Evidence map›Paper›PMID 31549157›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2020

Placental Transfer of Respiratory Syncytial Virus Antibody Among HIV-Exposed, Uninfected Infants.

Sweta M Patel, Sabelle Jallow, Sefelani Boiditswe, Shabir A Madhi, Kristen A Feemster, Andrew P Steenhoff, Tonya Arscott-Mills, Charles Muthoga, Gbolahan Ajibola, Roger Shapiro and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
  5. Article
  6. Article
  7. Altered Maternal Antibody Profiles in Women With Human Immunodeficiency Virus Drive Changes in Transplacental Antibody Transfer.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Maternal Immunization: Nature Meets Nurture.Frontiers in microbiology · 2020
    Review
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

13 authors at 7 institutions in 4 countries.

Sweta M PatelDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, North Carolina.
Sabelle JallowMedical Research Council, Respiratory and Meningeal Pathogens Research Unit.
Sefelani BoiditsweBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Shabir A MadhiMedical Research Council, Respiratory and Meningeal Pathogens Research Unit.
Kristen A FeemsterGlobal Health Center, Children's Hospital of Philadelphia, Pennsylvania.
Andrew P SteenhoffBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Tonya Arscott-MillsBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Charles MuthogaBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Gbolahan AjibolaBotswana-Harvard AIDS Institute Partnership, Gaborone, Botswana.
Roger ShapiroBotswana-Harvard AIDS Institute Partnership, Gaborone, Botswana.
Samir S ShahDivisions of Hospital Medicine and Infectious Diseases, Cincinnati Children's Hospital Medical Center, Ohio.
Coleen K CunninghamDivision of Pediatric Infectious Diseases, Duke University, Durham, North Carolina.
Matthew S KellyDivision of Pediatric Infectious Diseases, Duke University, Durham, North Carolina.
University of Botswana · BWDuke University · USMedical Research Council · GBBotswana Harvard AIDS Institute Partnership · BWChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USHarvard University · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
INTERDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASET32HL007538 · NHLBI · DUKE UNIVERSITY · PI LEE, PATTY J, PALMER, SCOTT M · 1985 to 2019
$7.2M
Nasopharyngeal Microbiome and Risk of Bacterial Pathogen Colonization in InfantsK23AI135090 · NIAID · DUKE UNIVERSITY · PI KELLY, MATTHEW SCOTT · 2018 to 2022
$860k
NHLBI NIH HHS T32 HL007538NIAID NIH HHS K23 AI135090NIAID NIH HHS P30 AI064518
6 · The paper itself

Abstract

backgroundMaternal human immunodeficiency virus (HIV) infection is associated with lower placental transfer of antibodies specific to several childhood pathogens. Our objective for this study was to evaluate the effect of maternal HIV infection on the placental transfer of respiratory syncytial virus (RSV)-neutralizing antibodies.

methodsWe conducted a cross-sectional study of mothers and their newborn infants at a tertiary hospital in Gaborone, Botswana, between March 2015 and December 2015. We measured serum RSV antibody levels by using a microneutralization assay. We used multivariable linear regression to evaluate the effect of maternal HIV infection on maternal RSV antibody levels, placental transfer of RSV antibodies, and newborn RSV antibody levels.

resultsOf 316 mothers, 154 (49%) were infected with HIV. The placental transfer ratios for RSV antibodies to HIV-exposed, uninfected (HEU) and HIV-unexposed, uninfected infants were 1.02 and 1.15, respectively. The geometric mean titer (95% confidence interval) of RSV-neutralizing antibodies was 2657 (2251-3136) among HEU newborns and 2911 (2543-3331) among HIV-unexposed, uninfected newborns. In multivariable analyses, maternal HIV infection was associated with lower placental transfer of RSV antibodies (P = .02) and a lower level of RSV antibodies among newborns (P = .002). Among HEU newborns, higher birth weight (P = .004) and an undetectable maternal antenatal viral load (P = .01) were associated with more effective placental transfer of RSV antibodies.

conclusionsMaternal human immunodeficiency virus (HIV) infection is associated with lower mother-to-fetus transfer of serum RSV-neutralizing antibodies. HEU infants should be prioritized for preventive interventions for RSV. Maternal viral suppression through combination antiretroviral therapy has the potential to improve immunity to RSV among HIV-exposed infants.

Indexed as

HIV InfectionsMaternal-Fetal ExchangePregnancy Complications, InfectiousAdultAntibodies, NeutralizingAntibodies, ViralCross-Sectional StudiesFemaleHumansImmunity, Maternally-AcquiredInfant, NewbornLinear ModelsMaleMultivariate AnalysisPregnancyRespiratory Syncytial Virus, HumanAntibodies, NeutralizingAntibodies, ViralantibodyHIV-exposed uninfectedrespiratory syncytial virus

Identifiers

PMID31549157
PMCPMC7358043
OpenAlexW2977019464

What OpenQuestion holds

Textmetadata
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.