Evidence map›Paper›PMID 37146068›Full record

ArticlePLoS pathogens2023

Capsular polysaccharide inhibits vaccine-induced O-antigen antibody binding and function across both classical and hypervirulent K2:O1 strains of Klebsiella pneumoniae.

Paeton L Wantuch, Cory J Knoot, Lloyd S Robinson, Evgeny Vinogradov, Nichollas E Scott, Christian M Harding, David A Rosen

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Genomic Analysis of HypervirulentIranian journal of biotechnology · 2026
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  7. Materials today. Bio · 2026
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  8. Connections betweenInfection and immunity · 2026
    Article
  9. Article
  10. Article
  11. Divergent humoral immune signatures in response to Klebsiella pneumoniae bacteremia.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
  16. Review
  17. Article
  18. 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

7 authors at 3 institutions in 3 countries.

Paeton L WantuchDepartment of Pediatrics, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, United States of America.
Cory J KnootOmniose, Saint Louis, Missouri, United States of America.
Lloyd S RobinsonOmniose, Saint Louis, Missouri, United States of America.
Evgeny VinogradovNational Research Council Canada, Human Health Therapeutics Centre, Ottawa, Ontario, Canada.
Nichollas E ScottDepartment of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Victoria, Australia.
Christian M HardingOmniose, Saint Louis, Missouri, United States of America.ORCID 0000-0002-2158-3546
David A RosenDepartment of Pediatrics, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, United States of America.ORCID 0000-0003-1081-772X
Washington University in St. Louis · USNational Research Council Canada · CAThe University of Melbourne · AU

Funding

A multivalent O-antigen bioconjugate vaccine for the prevention of Klebsiella pneumoniae infectionsR42AI165116 · NIAID · VAXNEWMO, LLC · PI Christian Harding · 2022 to 2026
$3.6M
Protective immunity elicited by distinct polysaccharide antigens of classical and hypervirulent KlebsiellaR01AI175038 · NIAID · WASHINGTON UNIVERSITY · PI ROSEN, DAVID A. · 2023 to 2025
$3.5M
A capsule-based bioconjugate vaccine to prevent Klebsiella pneumoniae infectionsR41AI167078 · NIAID · VAXNEWMO, LLC · PI HARDING, CHRISTIAN · 2022 to 2023
$593k
Immune recognition of Klebsiella pneumoniae O2v1 and O2v2 O-antigen subtypesR21AI166090 · NIAID · WASHINGTON UNIVERSITY · PI ROSEN, DAVID A. · 2023 to 2024
$428k
Glycoengineering a bioconjugate vaccine against Klebsiella pneumoniaeR41AI136233 · NIAID · VAXNEWMO, LLC · PI FELDMAN, MARIO · 2018 to 2018
$300k
NIAID NIH HHS R01 AI175038NIAID NIH HHS R21 AI166090NIAID NIH HHS R41 AI136233NIAID NIH HHS R41 AI167078NIAID NIH HHS R42 AI165116
6 · The paper itself

Abstract

Klebsiella pneumoniae presents as two circulating pathotypes: classical K. pneumoniae (cKp) and hypervirulent K. pneumoniae (hvKp). Classical isolates are considered urgent threats due to their antibiotic resistance profiles, while hvKp isolates have historically been antibiotic susceptible. Recently, however, increased rates of antibiotic resistance have been observed in both hvKp and cKp, further underscoring the need for preventive and effective immunotherapies. Two distinct surface polysaccharides have gained traction as vaccine candidates against K. pneumoniae: capsular polysaccharide and the O-antigen of lipopolysaccharide. While both targets have practical advantages and disadvantages, it remains unclear which of these antigens included in a vaccine would provide superior protection against matched K. pneumoniae strains. Here, we report the production of two bioconjugate vaccines, one targeting the K2 capsular serotype and the other targeting the O1 O-antigen. Using murine models, we investigated whether these vaccines induced specific antibody responses that recognize K2:O1 K. pneumoniae strains. While each vaccine was immunogenic in mice, both cKp and hvKp strains exhibited decreased O-antibody binding in the presence of capsule. Further, O1 antibodies demonstrated decreased killing in serum bactericidal assays with encapsulated strains, suggesting that the presence of K. pneumoniae capsule blocks O1-antibody binding and function. Finally, the K2 vaccine outperformed the O1 vaccine against both cKp and hvKp in two different murine infection models. These data suggest that capsule-based vaccines may be superior to O-antigen vaccines for targeting hvKp and some cKp strains, due to capsule blocking the O-antigen.

Indexed as

Klebsiella InfectionsVaccinesAnimalsAnti-Bacterial AgentsKlebsiella pneumoniaeLipopolysaccharidesMiceO AntigensVirulenceAnti-Bacterial AgentsLipopolysaccharidesO AntigensVaccines

Identifiers

PMID37146068
PMCPMC10191323
OpenAlexW4372337303

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.