Evidence map›Paper›PMID 37262073›Full record

ArticlePLoS pathogens2023

Antibody signatures in hospitalized hand, foot and mouth disease patients with acute enterovirus A71 infection.

Lei You, Junbo Chen, Yibing Cheng, Yu Li, Yao-Qing Chen, Tianlei Ying, Lance Turtle, Hongjie Yu

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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Advances in Single-Cell Sequencing for Infectious Diseases: Progress and Perspectives.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  4. Review
  5. Article
  6. 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

8 authors at 7 institutions in 2 countries.

Lei YouSavaid Medical School, University of Chinese Academy of Sciences, Beijing, China.
Junbo ChenShanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China.
Yibing ChengHospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou, China.
Yu LiDivision of Infectious Diseases, Chinese Centre for Disease Control and Prevention, Beijing, China.
Yao-Qing ChenSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
Tianlei YingShanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China.
Lance TurtleNIHR Health Protection Research Unit in Emerging and Zoonotic Infections, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom.
Hongjie YuShanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China.ORCID 0000-0002-6335-5648
Fudan University · CNChinese Center For Disease Control and Prevention · CNShanghai Medical College of Fudan University · CNSun Yat-sen University · CNUniversity of Chinese Academy of Sciences · CNUniversity of Liverpool · GBZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enterovirus A71 (EV-A71) infection is a major cause of severe hand, foot and mouth disease (HFMD) in young children. The characteristics of EV-A71 neutralizing antibodies in HFMD patients are not well understood. In this study, we identified and cloned EV-A71-neutralizing antibodies by single cell RNA and B cell receptor sequencing of peripheral blood mononuclear cells. From 145 plasmablasts, we identified two IgG1 monoclonal antibodies (mAbs) and six IgM mAbs that neutralized EV-A71. Four of the IgM mAbs harbor germline variable sequences and neutralize EV-A71 potently. Two genetically similar IgM antibodies from two patients have recurrent heavy chain variable domain gene usage and similar complementarity-determining region 3 sequences. We mapped the residues of EV-A71 critical for neutralization through selection of virus variants resistant to antibody neutralization in the presence of neutralizing mAbs. The residues critical for neutralization are conserved among EV-A71 genotypes. Epitopes for the two genetically similar antibodies overlap with the SCARB2 binding site of EV-A71. We used escape variants to measure the epitope-specific antibody response in acute phase serum samples from EV-A71 infected HFMD patients. We found that these epitopes are immunogenic and contributed to the neutralizing antibody response against the virus. Our findings advance understanding of antibody response to EV-A71 infection in young children and have translational potential: the IgM mAbs could potentially be used for prevention or treatment of EV-A71 infections.

Indexed as

EnterovirusEnterovirus A, HumanEnterovirus InfectionsHand, Foot and Mouth DiseaseAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralAntigens, ViralChildChild, PreschoolEpitopesHumansImmunoglobulin MLeukocytes, MononuclearAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralAntigens, ViralEpitopesImmunoglobulin M

Identifiers

PMID37262073
PMCPMC10263328
OpenAlexW4379055498

What OpenQuestion holds

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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.