Evidence map›Paper›PMID 40991727›Full record

ArticleScience translational medicine2025

Afucosylation of anti-dengue IgG is associated with enhanced susceptibility to dengue virus infection postvaccination.

Usama Ashraf, Saborni Chakraborty, Courtney Scallan, Nathan C Lo, Maria Theresa Alera, Aaron Farmer, Mary Noreen Cabalfin-Chua, Nelson L Michael, Alan L Rothman, Taia T Wang

Abstract read
In one paragraph

Article in Science translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Glycosylation profile ofiScience · 2026
    Article
  6. Article
  7. 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

10 authors.

Usama AshrafInstitute for Immunity, Transplantation and Infection, Stanford University School of Medicine, Stanford, CA 94305, USA.
Saborni ChakrabortyInstitute for Immunity, Transplantation and Infection, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0003-0502-3757
Courtney ScallanInstitute for Immunity, Transplantation and Infection, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0003-4371-8744
Nathan C LoDepartment of Medicine, Division of Infectious Diseases, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-5407-2005
Maria Theresa AleraDepartment of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok 10400, Thailand.ORCID 0000-0002-6493-190X
Aaron FarmerDepartment of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok 10400, Thailand.ORCID 0000-0002-2115-4493
Mary Noreen Cabalfin-ChuaDepartment of Pediatrics, Chong Hua Hospital, Cebu City, Cebu 6000, Philippines.
Nelson L MichaelCenter for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA.ORCID 0000-0001-5882-5548
Alan L RothmanDepartment of Cell and Molecular Biology, Institute for Immunology and Informatics, University of Rhode Island, Providence, RI 02903, USA.ORCID 0000-0002-4064-6848
Taia T WangInstitute for Immunity, Transplantation and Infection, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-3894-685X

Funding

Using a tonsil organoid system to probe conditions for the induction of protective antibody and T cell responses to influenza.U19AI057229 · NIAID · STANFORD UNIVERSITY · PI Mark Morris Davis · 2003 to 2026
$88.5M
Project 5: mAb Development Flaviviruses and AlphavirusesU19AI181960 · NIAID · WASHINGTON UNIVERSITY · PI DIAMOND, MICHAEL S, KUHN, RICHARD J. · 2024 to 2024
$46.7M
VIRAL DETERMINANTS OF SEVERE DENGUE DISEASEP01AI034533 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ROTHMAN, ALAN L · 1994 to 2022
$42.0M
Immune responses associated with severe disease in patients with primary dengue infectionR01AI186371 · NIAID · EMORY UNIVERSITY · PI MURALI KRISHNA KAJA, Mehul Shamal Suthar · 2024 to 2026
$1.7M
NIAID NIH HHS P01 AI034533NIAID NIH HHS R01 AI186371NIAID NIH HHS U19 AI057229NIAID NIH HHS U19 AI181960
6 · The paper itself

Abstract

Dengue viruses (DENVs) cause 390 million infections annually, although only ~25% of these infections are symptomatic. Whereas antibody features linked to severe DENV disease are well studied, factors influencing infection susceptibility remain less clear. Here, we examined immunoglobulin G (IgG) characteristics before and after DENV vaccination (Dengvaxia) in individuals with a history of prior DENV exposure, comparing those who developed postvaccination infections to those who remained infection free. Elevated anti-DENV afucosylation, present before or after vaccination, was associated with increased likelihood of infection after vaccination. These data were further supported by mechanistic studies, which revealed that nonneutralizing, afucosylated, post-Dengvaxia IgG enhanced DENV replication in mice. This enhancement was dependent on CD16, the receptor for the afucosylated IgG Fc domain. Together, these findings support a model in which the presence of afucosylated IgG promotes virus replication, increasing the likelihood of productive infection upon DENV exposure. Moreover, these results highlight that IgG1 fucosylation is a predictor of risk for breakthrough DENV infection despite vaccination and support the importance of investigating strategies to regulate Fc fucosylation during vaccination.

Indexed as

Antibodies, ViralDengueDengue VaccinesDengue VirusFucoseImmunoglobulin GVaccinationAnimalsDisease SusceptibilityFemaleGlycosylationHumansMaleMiceReceptors, IgGVirus ReplicationAntibodies, ViralDengue VaccinesFucoseImmunoglobulin GReceptors, IgG

Identifiers

PMID40991727
PMCPMC12543083

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.