Evidence map›Paper›PMID 38110940›Full record

ArticleJournal of biomedical science2023

A novel mucosal bivalent vaccine of EV-A71/EV-D68 adjuvanted with polysaccharides from Ganoderma lucidum protects mice against EV-A71 and EV-D68 lethal challenge.

Yu-Li Lin, Pei-Yun Cheng, Chiao-Li Chin, Kuan-Ting Chuang, Jing-Yi Lin, Ning Chang, Chun-Kei Pan, Cheng-Sheng Lin, Siao-Cian Pan, Bor-Luen Chiang

Open access · diamondAbstract read
In one paragraph

Article in Journal of biomedical science, 2023. 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
3.5field-weighted citation impact, top 6% 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, 16 citations in OpenAlex.

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  5. Immunomodulatory Effects ofCurrent issues in molecular biology · 2025
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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

10 authors at 2 institutions in 1 country.

Yu-Li LinDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
Pei-Yun ChengDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
Chiao-Li ChinGraduate Institute of Immunology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Kuan-Ting ChuangDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
Jing-Yi LinDepartment of Clinical Laboratory Sciences and Medical Biotechnology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Ning ChangDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
Chun-Kei PanDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
Cheng-Sheng LinDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
Siao-Cian PanDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
Bor-Luen ChiangDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan. gicmbor@ntu.edu.tw.ORCID http://orcid.org/0000-0002-6705-0286
National Taiwan University Hospital · TWNational Taiwan University · TW

Funding

Ministry of Science and Technology, Taiwan 108-2321-B-002-006Ministry of Science and Technology, Taiwan 109-2320-B-002-013Ministry of Science and Technology, Taiwan 110-2320-B-002-036Ministry of Science and Technology, Taiwan 111-2320-B-002-035-MY3National Taiwan University Hospital 110-O09National Taiwan University Hospital 111-S0053
6 · The paper itself

Abstract

backgroundHuman enteroviruses A71 (EV-A71) and D68 (EV-D68) are the suspected causative agents of hand-foot-and-mouth disease, aseptic meningitis, encephalitis, acute flaccid myelitis, and acute flaccid paralysis in children. Until now, no cure nor mucosal vaccine existed for EV-A71 and EV-D68. Novel mucosal bivalent vaccines are highly important for preventing EV-A71 and EV-D68 infections.

methodsIn this study, formalin-inactivated EV-A71 and EV-D68 were used as antigens, while PS-G, a polysaccharide from Ganoderma lucidum, was used as an adjuvant. Natural polysaccharides have the characteristics of intrinsic immunomodulation, biocompatibility, low toxicity, and safety. Mice were immunized intranasally with PBS, EV-A71, EV-D68, or EV-A71 + EV-D68, with or without PS-G as an adjuvant.

resultsThe EV-A71 + EV-D68 bivalent vaccine generated considerable EV-A71- and EV-D68-specific IgG and IgA titres in the sera, nasal washes, saliva, bronchoalveolar lavage fluid, and feces. These antibodies neutralized EV-D68 and EV-A71 infectivity. They also cross-neutralized infections by different EV-D68 and EV-A71 sub-genotypes. Furthermore, compared with the PBS group, EV-A71 + EV-D68 + PS-G-vaccinated mice exhibited an increased number of EV-D68- and EV-A71-specific IgA- and IgG-producing cells. In addition, T-cell proliferative responses, and IFN-γ and IL-17 secretion in the spleen were substantially induced when PS-G was used as an adjuvant with EV-A71 + EV-D68. Finally, in vivo challenge experiments demonstrated that the immune sera induced by EV-A71 + EV-D68 + PS-G conferred protection in neonate mice against lethal EV-A71 and EV-D68 challenges as indicated by the increased survival rate and decreased clinical score and viral RNA tissue expression. Taken together, all EV-A71/EV-D68 + PS-G-immunized mice developed potent specific humoral, mucosal, and cellular immune responses to EV-D68 and EV-A71 and were protected against them.

conclusionsThese findings demonstrated that PS-G can be used as a potential adjuvant for EV-A71 and EV-D68 bivalent mucosal vaccines. Our results provide useful information for the further preclinical and clinical development of a mucosal bivalent enterovirus vaccine against both EV-A71 and EV-D68 infections.

Indexed as

EnterovirusEnterovirus A, HumanEnterovirus D, HumanEnterovirus InfectionsReishiAnimalsAntigens, ViralCentral Nervous System Viral DiseasesChildHumansImmunoglobulin AImmunoglobulin GMiceMyelitisNeuromuscular DiseasesVaccines, CombinedAntigens, ViralImmunoglobulin AImmunoglobulin GVaccines, CombinedAcute flaccid myelitisAcute flaccid paralysisAdjuvantEnterovirus A71Enterovirus D68Ganoderma lucidum polysaccharideIntranasalMucosal vaccine

Identifiers

PMID38110940
PMCPMC10729491
OpenAlexW4389881842

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.