Evidence map›Paper›PMID 32040500›Full record

ArticlePLoS pathogens2020

A live auxotrophic vaccine confers mucosal immunity and protection against lethal pneumonia caused by Pseudomonas aeruginosa.

Maria P Cabral, Alexandra Correia, Manuel Vilanova, Fátima Gärtner, Miriam Moscoso, Patricia García, Juan A Vallejo, Astrid Pérez, Mónica Francisco-Tomé, Víctor Fuentes-Valverde and 1 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.0field-weighted citation impact, top 29% 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

22 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Engineering low-endotoxin lipid A in a double auxotrophFrontiers in cellular and infection microbiology · 2026
    Article
  3. Article
  4. International journal of molecular sciences · 2025
    Review
  5. LpxR and PagL expression in live attenuated auxotrophicFrontiers in cellular and infection microbiology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Frontiers in immunology · 2024
    Review
  11. Unravelling the mechanisms causing murepavadin resistance inFrontiers in cellular and infection microbiology · 2024
    Article
  12. Article
  13. Infectious medicine · 2023
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Subunit vaccines forFrontiers in immunology · 2022
    Review
  20. 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

11 authors at 2 institutions in 2 countries.

Maria P CabralDepartment of Microbiology, University Hospital A Coruña (CHUAC)-Biomedical Research Institute A Coruña (INIBIC), A Coruña, Spain.ORCID 0000-0002-7119-440X
Alexandra Correiai3S -Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.
Manuel Vilanovai3S -Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.ORCID 0000-0001-7007-306X
Fátima Gärtneri3S -Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.
Miriam MoscosoDepartment of Microbiology, University Hospital A Coruña (CHUAC)-Biomedical Research Institute A Coruña (INIBIC), A Coruña, Spain.ORCID 0000-0001-8977-3269
Patricia GarcíaDepartment of Microbiology, University Hospital A Coruña (CHUAC)-Biomedical Research Institute A Coruña (INIBIC), A Coruña, Spain.
Juan A VallejoDepartment of Microbiology, University Hospital A Coruña (CHUAC)-Biomedical Research Institute A Coruña (INIBIC), A Coruña, Spain.ORCID 0000-0002-7581-8654
Astrid PérezDepartment of Microbiology, University Hospital A Coruña (CHUAC)-Biomedical Research Institute A Coruña (INIBIC), A Coruña, Spain.ORCID 0000-0003-1809-3332
Mónica Francisco-ToméDepartment of Microbiology, Galicia Sur Health Research Institute (IISGS), Vigo, Spain.
Víctor Fuentes-ValverdeDepartment of Microbiology, University Hospital A Coruña (CHUAC)-Biomedical Research Institute A Coruña (INIBIC), A Coruña, Spain.ORCID 0000-0002-1827-7003
Germán BouDepartment of Microbiology, University Hospital A Coruña (CHUAC)-Biomedical Research Institute A Coruña (INIBIC), A Coruña, Spain.ORCID 0000-0001-8837-0062
Complexo Hospitalario Universitario A Coruña · ESUniversidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudomonas aeruginosa is one of the leading causes of nosocomial pneumonia and its associated mortality. Moreover, extensively drug-resistant high-risk clones are globally widespread, presenting a major challenge to the healthcare systems. Despite this, no vaccine is available against this high-concerning pathogen. Here we tested immunogenicity and protective efficacy of an experimental live vaccine against P. aeruginosa pneumonia, consisting of an auxotrophic strain which lacks the key enzyme involved in D-glutamate biosynthesis, a structural component of the bacterial cell wall. As the amounts of free D-glutamate in vivo are trace substances in most cases, blockage of the cell wall synthesis occurs, compromising the growth of this strain, but not its immunogenic properties. Indeed, when delivered intranasally, this vaccine stimulated production of systemic and mucosal antibodies, induced effector memory, central memory and IL-17A-producing CD4+ T cells, and recruited neutrophils and mononuclear phagocytes into the airway mucosa. A significant improvement in mice survival after lung infection caused by ExoU-producing PAO1 and PA14 strains was observed. Nearly one third of the mice infected with the XDR high-risk clone ST235 were also protected. These findings highlight the potential of this vaccine for the control of acute pneumonia caused by this bacterial pathogen.

Indexed as

Administration, IntranasalAnimalsAntibodies, BacterialFemaleImmunity, MucosalMaleMiceMice, Inbred BALB CPneumonia, BacterialPseudomonas aeruginosaPseudomonas InfectionsRespiratory SystemRespiratory Tract InfectionsVaccines, AttenuatedAntibodies, BacterialVaccines, Attenuated

Identifiers

PMID32040500
PMCPMC7034913
OpenAlexW3004689940

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.