Evidence map›Paper›PMID 36298436›Full record

ArticleVaccines2022

Impact of HLA Polymorphism on the Immune Response to Bacillus Anthracis Protective Antigen in Vaccination versus Natural Infection.

Stephanie Ascough, Rebecca J Ingram, Karen K Y Chu, Stephen J Moore, Theresa Gallagher, Hugh Dyson, Mehmet Doganay, Gökhan Metan, Yusuf Ozkul, Les Baillie and 5 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

15 authors at 11 institutions in 4 countries.

Stephanie AscoughFaculty of Medicine, Imperial College, London W12 0NN, UK.
Rebecca J IngramWellcome-Wolfson Institute of Experimental Medicine, Queen's University Belfast, Belfast BT7 1NN, UK.
Karen K Y ChuFaculty of Medicine, Imperial College, London W12 0NN, UK.
Stephen J MooreSanofi, South San Francisco, CA 94080, USA.
Theresa GallagherBioMET, School of Medicine, University of Maryland, Baltimore, MD 21201, USA.
Hugh DysonDefence Science Technology Laboratory, Porton Down, Salisbury SP4 0JQ, UK.
Mehmet DoganayDepartment of Medical Genetics, Erciyes University Hospital, Kayseri 38095, Turkey.
Gökhan MetanDepartment of Infectious Diseases and Clinical Microbiology, Hacettepe University Faculty of Medicine Ankara, Ankara 06000, Turkey.ORCID 0000-0002-2676-4557
Yusuf OzkulDepartment of Medical Genetics, Erciyes University Hospital, Kayseri 38095, Turkey.
Les BaillieSchool of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff CF24 4HQ, UK.
E Diane WilliamsonDefence Science Technology Laboratory, Porton Down, Salisbury SP4 0JQ, UK.ORCID 0000-0002-0322-5972
John H RobinsonInstitute for Cellular Medicine, Newcastle University, Newcastle upon Tyne NE1 7RU, UK.
Bernard MaillereCEA-Saclay, Département Médicaments et Technologies pour la Santé, Université Paris-Saclay, 91192 Gif-sur-Yvette, France.
Rosemary J BoytonFaculty of Medicine, Imperial College, London W12 0NN, UK.
Daniel M AltmannFaculty of Medicine, Imperial College, London W12 0NN, UK.ORCID 0000-0002-2436-6192
Imperial College London · GBDefence Science and Technology Laboratory · GBErciyes University · TRCardiff University · GBCommissariat à l'Énergie Atomique et aux Énergies Alternatives · FRGuy's and St Thomas' NHS Foundation Trust · GBHacettepe University · TRNewcastle University · GBQueen's University Belfast · GBSanofi (United States) · USUniversity of Maryland, Baltimore · US

Funding

NIH HHS HHSN266200400084C
6 · The paper itself

Abstract

The causative agent of anthrax, Bacillus anthracis, evades the host immune response and establishes infection through the production of binary exotoxins composed of Protective Antigen (PA) and one of two subunits, lethal factor (LF) or edema factor (EF). The majority of vaccination strategies have focused upon the antibody response to the PA subunit. We have used a panel of humanised HLA class II transgenic mouse strains to define HLA-DR-restricted and HLA-DQ-restricted CD4+ T cell responses to the immunodominant epitopes of PA. This was correlated with the binding affinities of epitopes to HLA class II molecules, as well as the responses of two human cohorts: individuals vaccinated with the Anthrax Vaccine Precipitated (AVP) vaccine (which contains PA and trace amounts of LF), and patients recovering from cutaneous anthrax infections. The infected and vaccinated cohorts expressing different HLA types were found to make CD4+ T cell responses to multiple and diverse epitopes of PA. The effects of HLA polymorphism were explored using transgenic mouse lines, which demonstrated differential susceptibility, indicating that HLA-DR1 and HLA-DQ8 alleles conferred protective immunity relative to HLA-DR15, HLA-DR4 and HLA-DQ6. The HLA transgenics enabled a reductionist approach, allowing us to better define CD4+ T cell epitopes. Appreciating the effects of HLA polymorphism on the variability of responses to natural infection and vaccination is vital in planning protective strategies against anthrax.

Indexed as

anthraxbacterial immunityCD4 epitopeHLA-bindingHLA class IIHLA transgenicprotective antigen

Identifiers

PMID36298436
PMCPMC9610610
OpenAlexW4296955315

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.