access · goldAbstract read
In one paragraph

Article in NPJ vaccines, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

42 citing papers in PubMed, 83 citations in OpenAlex.

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  14. Vaccine adjuvants: mechanisms and platforms.Signal transduction and targeted therapy · 2023
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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

6 authors at 1 institution in 1 country.

J StephenInstitute of Infection, Immunity and Inflammation College of Medical, Veterinary and Life Sciences Sir Graeme Davies Building, University of Glasgow, 120 University Place, Glasgow, G12 8TA Scotland UK.
H E ScalesInstitute of Infection, Immunity and Inflammation College of Medical, Veterinary and Life Sciences Sir Graeme Davies Building, University of Glasgow, 120 University Place, Glasgow, G12 8TA Scotland UK.
R A BensonInstitute of Infection, Immunity and Inflammation College of Medical, Veterinary and Life Sciences Sir Graeme Davies Building, University of Glasgow, 120 University Place, Glasgow, G12 8TA Scotland UK.
D ErbenInstitute of Infection, Immunity and Inflammation College of Medical, Veterinary and Life Sciences Sir Graeme Davies Building, University of Glasgow, 120 University Place, Glasgow, G12 8TA Scotland UK.
P GarsideInstitute of Infection, Immunity and Inflammation College of Medical, Veterinary and Life Sciences Sir Graeme Davies Building, University of Glasgow, 120 University Place, Glasgow, G12 8TA Scotland UK.
J M BrewerInstitute of Infection, Immunity and Inflammation College of Medical, Veterinary and Life Sciences Sir Graeme Davies Building, University of Glasgow, 120 University Place, Glasgow, G12 8TA Scotland UK.
University of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are over 6 billion vaccine doses administered each year, most containing aluminium-based adjuvants, yet we still do not have a complete understanding of their mechanisms of action. Recent evidence has identified host DNA and downstream sensing as playing a significant role in aluminium adjuvant (aluminium hydroxide) activity. However, the cellular source of this DNA, how it is sensed by the immune system and the consequences of this for vaccination remains unclear. Here we show that the very early injection site reaction is characterised by inflammatory chemokine production and neutrophil recruitment. Intravital imaging demonstrates that the Alum injection site is a focus of neutrophil swarms and extracellular DNA strands. These strands were confirmed as neutrophil extracellular traps due to their sensitivity to DNAse and absence in mice deficient in peptidylarginine deiminase 4. Further studies in PAD4-/- mice confirmed a significant role for neutrophil extracellular trap formation in the adjuvant activity of Alum. By revealing neutrophils recruited to the site of Alum injection as a source of the DNA that is detected by the immune system this study provides the missing link between Alum injection and the activation of DNA sensors that enhance adjuvant activity, elucidating a key mechanism of action for this important vaccine component.

Identifiers

PMID29263862
PMCPMC5604741
OpenAlexW2581640770

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.