Evidence map›Paper›PMID 30820456›Full record

ArticleScience advances2019

Maternal immunity and antibodies to dengue virus promote infection and Zika virus-induced microcephaly in fetuses.

Abhay P S Rathore, Wilfried A A Saron, Ting Lim, Nusrat Jahan, Ashley L St John

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 pooled it
15.8field-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

71 citing papers in PubMed, 2 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. An ultrapotent human antibody neutralizes all maturation states of Zika virus.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Bioprofiling and vaccine development for Zika virus.Science China. Life sciences · 2025
    Review
  9. Review
  10. Article
  11. An updated review of Zika virus vaccine development.Clinical and experimental vaccine research · 2025
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. The therapeutic age of the neonatal Fc receptor.Nature reviews. Immunology · 2023
    Review
  18. Review
  19. Article
  20. Review

11 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

5 authors at 1 institution in 2 countries.

Abhay P S RathoreProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0003-2039-2964
Wilfried A A SaronProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0002-7974-5288
Ting LimProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0002-5121-045X
Nusrat JahanProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0002-5650-721X
Ashley L St JohnProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.ORCID 0000-0001-5098-1044
National University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zika virus (ZIKV), an emergent flaviviral pathogen, has been linked to microcephaly in neonates. Although the risk is greatest during the first trimester of pregnancy in humans, timing alone cannot explain why maternal ZIKV infection leads to severe microcephaly in some fetuses, but not others. The antigenic similarities between ZIKV and dengue virus (DENV), combined with high levels of DENV immunity among ZIKV target populations in recent outbreaks, suggest that anti-DENV maternal antibodies could promote ZIKV-induced microcephaly. We demonstrated maternal-to-fetal ZIKV transmission, fetal infection, and disproportionate microcephaly in immunocompetent mice. We show that DENV-specific antibodies in ZIKV-infected pregnant mice enhance vertical ZIKV transmission and result in a severe microcephaly-like syndrome, which was dependent on the neonatal Fc receptor, FcRN. This novel immune-mediated mechanism of vertical transmission of viral infection is of special concern because ZIKV epidemic regions are also endemic to DENV.

Indexed as

Immunity, Maternally-AcquiredAnimalsAntibodies, ViralBiopsyDengue VirusDisease Models, AnimalDisease SusceptibilityFemaleImmunohistochemistryMiceMicrocephalyPhenotypePregnancyZika VirusZika Virus InfectionAntibodies, Viral

Identifiers

PMID30820456
PMCPMC6392794
OpenAlexW2915579662

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.