Evidence map›Paper›PMID 40874553›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2025

The Influence of Maternal Staphylococcus aureus Anti-Hla Neutralizing Antibody on Infant Skin and Soft Tissue Development in the First Year of Life.

Carol M Kao, Kristine M Wylie, Mary G Boyle, Alaina Schneider, Rachel Uhlir, Scott L Crick, Juliane Bubeck Wardenburg, Stephanie A Fritz

Abstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2025. 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
–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

1 citing paper in PubMed.

  1. Single-Cell Profiling Identifies Skin-Resident Memory CD4European journal of immunology · 2026
    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.

Carol M KaoDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, United States.
Kristine M WylieDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, United States.
Mary G BoyleDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, United States.
Alaina SchneiderDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, United States.
Rachel UhlirBrightest Bio, St. Louis, MO, United States.
Scott L CrickBrightest Bio, St. Louis, MO, United States.
Juliane Bubeck WardenburgDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, United States.
Stephanie A FritzDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, United States.ORCID 0000-0002-8602-5879

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Valacyclovir Phase I TrialU54AI150225 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLIN, DAVID W · 2019 to 2024
$7.6M
Development of human adaptive immunity to Staphylococcus aureusR01AI159677 · NIAID · WASHINGTON UNIVERSITY · PI BUBECK WARDENBURG, JULIANE, FRITZ, STEPHANIE ANN · 2021 to 2025
$3.2M
Congenital and Perinatal Infections Consortium/Rare Diseases Clinical Research Network U54AI150225Doris Duke Charitable Foundation 2021265National Institutes of Health/National Center for Advancing Translational Sciences UL1TR002345NCATS NIH HHS UL1 TR002345NIAID NIH HHS R01 AI159677NIAID NIH HHS U54 AI150225NIH HHS R01 AI159677
6 · The paper itself

Abstract

backgroundStaphylococcus aureus is the leading cause of infectious-related deaths. Vaccine development has been hampered by the recall of nonprotective immune responses from prior exposure, suggesting an effective vaccine may need to be given early in life. The goal of this pilot study was to correlate the maternal serologic response against S. aureus to an infant's risk for skin and soft tissue infection (SSTI) and colonization in the first year of life.

methodsPregnant women were enrolled and maternal-infant dyads followed for 12 months. Maternal third trimester and cord blood were obtained to determine the anti-S. aureus IgG and anti-α-toxin (Hla) neutralizing antibody (NAb) titers. Serial surveys and skin swabs were obtained from mothers at enrollment and from infants longitudinally to ascertain S. aureus colonization status and the incidence of SSTI.

resultsSixty-three pregnant women were enrolled, 54% with history of SSTI or asymptomatic S. aureus colonization at enrollment. Within 48-h of delivery, 23% of infants had S. aureus colonization and 43% at 1-month. Maternal S. aureus colonization resulted in 7.4 increased odds of infant colonization at delivery. Higher cord blood anti-Hla Nab titer was associated with significantly lower risk for infant SSTI in the first year of life.

conclusionsS. aureus colonization occurs early in life, with over 40% of infants colonized by 1-month. These results are the first to demonstrate an association between higher transplacental anti-Hla NAb and protection against infant SSTI in the first year of life. Overall, these findings support Hla as a promising vaccine target.

Indexed as

Antibodies, BacterialAntibodies, NeutralizingHLA AntigensSkinSoft Tissue InfectionsStaphylococcal InfectionsStaphylococcal Skin InfectionsStaphylococcus aureusAdultBacterial ToxinsFemaleFetal BloodHumansImmunoglobulin GInfantInfant, NewbornAntibodies, BacterialAntibodies, NeutralizingBacterial ToxinsHLA AntigensImmunoglobulin Gcolonizationmaternal infant healthskin infectionStaphylococcus aureusvaccine

Identifiers

PMID40874553
PMCPMC12463441

What OpenQuestion holds

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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.