Evidence map›Paper›PMID 34460286›Full record

ArticleInfection and immunity2021

Anti-LPS IgA and IgG Can Inhibit Serum Killing of Pseudomonas aeruginosa in Patients with Cystic Fibrosis.

Amy Pham, Emma L Ledger, Carrie F Coggon, Ian R Henderson, David W Reid, Scott C Bell, Daniel J Smith, Timothy J Wells

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Characterization of two exoUBMC microbiology · 2026
    Article
  3. Article
  4. Inhibition ofmBio · 2026
    Article
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  6. Review
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  11. Review
  12. Article
  13. Cloaking antibodies are prevalent inFrontiers in cellular and infection microbiology · 2024
    Article
  14. Review
  15. Microorganisms · 2023
    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

8 authors at 3 institutions in 1 country.

Amy PhamThe University of Queensland Diamantina Institute, The University of Queenslandgrid.1003.2University of Queensland Diamantina Institute, The grid.1003.2, Brisbane, QLD, Australia.ORCID 0000-0002-9262-8078
Emma L LedgerThe University of Queensland Diamantina Institute, The University of Queenslandgrid.1003.2University of Queensland Diamantina Institute, The grid.1003.2, Brisbane, QLD, Australia.
Carrie F CoggonThe University of Queensland Diamantina Institute, The University of Queenslandgrid.1003.2University of Queensland Diamantina Institute, The grid.1003.2, Brisbane, QLD, Australia.
Ian R HendersonInstitute of Molecular Biology, The University of Queenslandgrid.1003.2, Brisbane, QLD, Australia.ORCID 0000-0002-9954-4977
David W ReidQIMR Berghofer Medical Research Institutegrid.1049.c, Brisbane, QLD, Australia.
Scott C BellThe Adult Cystic Fibrosis Centre and Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, QLD, Australia.ORCID 0000-0001-8651-7139
Daniel J SmithThe Adult Cystic Fibrosis Centre and Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, QLD, Australia.
Timothy J WellsThe University of Queensland Diamantina Institute, The University of Queenslandgrid.1003.2University of Queensland Diamantina Institute, The grid.1003.2, Brisbane, QLD, Australia.ORCID 0000-0001-7766-5404
The University of Queensland · AUChildren's Medical Research Institute · AUPrince Charles Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudomonas aeruginosa is one of the principal pathogens implicated in respiratory infections of patients with cystic fibrosis (CF) and non-CF bronchiectasis. Previously, we demonstrated that impaired serum-mediated killing of P. aeruginosa was associated with increased severity of respiratory infections in patients with non-CF bronchiectasis. This inhibition was mediated by high titers of O-antigen-specific IgG2 antibodies that cloak the surface of the bacteria, blocking access to the membrane. Infection-related symptomatology was ameliorated in patients by using plasmapheresis to remove the offending antibodies. To determine if these inhibitory "cloaking antibodies" were prevalent in patients with CF, we investigated 70 serum samples from patients with P. aeruginosa infection and 5 from those without P. aeruginosa infection. Of these patients, 32% had serum that inhibited the ability of healthy control serum to kill P. aeruginosa. Here, we demonstrate that this inhibition of killing requires O-antigen expression. Furthermore, we reveal that while IgG alone can inhibit the activity of healthy control serum, O-antigen-specific IgA in patient sera can also inhibit serum-killing. We found that antibody affinity, not just titer, was also important in the inhibition of serum-mediated killing. These studies provide novel insight into cloaking antibodies in human infection and may provide further options in CF and other diseases for treatment of recalcitrant P. aeruginosa infections.

Indexed as

Antibodies, BacterialComplement System ProteinsCystic FibrosisHost-Pathogen InteractionsHumansImmunoglobulin AImmunoglobulin GLipopolysaccharidesPseudomonas aeruginosaPseudomonas InfectionsAntibodies, BacterialComplement System ProteinsImmunoglobulin AImmunoglobulin GLipopolysaccharidesantibodyantibody functioncomplement resistancecystic fibrosisIgAIgG2infectionlipopolysaccharidePseudomonas aeruginosaserum resistance

Identifiers

PMID34460286
PMCPMC8594595
OpenAlexW3197359560

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.