Evidence map›Paper›PMID 39842610›Full record

ArticleMucosal immunology2025

Breast milk delivery of an engineered dimeric IgA protects neonates against rotavirus.

Stephanie N Langel, Claire E Otero, Justin T Steppe, Caitlin A Williams, Tatiana Travieso, Jerry Chang, Helen Webster, Lauren E Williamson, James E Crowe, Harry B Greenberg and 8 more

Abstract read
In one paragraph

Article in Mucosal immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. An RNA-to-RNA pipeline for rapid antiviral antibody development.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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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

18 authors.

Stephanie N LangelDepartment of Pathology, Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Claire E OteroDepartment of Pathology, Duke University School of Medicine, Durham, NC, USA.
Justin T SteppeDepartment of Pathology, Duke University School of Medicine, Durham, NC, USA.
Caitlin A WilliamsWeill Cornell Medicine Department of Pediatrics, Division of Infectious Disease, New York, NY, USA.
Tatiana TraviesoDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA.
Jerry ChangDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA.
Helen WebsterDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA.
Lauren E WilliamsonVanderbilt Vaccine Center, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pediatrics, Vanderbilt University Medical Center, Vanderbilt, TN, USA.
James E CroweVanderbilt Vaccine Center, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pediatrics, Vanderbilt University Medical Center, Vanderbilt, TN, USA.
Harry B GreenbergDepartments of Medicine and Microbiology and Immunology, Stanford University School of Medicine, Stanford CA, USA; The VA Palo Alto Health Care System, Department of Veterans Affairs, Palo Alto, CA, USA.
Huali WuDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Christoph P HornikDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Katayoun MansouriDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA.
Robert J EdwardsDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA; Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Victoria StallsDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA.
Priyamvada AcharyaDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA; Department of Surgery, Duke University School of Medicine, Durham, NC, USA.
Maria BlasiDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA; Department of Medicine, Duke University School of Medicine, Durham, NC, USA. Electronic address: maria.blasi@duke.edu.
Sallie R PermarWeill Cornell Medicine Department of Pediatrics, Division of Infectious Disease, New York, NY, USA. Electronic address: sallie.permar@med.cornell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dimeric IgA (dIgA) is the dominant antibody in many mucosal tissues. It is actively transported onto mucosal surfaces as secretory IgA (sIgA) which plays an integral role in protection against enteric pathogens, particularly in young children. Therapeutic strategies that deliver engineered, potently neutralizing antibodies directly into the infant intestine through breast milk could provide enhanced antimicrobial protection for neonates. Here, we developed a murine model of maternal protective transfer against human rotavirus (RV) using systemic administration of a dimeric IgA monoclonal antibody (mAb). First, we showed that systemically administered dIgA passively transferred into breast milk and the stomach of suckling pups in a dose-dependent manner. Next, we optimized the recombinant production of a potently RV-neutralizing, VP4-specific dIgA (mAb41) antibody. We then demonstrated that systemic administration of dIgA and IgG mAb41 in lactating dams conferred protection from RV-induced diarrhea in suckling pups, with dIgA resulting in lower diarrhea incidence from IgG. Systemic delivery of engineered antimicrobial dIgA mAbs should be considered as an effective strategy for sIgA delivery to the infant gastrointestinal tract via breast milk to increase protection against enteric pathogens.

Indexed as

Antibodies, MonoclonalAntibodies, ViralImmunoglobulin AImmunoglobulin A, SecretoryMilk, HumanRotavirusRotavirus InfectionsAnimalsAnimals, NewbornAntibodies, NeutralizingCapsid ProteinsDisease Models, AnimalFemaleHumansImmunity, Maternally-AcquiredImmunization, PassiveAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralCapsid ProteinsImmunoglobulin AImmunoglobulin A, SecretoryBreast milkDimeric IgAMaternal immunityNeonatal immunityPassive transferRotavirus

Identifiers

PMID39842610
PMCPMC11982437

What OpenQuestion holds

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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.