Evidence map›Paper›PMID 40414893›Full record

ArticleJournal of biomedical science2025

Adjunctive beneficial effect of c-di-GMP, a STING agonist, in enhancing protective efficacy of TLR4-adjuvanted tuberculosis subunit vaccine formulations.

Kee Woong Kwon, Eunsol Choi, Hagyu Kim, Hyeong Woo Kim, Sangwon Choi, Seunghyun Lee, Sang-Jun Ha, Sung Jae Shin

Abstract read
In one paragraph

Article in Journal of biomedical science, 2025. 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
–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

6 citing papers in PubMed.

  1. Review
  2. Antigen 85B ofVaccines · 2026
    Review
  3. Review
  4. Article
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  6. Review
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.

Kee Woong KwonDepartment of Microbiology and Convergence of Medical Science, College of Medicine, Gyeongsang National University, Jinju, 52727, Republic of Korea.
Eunsol ChoiDepartment of Microbiology, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, 03722, South Korea.
Hagyu KimDepartment of Microbiology, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, 03722, South Korea.
Hyeong Woo KimDepartment of Microbiology and Convergence of Medical Science, College of Medicine, Gyeongsang National University, Jinju, 52727, Republic of Korea.
Sangwon ChoiDepartment of Microbiology, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, 03722, South Korea.
Seunghyun LeeDepartment of Microbiology, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, 03722, South Korea.
Sang-Jun HaDepartment of Biochemistry, College of Life Science & Biotechnology, Yonsei University, Seoul, 03722, South Korea.
Sung Jae ShinDepartment of Microbiology, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, 03722, South Korea. sjshin@yuhs.ac.ORCID http://orcid.org/0000-0003-0854-4582

Funding

Korea Health Industry Development Institute RS-2025-02173063Ministry of Science and ICT, South Korea RS-2023-00208115Ministry of Science and ICT, South Korea RS-2023-00210371
6 · The paper itself

Abstract

backgroundEffective subunit vaccine development requires selecting appropriate adjuvant formulations to trigger desired adaptive immune responses. This study explores the immunogenicity and tuberculosis (TB) vaccine potential of antigens (Ags) combined with Toll-like receptor 4 (TLR4) adjuvants and a stimulator of interferon genes (STING) agonist.

methodsIn this work, we investigated the combination of Ags with TLR4 adjuvants (monophosphoryl lipid A / dimethyldioctadecylammonium bromide; MPL/DDA or glucopyranosyl lipid adjuvant-stable emulsion; GLA-SE) and a STING agonist, c-di-GMP (CDG). Mice were immunized three times by intramuscular injections at 3-week intervals. The effects of integrating Ags in these adjuvant formulations on the immune response were evaluated, focusing on the generation of Th1-biased, polyfunctional Ag-specific CD4

resultsIntegrating ESAT6 Ag in TLR4 and CDG adjuvant formulations remarkably boosted Th1-biased, polyfunctional ESAT6-specific CD4

conclusionsThis study highlights that CDG, when used in combination with TLR4 adjuvants, enhances long-term protective immunity, offering a promising strategy for subunit TB vaccine development.

Indexed as

Adjuvants, ImmunologicAdjuvants, VaccineMembrane ProteinsToll-Like Receptor 4TuberculosisTuberculosis VaccinesAnimalsCyclic GMPFemaleMiceMice, Inbred BALB CMice, Inbred C57BLMycobacterium tuberculosisSTING ProteinVaccines, SubunitAdjuvants, ImmunologicAdjuvants, Vaccinebis(3',5')-cyclic diguanylic acidCyclic GMPMembrane ProteinsSting1 protein, mouseSTING ProteinTlr4 protein, mouseToll-Like Receptor 4Tuberculosis VaccinesVaccines, Subunitc-di-GMPMycobacterium tuberculosisSTING agonistSubunit vaccineTLR4 adjuvantTuberculosis

Identifiers

PMID40414893
PMCPMC12105139

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LicenceCC BY
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Registered trials

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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.