Evidence map›Paper›PMID 33340093›Full record

ArticleImmunology2021

The human natural anti-αGal antibody targets common pathogens by broad-spectrum polyreactivity.

Jens Magnus Bernth Jensen, Sune Skeldal, Mikkel Steen Petersen, Bjarne Kuno Møller, Steen Hoffmann, Jens Christian Jensenius, Uffe B Skov Sørensen, Steffen Thiel

Open access · bronzeAbstract read
In one paragraph

Article in Immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

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  12. Diagnostic Vaccination in Clinical Practice.Frontiers in immunology · 2021
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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

8 authors at 3 institutions in 1 country.

Jens Magnus Bernth JensenDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-5004-7822
Sune SkeldalDepartment of Biomedicine, Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-3268-289X
Mikkel Steen PetersenDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.
Bjarne Kuno MøllerDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0003-2808-4755
Steen HoffmannDepartment of Bacteria, Parasites and Fungi, Statens Serum Institut, Kobenhavn, Denmark.ORCID 0000-0002-0614-2312
Jens Christian JenseniusDepartment of Biomedicine, Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-5978-5936
Uffe B Skov SørensenDepartment of Biomedicine, Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-6777-054X
Steffen ThielDepartment of Biomedicine, Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-4817-155X
Aarhus University · DKAarhus University Hospital · DKStatens Serum Institut · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Naturally occurring antibodies are abundant in human plasma, but their importance in the defence against bacterial pathogens is unclear. We studied the role of the most abundant of such antibodies, the antibody against terminal galactose-α-1,3-galactose (anti-αGal), in the protection against pneumococcal infections (Streptococcus pneumonia). All known pneumococcal capsular polysaccharides lack terminal galactose-α-1,3-galactose, yet highly purified human anti-αGal antibody of the IgG class reacted with 48 of 91 pneumococcal serotypes. Anti-αGal was found to contain multiple antibody subsets that possess distinct specificities beyond their general reactivity with terminal galactose-α-1,3-galactose. These subsets in concert targeted a wide range of microbial polysaccharides. We found that anti-αGal constituted up to 40% of the total antibody reactivity to pneumococci in normal human plasma, that anti-αGal drives phagocytosis of pneumococci by human neutrophils and that the anti-αGal level was twofold lower in patients prone to pneumococcal infections compared with controls. Moreover, during a 48-year period in Denmark, the 48 anti-αGal-reactive serotypes caused fewer invasive pneumococcal infections (n = 10 927) than the 43 non-reactive serotypes (n = 18 107), supporting protection on the population level. Our findings explain the broad-spectrum pathogen reactivity of anti-αGal and support that these naturally occurring polyreactive antibodies contribute significantly to human protective immunity.

Indexed as

AdultBroadly Neutralizing AntibodiesDenmarkDisease SusceptibilityEpitopesFemaleGalactoseHumansImmunity, HumoralImmunoglobulin GMaleNeutrophilsPhagocytosisPneumococcal InfectionsPolysaccharides, BacterialStreptococcus pneumoniaeBroadly Neutralizing AntibodiesEpitopesGalactoseImmunoglobulin GPolysaccharides, Bacterialantibodiesepitopesflow cytometrymicrobiota

Identifiers

PMID33340093
PMCPMC7968403
OpenAlexW3114812505

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.