Evidence map›Paper›PMID 32376769›Full record

ArticleScience translational medicine2020

BCG vaccination-induced emergency granulopoiesis provides rapid protection from neonatal sepsis.

Byron Brook, Danny J Harbeson, Casey P Shannon, Bing Cai, Daniel He, Rym Ben-Othman, Freddy Francis, Joe Huang, Natallia Varankovich, Aaron Liu and 18 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 2% 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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Route of BCG administration determines success.Human vaccines & immunotherapeutics · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Immune development in early life.Nature immunology · 2026
    Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. The BCGMethodsX · 2025
    Article
  18. Article
  19. Article
  20. Innate immune training in the neonatal response to sepsis.Molecular medicine (Cambridge, Mass.) · 2025
    Article

12 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

28 authors at 10 institutions in 8 countries.

Byron BrookDepartment of Experimental Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Room 10117, Vancouver, BC V5Z 1M9, Canada.ORCID 0000-0003-3184-8285
Danny J HarbesonDepartment of Experimental Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Room 10117, Vancouver, BC V5Z 1M9, Canada.ORCID 0000-0002-2949-6033
Casey P ShannonPROOF Centre of Excellence, British Columbia, 10th floor, 1190 Hornby Street, Vancouver, BC V6Z 2K5, Canada.ORCID 0000-0002-5687-3156
Bing CaiDepartment of Pediatrics, University of British Columbia, and BC Children's Hospital, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada.
Daniel HeDepartment of Experimental Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Room 10117, Vancouver, BC V5Z 1M9, Canada.ORCID 0000-0002-9302-6036
Rym Ben-OthmanDepartment of Pediatrics, University of British Columbia, and BC Children's Hospital, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada.
Freddy FrancisDepartment of Experimental Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Room 10117, Vancouver, BC V5Z 1M9, Canada.ORCID 0000-0001-6822-691X
Joe HuangDepartment of Pediatrics, University of British Columbia, and BC Children's Hospital, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada.ORCID 0000-0002-3381-9640
Natallia VarankovichDepartment of Pediatrics, University of British Columbia, and BC Children's Hospital, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada.ORCID 0000-0002-7181-7224
Aaron LiuDepartment of Experimental Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Room 10117, Vancouver, BC V5Z 1M9, Canada.ORCID 0000-0002-4514-9218
Winnie BaoDepartment of Pediatrics, University of British Columbia, and BC Children's Hospital, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada.ORCID 0000-0001-6610-779X
Morten Bjerregaard-AndersenBandim Health Project, Indepth Network, Apartado 861, 1004 Bissau, Guinea-Bissau.
Frederik Schaltz-BuchholzerBandim Health Project, Indepth Network, Apartado 861, 1004 Bissau, Guinea-Bissau.ORCID 0000-0001-7643-8322
Lilica SancaBandim Health Project, Indepth Network, Apartado 861, 1004 Bissau, Guinea-Bissau.ORCID 0000-0002-1787-2396
Christian N GoldingBandim Health Project, Indepth Network, Apartado 861, 1004 Bissau, Guinea-Bissau.ORCID 0000-0002-5950-8859
Kristina Lindberg LarsenBandim Health Project, Indepth Network, Apartado 861, 1004 Bissau, Guinea-Bissau.ORCID 0000-0002-5992-2566
Ofer LevyPrecision Vaccines Program, Boston Children's Hospital, Boston, MA 02115, USA.ORCID 0000-0002-5859-1945
Beate KampmannVaccines and Immunity Theme, Medical Research Council Unit, The Gambia at the London School of Hygiene and Tropical Medicine, Atlantic Boulevard, P.O. Box 273, Banjul, The Gambia.ORCID 0000-0002-6546-4709
EPIC Consortium
Rusung TanDepartment of Pathology, Sidra Medicine and Weill Cornell Medicine, Doha, Qatar.ORCID 0000-0002-2204-2004
Adrian CharlesDepartment of Pathology, Sidra Medicine and Weill Cornell Medicine, Doha, Qatar.ORCID 0000-0002-3193-1065
James L WynnDepartment of Paediatrics and Department of Pathology, Immunology, and Laboratory Medicine, University of Florida, P.O. Box 100296, Gainesville, FL 32610-0296, USA.ORCID 0000-0001-7052-4836
Frank ShannDepartment of Paediatrics, University of Melbourne, Melbourne, VIC 3052, Australia.ORCID 0000-0002-9899-1804
Peter AabyBandim Health Project, Indepth Network, Apartado 861, 1004 Bissau, Guinea-Bissau.
Christine S BennBandim Health Project, Indepth Network, Apartado 861, 1004 Bissau, Guinea-Bissau.ORCID 0000-0001-6102-3810
Scott J TebbuttPROOF Centre of Excellence, British Columbia, 10th floor, 1190 Hornby Street, Vancouver, BC V6Z 2K5, Canada.ORCID 0000-0002-7908-1581
Tobias R KollmannDepartment of Experimental Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Room 10117, Vancouver, BC V5Z 1M9, Canada. n.akuvy@gmail.com tkollm@mac.com.ORCID 0000-0003-2403-9762
Nelly AmenyogbeDepartment of Experimental Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Room 10117, Vancouver, BC V5Z 1M9, Canada. n.akuvy@gmail.com tkollm@mac.com.ORCID 0000-0002-7817-1534
University of British Columbia · CAStatens Serum Institut · DKBC Children's Hospital · CABandim Health Project · GWSt. Paul's Hospital · CAWeill Cornell Medical College in Qatar · QABroad Institute · USThe University of Melbourne · AUUniversity of Florida · USUniversity of London · GB

