Evidence map›Paper›PMID 29686064›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2018

Protection from cytomegalovirus viremia following glycoprotein B vaccination is not dependent on neutralizing antibodies.

Ilona Baraniak, Barbara Kropff, Lyn Ambrose, Megan McIntosh, Gary R McLean, Sylvie Pichon, Claire Atkinson, Richard S B Milne, Michael Mach, Paul D Griffiths and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed
11.2field-weighted citation impact, top 1% 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

87 citing papers in PubMed, 116 citations in OpenAlex.

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  5. Cytomegalovirus Vaccines in Transplantation: History, Hurdles, and Hope.Transplant infectious disease : an official journal of the Transplantation Society · 2026
    Review
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  13. The immune response to human cytomegalovirus: impact of age, co-morbidities and the significance of anti-viral activity assessment.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
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  19. Structure-based design of a soluble human cytomegalovirus glycoprotein B antigen stabilized in a prefusion-like conformation.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  20. Article

27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Ilona BaraniakInstitute for Immunity and Transplantation, University College London, London NW3 2PF, United Kingdom.
Barbara KropffInstitut für Klinische und Molekulare Virologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Lyn AmbroseInstitute for Immunity and Transplantation, University College London, London NW3 2PF, United Kingdom.
Megan McIntoshInstitute for Immunity and Transplantation, University College London, London NW3 2PF, United Kingdom.
Gary R McLeanCellular and Molecular Immunology Research Centre, London Metropolitan University, London N7 ND8, United Kingdom.
Sylvie PichonClinical Development, Sanofi Pasteur, 69280 Marcy l'Etoile, France.
Claire AtkinsonInstitute for Immunity and Transplantation, University College London, London NW3 2PF, United Kingdom.
Richard S B MilneInstitute for Immunity and Transplantation, University College London, London NW3 2PF, United Kingdom.
Michael MachInstitut für Klinische und Molekulare Virologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Paul D GriffithsInstitute for Immunity and Transplantation, University College London, London NW3 2PF, United Kingdom.
Matthew B ReevesInstitute for Immunity and Transplantation, University College London, London NW3 2PF, United Kingdom; matthew.reeves@ucl.ac.uk.ORCID 0000-0002-4909-1076
University College London · GBFriedrich-Alexander-Universität Erlangen-Nürnberg · DELondon Metropolitan University · GBSanofi (France) · FR

Funding

PHASE IB TRIAL OF CYTOMEGALOVIRUS GLYCOPROTEIN B VACCINER01AI051355 · NIAID · UNIVERSITY COLLEGE LONDON · PI GRIFFITHS, PAUL D · 2003 to 2008
$866k
Medical Research Council G:0900466Medical Research Council G0900466NIAID NIH HHS R01 AI051355Wellcome Trust 204870/Z/16/ZWellcome Trust WT/204870/Z/16/Z
6 · The paper itself

Abstract

Human cytomegalovirus (HCMV) is an important pathogen in transplant patients and in congenital infection. Previously, we demonstrated that vaccination with a recombinant viral glycoprotein B (gB)/MF59 adjuvant formulation before solid organ transplant reduced viral load parameters post transplant. Reduced posttransplant viremia was directly correlated with antibody titers against gB consistent with a humoral response against gB being important. Here we show that sera from the vaccinated seronegative patients displayed little evidence of a neutralizing antibody response against cell-free HCMV in vitro. Additionally, sera from seronegative vaccine recipients had minimal effect on the replication of a strain of HCMV engineered to be cell-associated in a viral spread assay. Furthermore, although natural infection can induce antibody-dependent cellular cytotoxicity (ADCC) responses, serological analysis of seronegative vaccinees again presented no evidence of a substantial ADCC-promoting antibody response being generated de novo. Finally, analyses for responses against major antigenic domains of gB following vaccination were variable, and their pattern was distinct compared with natural infection. Taken together, these data argue that the protective effect elicited by the gB vaccine is via a mechanism of action in seronegative vaccinees that cannot be explained by neutralization or the induction of ADCC. More generally, these data, which are derived from a human challenge model that demonstrated that the gB vaccine is protective, highlight the need for more sophisticated analyses of new HCMV vaccines over and above the quantification of an ability to induce potent neutralizing antibody responses in vitro.

Indexed as

Adjuvants, ImmunologicAntibodies, NeutralizingAntibodies, ViralCytomegalovirusCytomegalovirus InfectionsCytomegalovirus VaccinesHumansVaccinationViral Envelope ProteinsViral LoadViremiaAdjuvants, ImmunologicAntibodies, NeutralizingAntibodies, ViralCytomegalovirus Vaccinesglycoprotein B, SimplexvirusViral Envelope Proteinscytomegalovirushumoral immunityvaccine

Identifiers

PMID29686064
PMCPMC6004462
OpenAlexW2802722509

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.