Evidence map›Paper›PMID 34374425›Full record

Trial reportThe Journal of infectious diseases2021

Functional Antibodies and Innate Immune Responses to WRSS1, a Live Oral Shigella sonnei Vaccine Candidate, in Bangladeshi Adults and Children.

Protim Sarker, Akhirunnesa Mily, Anjuman Ara, Farjana Haque, Nicole Maier, Thomas F Wierzba, Richard I Walker, Malabi M Venkatesan, Rubhana Raqib

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01813071 (A Randomized, Double-Blinded, Placebo-controlled, Dose-Escalation, Age-Descending Study to Assess the Safety and Tolerability of Live Attenuated, Oral Shigella WRSS1), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 22% 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.

NCT01813071 nacompletednot on this map

A Randomized, Double-Blinded, Placebo-controlled, Dose-Escalation, Age-Descending Study to Assess the Safety and Tolerability of Live Attenuated, Oral Shigella WRSS1 (Walter Reed S. Sonnei) Vaccine in Bangladeshi Adults and Children

TypeinterventionalSponsorPATHRan2013 to 2016Enrolled103ConditionsDiarrheaArmsWRSS1
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Development of a NovelVaccines · 2026
    Article
  3. Shigellosis.Lancet (London, England) · 2025
    Review
  4. Article
  5. International journal of molecular sciences · 2024
    Review
  6. Article
  7. Oral immunization withmSphere · 2024
    Article
  8. Shigella-Controlled Human Infection Models: Current and Future Perspectives.Current topics in microbiology and immunology · 2024
    Review
  9. Age-dependent acquisition of IgG antibodies toFrontiers in immunology · 2024
    Article
  10. Article
  11. Article
  12. 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

9 authors at 3 institutions in 2 countries.

Protim SarkerInfectious Diseases Division, icddr,b, Dhaka,Bangladesh.ORCID 0000-0003-2077-7813
Akhirunnesa MilyInfectious Diseases Division, icddr,b, Dhaka,Bangladesh.
Anjuman AraInfectious Diseases Division, icddr,b, Dhaka,Bangladesh.
Farjana HaqueInfectious Diseases Division, icddr,b, Dhaka,Bangladesh.
Nicole MaierCenter for Vaccine Innovation and Access, PATH, Washington, District of Columbia,USA.
Thomas F WierzbaCenter for Vaccine Innovation and Access, PATH, Washington, District of Columbia,USA.
Richard I WalkerCenter for Vaccine Innovation and Access, PATH, Washington, District of Columbia,USA.
Malabi M VenkatesanBacterial Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, Maryland,USA.
Rubhana RaqibInfectious Diseases Division, icddr,b, Dhaka,Bangladesh.ORCID 0000-0002-8116-4511
International Centre for Diarrhoeal Disease Research · BDProgram for Appropriate Technology in Health · USWalter Reed Army Institute of Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe demonstrated in a randomized placebo-controlled trial that WRSS1, a live oral Shigella sonnei vaccine candidate, is safe in Bangladeshi adults and children, and elicits antigen-specific antibodies. Here, we describe functional antibody and innate immune responses to WRSS1.

methodsAdults (18-39 years) and children (5-9 years) received 3 doses of 3 × 105 or 3 × 106 colony forming units (CFU) of WRSS1 or placebo, 4 weeks apart; children additionally received 3 × 104 CFU. Blood and stool were collected at baseline and 7 days after each dose. Functional antibodies were measured using serum bactericidal antibody (SBA) assay. Cytokine/chemokine concentrations were measured in lymphocyte cultures. Host defense peptides LL-37, HBD-1, and HD-5 were analyzed in plasma and stool.

resultsChildren showed increased SBA titers over baseline after the third dose of 3 × 106 CFU (P = .048). Significant increases of Th-17 and proinflammatory cytokines (TNF-α, G-CSF, MIP-1β), and reduction of anti-inflammatory and Th2 cytokines (IL-10, IL-13, GM-CSF) were observed in children. Plasma HBD-1 and LL-37 decreased in children after vaccination but were increased/unchanged in adults.

conclusionsFunctional antibodies and Th1/Th17 cytokine responses in children may serve as important indicators of immunogenicity and protective potential of WRSS1. Clinical Trials Registration: NCT01813071.

Indexed as

Immunity, InnateImmunity, MucosalAdolescentAdultAntibodies, BacterialBangladeshChildChild, PreschoolCytokinesDysentery, BacillaryFemaleHumansMaleShigella sonneiShigella VaccinesVaccines, AttenuatedAntibodies, BacterialCytokinesShigella VaccinesVaccines, Attenuatedanti-inflammatory cytokineshost defense peptidesmucosal immune responsesproinflammatory cytokinesprotective immunityserum bactericidal antibody assay

Identifiers

PMID34374425
PMCPMC8687094
OpenAlexW3192046645

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.