Evidence map›Paper›PMID 34911947›Full record

Trial reportNature communications2021

Impact of maternal antibodies and microbiota development on the immunogenicity of oral rotavirus vaccine in African, Indian, and European infants.

Edward P K Parker, Christina Bronowski, Kulandaipalayam Natarajan C Sindhu, Sudhir Babji, Blossom Benny, Noelia Carmona-Vicente, Nedson Chasweka, End Chinyama, Nigel A Cunliffe, Queen Dube and 19 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

54 citing papers in PubMed, 61 citations in OpenAlex.

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  14. Gut microbiota in treatment-naïve active Crohn's disease compared to those in remission: Divergent trends in mucosal versus fecal bacterial community.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
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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

29 authors at 5 institutions in 4 countries.

Edward P K Parker *The Vaccine Centre, Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK. edward.parker@lshtm.ac.uk.ORCID 0000-0001-5847-109X
Christina Bronowski *Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 7BE, UK.ORCID 0000-0001-8089-4021
Kulandaipalayam Natarajan C Sindhu *Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.ORCID 0000-0003-2658-0966
Sudhir BabjiDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Blossom BennyDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Noelia Carmona-VicenteInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 7BE, UK.
Nedson ChaswekaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi, Blantyre, PO Box, 30096, Malawi.
End ChinyamaMalawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi, Blantyre, PO Box, 30096, Malawi.
Nigel A CunliffeInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 7BE, UK.
Queen DubeMalawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi, Blantyre, PO Box, 30096, Malawi.
Sidhartha GiriDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Nicholas C GrasslyDepartment of Infectious Disease Epidemiology, Imperial College London, London, W2 1PG, UK.ORCID 0000-0001-6067-4507
Annai GunasekaranDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Deborah HowarthInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 7BE, UK.
Sushil ImmanuelDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Khuzwayo C JereInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 7BE, UK.ORCID 0000-0003-3376-8529
Beate KampmannThe Vaccine Centre, Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK.ORCID 0000-0002-6546-4709
Jenna LoweInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 7BE, UK.
Jonathan MandoloMalawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi, Blantyre, PO Box, 30096, Malawi.
Ira PraharajDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Bakthavatsalam Sandya RaniDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Sophia SilasDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Vivek Kumar SrinivasanDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Mark TurnerInstitute of Life Course and Medical Sciences, University of Liverpool, Liverpool, L8 7SS, UK.ORCID 0000-0002-5299-8656
Srinivasan VenugopalDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Valsan Philip VergheseDepartment of Child Health, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Alistair C DarbyInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 7BE, UK.
Gagandeep KangDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, 632004, India.
Miren Iturriza-GómaraInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 7BE, UK. miturrizagomara@path.org.ORCID 0000-0001-5816-6423
Christian Medical College, Vellore · INUniversity of Liverpool · GBLondon School of Hygiene & Tropical Medicine · GBImperial College London · GBProgram for Appropriate Technology in Health · US

Funding

Medical Research Council MR/N006259/1Medical Research Council MR/R015600/1Wellcome TrustWellcome Trust 201945/Z/16/Z
6 · The paper itself

Abstract

Identifying risk factors for impaired oral rotavirus vaccine (ORV) efficacy in low-income countries may lead to improvements in vaccine design and delivery. In this prospective cohort study, we measure maternal rotavirus antibodies, environmental enteric dysfunction (EED), and bacterial gut microbiota development among infants receiving two doses of Rotarix in India (n = 307), Malawi (n = 119), and the UK (n = 60), using standardised methods across cohorts. We observe ORV shedding and seroconversion rates to be significantly lower in Malawi and India than the UK. Maternal rotavirus-specific antibodies in serum and breastmilk are negatively correlated with ORV response in India and Malawi, mediated partly by a reduction in ORV shedding. In the UK, ORV shedding is not inhibited despite comparable maternal antibody levels to the other cohorts. In both India and Malawi, increased microbiota diversity is negatively correlated with ORV immunogenicity, suggesting that high early-life microbial exposure may contribute to impaired vaccine efficacy.

Indexed as

Gastrointestinal MicrobiomeAntibodies, ViralFemaleHumansImmunity, Maternally-AcquiredImmunoglobulin AIndiaInfantInfant, NewbornInfant, Newborn, DiseasesMalawiMaleMilk, HumanPregnancyProspective StudiesRotavirusAntibodies, ViralImmunoglobulin ARIX4414 vaccineRotavirus VaccinesVaccines, Attenuated

Identifiers

PMID34911947
PMCPMC8674366
OpenAlexW4200153137

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Registered trials

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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.