Evidence map›Paper›PMID 36462524›Full record

Trial reportThe Lancet. Microbe2022

Effect of colonisation with Neisseria lactamica on cross-reactive anti-meningococcal B-cell responses: a randomised, controlled, human infection trial.

Adam P Dale, Anastasia A Theodosiou, Diane F Gbesemete, Jonathan M Guy, Eleanor F Jones, Alison R Hill, Muktar M Ibrahim, Hans de Graaf, Muhammad Ahmed, Saul N Faust and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Lancet. Microbe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. IDCases · 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

14 authors at 2 institutions in 1 country.

Adam P DaleFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK; NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK. Electronic address: a.p.dale@soton.ac.uk.
Anastasia A TheodosiouFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Diane F GbesemeteFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK; NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK; NIHR Southampton Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Jonathan M GuyFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Eleanor F JonesFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Alison R HillFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Muktar M IbrahimFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Hans de GraafFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Muhammad AhmedFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Saul N FaustNIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK; NIHR Southampton Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Andrew R GorringeUK Health Security Agency, Porton Down, Salisbury, UK.
Marta E PolakFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Jay R LaverFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Robert C ReadFaculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK; NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK; NIHR Southampton Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
University of Southampton · GBUK Health Security Agency

Funding

Department of HealthDepartment of Health IS-BRC-1215–20004Department of Health NF-SI-0617–10010Department of Health NIHR 200638Department of Health NIHR 201409Medical Research Council MR/N013204/1Medical Research Council MR/N026993/1Wellcome Trust 203581Wellcome Trust 203581/Z/16/Z
6 · The paper itself

Abstract

backgroundPharyngeal colonisation by the commensal bacterium Neisseria lactamica inhibits colonisation by Neisseria meningitidis and has an inverse epidemiological association with meningococcal disease. The mechanisms that underpin this relationship are unclear, but could involve the induction of cross-reactive immunity. In this study, we aimed to evaluate whether colonisation with N lactamica induces N lactamica-specific B-cell responses that are cross-reactive with N meningitidis.

methodsIn this randomised, placebo-controlled, human infection trial at University Hospital Southampton Clinical Research Facility (Southampton, UK), healthy adults aged 18-45 years were randomly assigned (2:1) to receive intranasal inoculation with either 10

findingsOf 50 participants assessed for eligibility between Sept 5, 2018, and March 3, 2019, 31 were randomly assigned (n=20 N lactamica, n=11 PBS). Among the 17 participants who were colonised with N lactamica, the median baselines compared with peak post-colonisation N lactamica-specific plasma-cell frequencies (per 10

interpretationNatural immunity to N meningitidis after colonisation with N lactamica might be due to cross-reactive adaptive responses. Exploitation of this microbial mechanism with a genetically modified live vector could protect against N meningitidis colonisation and disease.

fundingWellcome Trust, Medical Research Council, and NIHR Southampton Biomedical Research Centre.

Indexed as

Neisseria lactamicaNeisseria meningitidisAdultHumansImmunoglobulin A, SecretoryImmunoglobulin GLeukocytes, MononuclearPhosphatesSaline SolutionImmunoglobulin A, SecretoryImmunoglobulin GPhosphatesSaline Solution

Identifiers

PMID36462524
PMCPMC7615047
OpenAlexW4310476109

What OpenQuestion holds

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LicenceCC BY
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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.