Evidence map›Paper›PMID 36732163›Full record

ArticleVaccine2023

Route and antigen shape immunity to dmLT-adjuvanted vaccines to a greater extent than biochemical stress or formulation excipients.

Addison E Stone, Saraswatie Rambaran, Ivy V Trinh, Marcus Estrada, Curtis W Jarand, Blake S Williams, Amelie E Murrell, Chelsea M Huerter, William Bai, Surya Palani and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Recent progress in enterotoxigenicInfection and immunity · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Recent advances in enterotoxin vaccine adjuvants.Current opinion in immunology · 2023
    Review
  7. 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

16 authors at 5 institutions in 1 country.

Addison E StoneDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA.
Saraswatie RambaranDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA.
Ivy V TrinhDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA.
Marcus EstradaPATH, Seattle, WA, USA.
Curtis W JarandDepartment of Physics and Engineering Physics, Tulane University School of Medicine, New Orleans, LA, USA.
Blake S WilliamsDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA.
Amelie E MurrellDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA.
Chelsea M HuerterDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA.
William BaiDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA.
Surya PalaniDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA.
Yukihiro NakanishiDepartment of Pathology. Moffitt Cancer Center, Tampa, FL, USA.
Renee M LairdHenry M. Jackson Foundation for Military Medicine, Bethesda, MD, USA; Enteric Diseases Department, Naval Medical Research Center, Silver Spring, Maryland, USA.
Frederic M PolyEnteric Diseases Department, Naval Medical Research Center, Silver Spring, Maryland, USA.
Wayne F ReedDepartment of Physics and Engineering Physics, Tulane University School of Medicine, New Orleans, LA, USA.
Jessica A WhitePATH, Seattle, WA, USA.
Elizabeth B NortonDepartment of Microbiology & Immunology, Tulane University School of Medicine, New Orleans, LA, USA. Electronic address: enorton@tulane.edu.
Tulane University · USProgram for Appropriate Technology in Health · USHenry M. Jackson Foundation · USMoffitt Cancer Center · USNaval Medical Research Command · US

Funding

Evaluation of Memory Responses and Biomarkers from a Phase IEnterotoxigenic Escherichia coli (ETEC) Intramuscular SubunitVaccine with dmLT AdjuvantR01AI166682 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI NORTON, ELIZABETH B · 2021 to 2025
$3.5M
Evaluation of Memory Responses and Biomarkers from a Phase 1 Enterotoxigenic Escherichia coli (ETEC) Intramuscular Subunit Vaccine with dmLT AdjuvantR56AI153600 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI NORTON, ELIZABETH B · 2021 to 2021
$686k
Mechanisms of dmLT AdjuvantR56AI143937 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI NORTON, ELIZABETH B · 2020 to 2020
$261k
NIAID NIH HHS R01 AI166682NIAID NIH HHS R56 AI143937NIAID NIH HHS R56 AI153600
6 · The paper itself

Abstract

A key aspect to vaccine efficacy is formulation stability. Biochemical evaluations provide information on optimal compositions or thermal stability but are routinely validated by ex vivo analysis and not efficacy in animal models. Here we assessed formulations identified to improve or reduce stability of the mucosal adjuvant dmLT being investigated in polio and enterotoxigenic E. coli (ETEC) clinical vaccines. We observed biochemical changes to dmLT protein with formulation or thermal stress, including aggregation or subunit dissociation or alternatively resistance against these changes with specific buffer compositions. However, upon injection or mucosal vaccination with ETEC fimbriae adhesin proteins or inactivated polio virus, experimental findings indicated immunization route and co-administered antigen impacted vaccine immunogenicity more so than dmLT formulation stability (or instability). These results indicate the importance of both biochemical and vaccine-derived immunity assessment in formulation optimization. In addition, these studies have implications for use of dmLT in clinical settings and for delivery in resource poor settings.

Indexed as

Enterotoxigenic Escherichia coliEscherichia coli InfectionsEscherichia coli ProteinsEscherichia coli VaccinesPoliomyelitisAdjuvants, ImmunologicAnimalsAntigensEnterotoxinsEscherichia coliExcipientsAdjuvants, ImmunologicAntigensEnterotoxinsEscherichia coli ProteinsEscherichia coli VaccinesExcipientsAdjuvantdmLTETECFormulation stabilityMucosal immunityPolioVaccine efficacy

Identifiers

PMID36732163
PMCPMC10308557
OpenAlexW4318685239

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.