Evidence map›Paper›PMID 34644291›Full record

ArticlePLoS neglected tropical diseases2021

Rationalizing the design of a broad coverage Shigella vaccine based on evaluation of immunological cross-reactivity among S. flexneri serotypes.

Francesco Citiulo, Francesca Necchi, Francesca Mancini, Omar Rossi, Maria Grazia Aruta, Gianmarco Gasperini, Renzo Alfini, Simona Rondini, Francesca Micoli, Rino Rappuoli and 2 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Human vaccines & immunotherapeutics · 2026
    Review
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  7. mBio · 2025
    Article
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  17. Functional assays to evaluate antibody-mediated responses againstFrontiers in cellular and infection microbiology · 2023
    Review
  18. Comparison ofFrontiers in molecular biosciences · 2023
    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

12 authors at 1 institution in 1 country.

Francesco CitiuloGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.
Francesca NecchiGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.ORCID 0000-0003-2122-9480
Francesca ManciniGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.
Omar RossiGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.ORCID 0000-0002-0170-1285
Maria Grazia ArutaGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.ORCID 0000-0002-9248-9362
Gianmarco GasperiniGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.
Renzo AlfiniGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.
Simona RondiniGSK, Siena, Italy.
Francesca MicoliGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.
Rino RappuoliGSK, Siena, Italy.
Allan SaulGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.ORCID 0000-0003-0665-4091
Laura B MartinGSK Vaccines Institute for Global Health S.r.l. (GVGH), Siena, Italy.ORCID 0000-0001-7146-1283
Toscana Life Sciences · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

No vaccine to protect against an estimated 238,000 shigellosis deaths per year is widely available. S. sonnei is the most prevalent Shigella, and multiple serotypes of S. flexneri, which change regionally and globally, also cause significant disease. The leading Shigella vaccine strategies are based on the delivery of serotype specific O-antigens. A strategy to minimize the complexity of a broadly-protective Shigella vaccine is to combine components from S. sonnei with S. flexneri serotypes that induce antibodies with maximum cross-reactivity between different serotypes. We used the GMMA-technology to immunize animal models and generate antisera against 14 S. flexneri subtypes from 8 different serotypes that were tested for binding to and bactericidal activity against a panel of 11 S. flexneri bacteria lines. Some immunogens induced broadly cross-reactive antibodies that interacted with most of the S. flexneri in the panel, while others induced antibodies with narrower specificity. Most cross-reactivity could not be assigned to modifications of the O-antigen, by glucose, acetate or phosphoethanolamine, common to several of the S. flexneri serotypes. This allowed us to revisit the current dogma of cross-reactivity among S. flexneri serotypes suggesting that a broadly protective vaccine is feasible with limited number of appropriately selected components. Thus, we rationally designed a 4-component vaccine selecting GMMA from S. sonnei and S. flexneri 1b, 2a and 3a. The resulting formulation was broadly cross-reactive in mice and rabbits, inducing antibodies that killed all S. flexneri serotypes tested. This study provides the framework for a broadly-protective Shigella vaccine which needs to be verified in human trials.

Indexed as

AnimalsAntibodies, BacterialCross ReactionsDysentery, BacillaryFemaleHumansMiceO AntigensRabbitsSerogroupShigella flexneriShigella sonneiShigella VaccinesAntibodies, BacterialO AntigensShigella Vaccines

Identifiers

PMID34644291
PMCPMC8589205
OpenAlexW3206991124

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.