Evidence map›Paper›PMID 29978039›Full record

ArticleScience advances2018

Wilfried A A Saron, Abhay P S Rathore, Lim Ting, Eng Eong Ooi, Jenny Low, Soman N Abraham, Ashley L St John

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Diagnostic Techniques for Dengue Virus.Current topics in microbiology and immunology · 2026
    Review
  6. Review
  7. T Cell Responses During Dengue Infection.Current topics in microbiology and immunology · 2026
    Review
  8. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
  9. CD4Vaccines · 2025
    Article
  10. Article
  11. Human T Cell Responses to Flavivirus Vaccines.European journal of immunology · 2025
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

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

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 2 institutions in 2 countries.

Wilfried A A SaronProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0002-7974-5288
Abhay P S RathoreProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0003-2039-2964
Lim TingProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0002-5121-045X
Eng Eong OoiProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0002-0520-1544
Jenny LowDepartment of Infectious Diseases, Singapore General Hospital, Singapore, Singapore.
Soman N AbrahamProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.
Ashley L St JohnProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0001-5098-1044
National University of Singapore · SGSingapore General Hospital · SG

Funding

Mast Cells in Dengue Pathology and PreventionR01HL112921 · NHLBI · DUKE UNIVERSITY · PI ABRAHAM, SOMAN N · 2013 to 2016
$1.5M
NHLBI NIH HHS R01 HL112921
6 · The paper itself

Abstract

How previous immunity influences immune memory recall and protection against related flaviviruses is largely unknown, yet encounter with multiple flaviviruses in a lifetime is increasingly likely. Using sequential challenges with dengue virus (DENV), yellow fever virus (YFV), and Japanese encephalitis virus (JEV), we induced cross-reactive cellular and humoral immunity among flaviviruses from differing serocomplexes. Antibodies against JEV enhanced DENV replication; however, JEV immunity was protective in vivo during secondary DENV1 infection, promoting rapid gains in antibody avidity. Mechanistically, JEV immunity activated dendritic cells and effector memory T cells, which developed a T follicular helper cell phenotype in draining lymph nodes upon secondary DENV1 infection. We identified cross-reactive epitopes that promote recall from a pool of flavivirus serocomplex cross-reactive memory CD4 T cells and confirmed that a similar serocomplex cross-reactive immunity occurs in humans. These results show that sequential immunizations for flaviviruses sharing CD4 epitopes should promote protection during a subsequent heterologous infection.

Indexed as

Amino Acid SequenceAnimalsAntibodies, NeutralizingCD4-Positive T-LymphocytesCross ReactionsDengue VirusEncephalitis Virus, JapaneseEpitopesFlavivirusHumansImmunity, CellularImmunity, HumoralImmunologic MemoryLeukocytes, MononuclearMiceMice, Inbred C57BLAntibodies, NeutralizingEpitopes

Identifiers

PMID29978039
PMCPMC6031378
OpenAlexW2810592739

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.