Evidence map›Paper›PMID 33148624›Full record

ArticleScience translational medicine2020

Antibody binding to native cytomegalovirus glycoprotein B predicts efficacy of the gB/MF59 vaccine in humans.

Jennifer A Jenks, Cody S Nelson, Hunter K Roark, Matthew L Goodwin, Robert F Pass, David I Bernstein, Emmanuel B Walter, Kathryn M Edwards, Dai Wang, Tong-Ming Fu and 3 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 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
5.2field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Review
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Structure-based design of a soluble human cytomegalovirus glycoprotein B antigen stabilized in a prefusion-like conformation.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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 8 institutions in 1 country.

Jennifer A JenksDuke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27705, USA.ORCID 0000-0002-6865-5615
Cody S NelsonDuke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27705, USA.ORCID 0000-0002-1046-455X
Hunter K RoarkDuke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27705, USA.
Matthew L GoodwinDuke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27705, USA.ORCID 0000-0003-3595-2071
Robert F PassDepartment of Pediatrics, University of Alabama of Birmingham, Birmingham, AL 35233, USA.ORCID 0000-0003-2029-0247
David I BernsteinDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH 45229, USA.
Emmanuel B WalterDuke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27705, USA.
Kathryn M EdwardsDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Dai WangMerck & Co. Inc., Kenilworth, NJ 07033, USA.ORCID 0000-0001-5666-8622
Tong-Ming FuTexas Therapeutics Institute, Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center, Houston, TX 77030, USA.ORCID 0000-0003-1420-2271
Zhiqiang AnTexas Therapeutics Institute, Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center, Houston, TX 77030, USA.ORCID 0000-0001-9309-2335
Cliburn ChanDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC 27705, USA.ORCID 0000-0001-5901-6806
Sallie R PermarDuke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27705, USA. sallie.permar@duke.edu.ORCID 0000-0003-1438-4554
Duke Medical Center · USBrown Foundation · USBrigham and Women's Hospital · USCincinnati Children's Hospital Medical Center · USDuke University · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USUniversity of Alabama at Birmingham · USVanderbilt University Medical Center · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Virology CoreP01AI129859 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI Daniel Malouli · 2019 to 2026
$31.0M
Antibody and viral determinants of protection against CMV infection following gB/MF59 vaccinationR21AI136556 · NIAID · DUKE UNIVERSITY · PI KOELLE, KATHARINA V, PERMAR, SALLIE R. · 2018 to 2019
$449k
Antibody and viral determinants of protection against CMV infection following gB/MF59 vaccinationF30HD089577 · NICHD · DUKE UNIVERSITY · PI NELSON, CODY S · 2017 to 2019
$125k
Immune correlates of protection against nonprimary congenital cytomegalovirus transmission in an HIV-infected mother-infant cohortF30HD100170 · NICHD · DUKE UNIVERSITY · PI JENKS, JENNIFER · 2020 to 2022
$61k
NIAID NIH HHS P01 AI129859NIAID NIH HHS R21 AI136556NICHD NIH HHS F30 HD089577NICHD NIH HHS F30 HD100170NIGMS NIH HHS T32 GM007171
6 · The paper itself

Abstract

Human cytomegalovirus (CMV) is the most common infectious cause of infant brain damage and posttransplant complications worldwide. Despite the high global burden of disease, vaccine development to prevent infection remains hampered by challenges in generating protective immunity. The most efficacious CMV vaccine candidate tested to date is a soluble glycoprotein B (gB) subunit vaccine with MF59 adjuvant (gB/MF59), which achieved 50% protection in multiple historical phase 2 clinical trials. The vaccine-elicited immune responses that conferred this protection have remained unclear. We investigated the humoral immune correlates of protection from CMV acquisition in populations of CMV-seronegative adolescent and postpartum women who received the gB/MF59 vaccine. We found that gB/MF59 immunization elicited distinct CMV-specific immunoglobulin G (IgG)-binding profiles and IgG-mediated functional responses in adolescent and postpartum vaccinees, with heterologous CMV strain neutralization observed primarily in adolescent vaccinees. Using penalized multiple logistic regression analysis, we determined that protection against primary CMV infection in both cohorts was associated with serum IgG binding to gB present on a cell surface but not binding to the soluble vaccine antigen, suggesting that IgG binding to cell-associated gB is an immune correlate of vaccine efficacy. Supporting this, we identified gB-specific monoclonal antibodies that differentially recognized soluble or cell-associated gB, revealing that there are structural differences in cell-associated and soluble gB are relevant to the generation of protective immunity. Our results highlight the importance of the native, cell-associated gB conformation in future CMV vaccine design.

Indexed as

Cytomegalovirus VaccinesAdolescentAntibodies, ViralFemaleHumansPolysorbatesSqualeneViral Envelope ProteinsAntibodies, ViralCytomegalovirus Vaccinesglycoprotein B, SimplexvirusMF59 oil emulsionPolysorbatesSqualeneViral Envelope Proteins

Identifiers

PMID33148624
PMCPMC8058742
OpenAlexW3097227905

What OpenQuestion holds

Textmetadata
LicenceTDM
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.