Evidence map›Paper›PMID 29673285›Full record

ArticleInnate immunity2018

TLR agonist combinations that stimulate Th type I polarizing responses from human neonates.

Naveen Surendran, Andrea Simmons, Michael E Pichichero

Open access · bronzeAbstract read
In one paragraph

Article in Innate immunity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

32 citing papers in PubMed, 40 citations in OpenAlex.

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  13. TestingPharmaceutics · 2024
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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

3 authors at 1 institution in 1 country.

Naveen SurendranCenter for Infectious Diseases and Immunology, Rochester General Hospital Research Institute, Rochester, NY, USA.ORCID 0000-0003-3811-7282
Andrea SimmonsCenter for Infectious Diseases and Immunology, Rochester General Hospital Research Institute, Rochester, NY, USA.
Michael E PichicheroCenter for Infectious Diseases and Immunology, Rochester General Hospital Research Institute, Rochester, NY, USA.
Rochester General Hospital · US

Funding

Immune potentiation to improve neonatal and pediatric vaccinesR03AI117700 · NIAID · ROCHESTER GENERAL HOSPITAL (NY) · PI SURENDRAN, NAVEEN · 2015 to 2016
$160k
NIAID NIH HHS R03 AI117700
6 · The paper itself

Abstract

Each year millions of neonates die due to vaccine preventable infectious diseases. Our study seeks to develop novel neonatal vaccines and improve immunogenicity of early childhood vaccines by incorporating TLR agonist-adjuvant combinations that overcome the inherent neonatal Th2 bias and stimulate Th1 polarizing response from neonatal APCs. We systematically stimulated cord blood mononuclear cells with single and multiple combinations of TLR agonists and measured levels of IL-12p70, IFN-γ, IFN-α, IL-10, IL-13, TNF-α, IL-6 and IL-1β from cell culture supernatants. APC-specific surface expression levels of costimulatory markers CD40, CD83 and PD-L1 were assessed by flow cytometry. Whole blood assays were included to account for the effect of plasma inhibitory factors and APC intracellular TNF-α and IL-12p40 secretions were measured. We found robust Th1 polarizing IL-12p70, IFN-γ and IFN-α responses when cord blood APCs were stimulated with TLR agonist combinations that contained Poly I:C, Monophosphoryl Lipid A (MPLA) or R848. Addition of class A CpG oligonucleotide (ODN) to Th1 polarizing TLR agonist combinations significantly reduced cord blood IL-12p70 and IFN-γ levels and addition of a TLR2 agonist induced significantly high Th2 polarizing IL-13. Multi-TLR agonist combinations that included R848 induced lower inhibitory PD-L1 expression on cord blood classical dendritic cells than CpG ODN-containing combinations. Incorporation of combination adjuvants containing TLR3, TLR4 and TLR7/8 agonists to neonatal vaccines may be an effective strategy to overcome neonatal Th2 bias.

Indexed as

Lymphocyte ActivationAdjuvants, ImmunologicAntigen-Presenting CellsCytokinesHumansImmunogenicity, VaccineInfant, NewbornLeukocytes, MononuclearTh1 CellsToll-Like ReceptorsVaccinesAdjuvants, ImmunologicCytokinesToll-Like ReceptorsVaccinesIFN-γIL-12Neonatal innate immunityneonatal vaccinesTLR synergy

Identifiers

PMID29673285
PMCPMC6830928
OpenAlexW2801196281

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.