Evidence map›Paper›PMID 38570270›Full record

ArticleVaccine2024

Poor association between 13-valent pneumococcal conjugate vaccine-induced serum and mucosal antibody responses with experimental Streptococcus pneumoniae serotype 6B colonisation.

G Tembo, M Mayuni, R Kamng'ona, L Chimgoneko, G Chiwala, S Sichone, B Galafa, F Thole, C Mkandawire, A E Chirwa and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

23 authors at 2 institutions in 2 countries.

G TemboMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi. Electronic address: gtembo@mlw.mw.
M MayuniMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
R Kamng'onaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
L ChimgonekoMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
G ChiwalaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
S SichoneMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
B GalafaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
F TholeMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
C MkandawireMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
A E ChirwaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
E NsombaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
V NkhomaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
C NgoliwaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
N TotoMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
L MakhazaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
A MuyayaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
E KudowaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
M Y R HenrionMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi; Liverpool School of Tropical Medicine, Clinical Sciences Department, Pembroke Place, Liverpool, UK.
D DulaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
B MortonLiverpool School of Tropical Medicine, Clinical Sciences Department, Pembroke Place, Liverpool, UK.
T ChikaondaMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
S B GordonMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi; Liverpool School of Tropical Medicine, Clinical Sciences Department, Pembroke Place, Liverpool, UK.
K C JamboMalawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi; Liverpool School of Tropical Medicine, Clinical Sciences Department, Pembroke Place, Liverpool, UK. Electronic address: kjambo@mlw.mw.
University of Liverpool · GBLiverpool School of Tropical Medicine · GB

Funding

Wellcome Trust 211433/Z/18/Z
6 · The paper itself

Abstract

backgroundPneumococcal carriage is the primary reservoir for transmissionand a prerequisite for invasive pneumococcal disease. Pneumococcal Conjugate Vaccine 13 (PCV13) showed a 62% efficacy in protection against experimental Streptococcus pneumoniae serotype 6B (Spn6B) carriage in a controlled human infection model (CHIM) of healthy Malawian adults. We, therefore, measured humoral responses to experimental challenge and PCV-13 vaccination and determined the association with protection against pneumococcal carriage.

methodsWe vaccinated 204 young, healthy Malawian adults with PCV13 or placebo and nasally inoculated them with Spn6B at least four weeks post-vaccination to establish carriage. We collected peripheral blood and nasal lining fluid at baseline, 4 weeks post-vaccination (7 days pre-inoculation), 2, 7, 14 and > 1 year post-inoculation. We measured the concentration of anti-serotype 6B Capsular Polysaccharide (CPS) Immunoglobulin G (IgG) and IgA antibodies in serum and nasal lining fluid using the World Health Organization (WHO) standardised enzyme-linked immunosorbent assay (ELISA).

resultsPCV13-vaccinated adults had higher serum IgG and nasal IgG/IgA anti-Spn6B CPS-specific binding antibodies than placebo recipients 4 to 6 weeks post-vaccination, which persisted for at least a year after vaccination. Nasal challenge with Spn6B did not significantly alter serum or nasal anti-CPS IgG binding antibody titers with or without experimental pneumococcal carriage. Pre-challenge titers of PCV13-induced serum IgG and nasal IgG/IgA anti-Spn6B CPS binding antibodies did not significantly differ between those that got experimentally colonised by Spn6B compared to those that did not.

conclusionThis study demonstrates that despite high PCV13 efficacy against experimental Spn6B carriage in young, healthy Malawian adults, robust vaccine-induced systemic and mucosal anti-Spn6B CPS binding antibodies did not directly relate to protection.

Indexed as

Pneumococcal InfectionsStreptococcus pneumoniaeAdultAntibodies, BacterialAntibody FormationHumansImmunoglobulin AImmunoglobulin GInfantPneumococcal VaccinesSerogroupVaccines, ConjugateAntibodies, BacterialImmunoglobulin AImmunoglobulin GPneumococcal VaccinesVaccines, Conjugateanti-CPSCarriageColonisationPCVPneumococcal conjugate vaccinePneumococcus

Identifiers

PMID38570270
PMCPMC11056720
OpenAlexW4393945146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.