Evidence map›Paper›PMID 30382954›Full record

ArticleThe Pediatric infectious disease journal2018

Human Parechovirus 1, 3 and 4 Neutralizing Antibodies in Dutch Mothers and Infants and Their Role in Protection Against Disease.

Eveliina Karelehto, Joanne G Wildenbeest, Kimberley S M Benschop, Gerrit Koen, Sjoerd Rebers, Saskia Bouma-de Jongh, Brenda M Westerhuis, Menno D de Jong, Dasja Pajkrt, Katja C Wolthers

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The Pediatric infectious disease journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Journal of virology · 2025
    Review
  3. Article
  4. Article
  5. Parechovirus A Infections in Healthy Australian Children During the First 2 Years of Life: A Community-based Longitudinal Birth Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  6. Article
  7. Review
  8. Article
  9. 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

10 authors at 4 institutions in 1 country.

Eveliina KarelehtoFrom the Laboratory of Clinical Virology, Department of Medical Microbiology, Academic Medical Center.
Joanne G WildenbeestDepartment of Pediatric Infectious Diseases, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands.
Kimberley S M BenschopNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Gerrit KoenFrom the Laboratory of Clinical Virology, Department of Medical Microbiology, Academic Medical Center.
Sjoerd RebersFrom the Laboratory of Clinical Virology, Department of Medical Microbiology, Academic Medical Center.
Saskia Bouma-de JonghDepartment of Pediatrics, Amstelland Hospital, Amstelveen, The Netherlands.
Brenda M WesterhuisNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Menno D de JongFrom the Laboratory of Clinical Virology, Department of Medical Microbiology, Academic Medical Center.
Dasja PajkrtDepartment of Pediatric Infectious Diseases, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands.
Katja C WolthersFrom the Laboratory of Clinical Virology, Department of Medical Microbiology, Academic Medical Center.
Academic Medical Center · NLEmma Kinderziekenhuis · NLNational Institute for Public Health and the Environment · NLZiekenhuis Amstelland · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman parechoviruses (HPeVs) are common pathogens in young children, and in the Netherlands, HPeV1, HPeV3 and HPeV4 are the most frequently detected genotypes. HPeV3 in particular has been associated with severe disease in young infants below 3 months of age while the other genotypes more often infect older children and elicit mild symptoms. We investigated if maternal neutralizing antibodies (nAbs) against HPeV1, HPeV3 and HPeV4 protect young Dutch infants from severe disease related to HPeV infection.

methodsWe conducted a prospective case-control study of Dutch mother-infant pairs. Thirty-eight HPeV-infected infants and their mothers were included as cases, and 65 HPeV-negative children and their mothers as controls.

resultsIn control infants, we observed nAb seropositivity rates of 41.4%, 33.3% and 27.6%, with median nAb titers of 1:16, 1:12 and 1:8, against HPeV1, HPeV3 and HPeV4, respectively. In control mothers, nAb seropositivity rates were 84.6%, 55.4% and 60.0% with median nAb titers of 1:128, 1:32 and 1:45 against HPeV1, HPeV3 and HPeV4, respectively. The HPeV3 nAb seroprevalence was significantly lower in HPeV3-infected infants and their mothers (0.0% with P < 0.05 and 10.0% with P < 0.001, respectively). In contrast, no differences in nAb seroprevalence against HPeV1 or HPeV4 could be detected between case and control infants or mothers.

conclusionsOur results suggest that young Dutch infants are protected against severe disease related to HPeV1 and HPeV4 by maternal nAbs, but less so against HPeV3 explaining the distinct age distributions and disease severity profiles of children infected with these HPeV genotypes.

Indexed as

Antibodies, NeutralizingAntibodies, ViralCase-Control StudiesCell Culture TechniquesFemaleGenotypeHumansInfantMaleMothersNetherlandsParechovirusPicornaviridae InfectionsProspective StudiesSeroepidemiologic StudiesAntibodies, NeutralizingAntibodies, Viral

Identifiers

PMID30382954
PMCPMC6239346
OpenAlexW2790283086

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.