Evidence map›Paper›PMID 30895307›Full record

ArticleThe Journal of infectious diseases2019

Beyond Neutralizing Antibody Levels: The Epitope Specificity of Antibodies Induced by National Institutes of Health Monovalent Dengue Virus Vaccines.

Jesica A Swanstrom, Usha K Nivarthi, Bhumi Patel, Matthew J Delacruz, Boyd Yount, Douglas G Widman, Anna P Durbin, Stephen S Whitehead, Aravinda M De Silva, Ralph S Baric

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Dengue Vaccines.Current topics in microbiology and immunology · 2026
    Review
  2. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
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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.

Jesica A SwanstromDepartment of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill.
Usha K NivarthiDepartment of Microbiology and Immunology, School of Medicine, University of North Carolina at Chapel Hill.
Bhumi PatelDepartment of Microbiology and Immunology, School of Medicine, University of North Carolina at Chapel Hill.
Matthew J DelacruzDepartment of Microbiology and Immunology, School of Medicine, University of North Carolina at Chapel Hill.
Boyd YountDepartment of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill.
Douglas G WidmanDepartment of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill.
Anna P DurbinDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore.
Stephen S WhiteheadLaboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
Aravinda M De SilvaDepartment of Microbiology and Immunology, School of Medicine, University of North Carolina at Chapel Hill.
Ralph S BaricDepartment of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill.

Funding

Clinical Trials of Biodefense Vaccines (Dengue, West Nile Virus, TBEV)ZIAAI000987 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI WHITEHEAD, STEPHEN · 2009 to 2025
$37.9M
Molecular Basis of Flavivirus Cross-Neutralization by Human AntibodiesR01AI107731 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DESILVA, ARAVINDA M. · 2013 to 2022
$5.3M
NIAID NIH HHS R01 AI107731
6 · The paper itself

Abstract

backgroundDengue virus is an emerging mosquito-borne flavivirus responsible for considerable morbidity and mortality worldwide. The Division of Intramural Research, National Institute of Allergy and Infectious Diseases of the US National Institutes of Health (NIH) has developed live attenuated vaccines to each of the 4 serotypes of dengue virus (DENV1-4). While overall levels of DENV neutralizing antibodies (nAbs) in humans have been correlated with protection, these correlations vary depending on DENV serotype, prevaccination immunostatus, age, and study site. By combining both the level and molecular specificity of nAbs to each serotype, it may be possible to develop more robust correlates that predict long-term outcome.

methodsUsing depletions and recombinant chimeric epitope transplant DENVs, we evaluate the molecular specificity and mapped specific epitopes and antigenic regions targeted by vaccine-induced nAbs in volunteers who received the NIH monovalent vaccines against each DENV serotype.

resultsAfter monovalent vaccination, subjects developed high levels of nAbs that mainly targeted epitopes that are unique (type-specific) to each DENV serotype. The DENV1, 2, and 4 monovalent vaccines induced type-specific nAbs directed to quaternary structure envelope epitopes known to be targets of strongly neutralizing antibodies induced by wild-type DENV infections.

conclusionsOur results reported here on the molecular specificity of NIH vaccine-induced antibodies enable new strategies, beyond the absolute levels of nAbs, for determining correlates and mechanisms of protective immunity.

Indexed as

Amino Acid SequenceAntibodies, NeutralizingAntibodies, ViralDengueDengue VaccinesDengue VirusEpitope MappingEpitopesHumansNational Institutes of Health (U.S.)SerogroupUnited StatesVaccinationVaccines, AttenuatedViral Envelope ProteinsAntibodies, NeutralizingAntibodies, ViralDengue VaccinesEpitopesVaccines, AttenuatedViral Envelope Proteinsdengue vaccineflaviviruslive attenuated vaccineneutralizing antibody

Identifiers

PMID30895307
PMCPMC6581895

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.