Funding

Transcriptomics to define biomarkers of neonatal vaccine immunogenicityU19AI118608 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI STEEN, HANNO · 2017 to 2021
$24.7M
Salivary Diagnostics for Sepsis Screening in the NeonateR01HD097081 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI MARON, JILL LAMANNA, WALT, DAVID R. · 2019 to 2023
$3.6M
Microfluidic Assessment of Clinical Outcomes in Preterm NewbornsR01HD089939 · NICHD · UNIVERSITY OF FLORIDA · PI IRIMIA, DANIEL, MOLDAWER, LYLE L · 2017 to 2021
$3.3M
Dissecting the mechanism of age-specific adjuvant synergy in vitro and in vivoU01AI124284 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI LEVY, OFER · 2016 to 2020
$2.9M
Modifiable Determinants of Mortality in Neonatal SepsisR01GM128452 · NIGMS · UNIVERSITY OF FLORIDA · PI WYNN, JAMES LAWRENCE · 2018 to 2022
$1.9M
Medical Research Council MC_PC_17221Medical Research Council MR/R005990/1Medical Research Council MR/R005990/2NIAID NIH HHS HHSN272201400052CNIAID NIH HHS HHSN272201800047CNIAID NIH HHS U01 AI124284NIAID NIH HHS U19 AI118608NICHD NIH HHS R01 HD089939NICHD NIH HHS R01 HD097081NIGMS NIH HHS R01 GM128452
6 · The paper itself

Abstract

Death from sepsis in the neonatal period remains a serious threat for millions. Within 3 days of administration, bacille Calmette-Guérin (BCG) vaccination can reduce mortality from neonatal sepsis in human newborns, but the underlying mechanism for this rapid protection is unknown. We found that BCG was also protective in a mouse model of neonatal polymicrobial sepsis, where it induced granulocyte colony-stimulating factor (G-CSF) within hours of administration. This was necessary and sufficient to drive emergency granulopoiesis (EG), resulting in a marked increase in neutrophils. This increase in neutrophils was directly and quantitatively responsible for protection from sepsis. Rapid induction of EG after BCG administration also occurred in three independent cohorts of human neonates.

Indexed as

Neonatal SepsisSepsisGranulocyte Colony-Stimulating FactorHematopoiesisHumansInfant, NewbornVaccinationGranulocyte Colony-Stimulating Factor

Identifiers

PMID32376769
PMCPMC8008103
OpenAlexW3023662906

What OpenQuestion holds

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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.