Evidence map›Paper›PMID 30188914›Full record

ArticlePloS one2018

Development of a broad spectrum glycoconjugate vaccine to prevent wound and disseminated infections with Klebsiella pneumoniae and Pseudomonas aeruginosa.

Nicolas Hegerle, Myeongjin Choi, James Sinclair, Mohammed N Amin, Morgane Ollivault-Shiflett, Brittany Curtis, Rachel S Laufer, Surekha Shridhar, Jerod Brammer, Franklin R Toapanta and 6 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

59 citing papers in PubMed, 97 citations in OpenAlex.

  1. Trial
  2. Materials today. Bio · 2026
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  3. Variable progressive behavior ofFrontiers in immunology · 2026
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  5. Multidrug-resistantVirulence · 2025
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  6. Development of a mouse model forMicrobiology spectrum · 2025
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  8. NovelmBio · 2025
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  11. O-antigen polysaccharides inMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  12. Review
  13. Exploring current hypervirulentFrontiers in microbiology · 2025
    Review
  14. Semisynthetic Glycoconjugate Vaccine Lead againstJournal of the American Chemical Society · 2024
    Article
  15. Vaccines · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

16 authors at 2 institutions in 1 country.

Nicolas HegerleCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Myeongjin ChoiCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
James SinclairCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Mohammed N AminCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Morgane Ollivault-ShiflettFina Biosolutions, Rockville, MD, United States of America.
Brittany CurtisCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Rachel S LauferCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.ORCID 0000-0003-3142-9347
Surekha ShridharCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Jerod BrammerCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Franklin R ToapantaCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Ian Alan HolderDepartment of Microbiology, College of Medicine, University of Cincinnati, Cincinnati, Ohio, United States of America.
Marcela F PasettiCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Andrew LeesFina Biosolutions, Rockville, MD, United States of America.
Sharon M TennantCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Alan S CrossCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Raphael SimonCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.ORCID 0000-0002-4136-0948
University of Maryland, Baltimore · USUniversity of Cincinnati Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klebsiella pneumoniae (KP) and Pseudomonas aeruginosa (PA) are important human pathogens that are associated with a range of infection types, including wound and disseminated infections. Treatment has been complicated by rising rates of antimicrobial resistance. Immunoprophylactic strategies are not constrained by antimicrobial resistance mechanisms. Vaccines against these organisms would be important public health tools, yet they are not available. KP surface O polysaccharides (OPS) are protective antigens in animal models of infection. Similarly, PA flagellin (Fla), the major subunit of the flagellar filament, is required for virulence and is a target of protective antibodies in animal models. We report herein the development of a combined KP and PA glycoconjugate vaccine comprised of the four most common KP OPS types associated with human infections (O1, O2, O3, O5), chemically linked to the two Fla types of PA (FlaA, FlaB). Conjugation of KP OPS to PA Fla enhanced anti-polysaccharide immune responses and produced a formulation that generated antibody titers to the four KP OPS types and both PA Fla antigens in rabbits. Passive transfer of vaccine-induced rabbit antisera reduced the bacterial burden and protected mice against fatal intravenous KP infection. Mice passively transferred with conjugate-induced antisera were also protected against PA infection after thermal injury with a FlaB-expressing isolate, but not a FlaA isolate. Taken together, these promising preclinical results provide important proof-of-concept for a broad spectrum human vaccine to prevent KP and PA infections.

Indexed as

Bacterial VaccinesAnimalsAntibodies, BacterialBacterial ProteinsFemaleGlycoconjugatesHumansImmunity, HumoralImmunizationKlebsiella InfectionsKlebsiella pneumoniaeMiceProof of Concept StudyPseudomonas aeruginosaPseudomonas InfectionsRabbitsAntibodies, BacterialBacterial ProteinsBacterial VaccinesGlycoconjugates

Identifiers

PMID30188914
PMCPMC6126813
OpenAlexW2889991839

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.