Evidence map›Paper›PMID 42258746›Full record

ArticleJCI insight2026

Reduced efficacy of an anti-toxin vaccine from senescence-driven attenuation of toxin virulence.

Xin Du, Ching Wen Tseng, Elisabet Bjånes, Hunter Gage, Jaclyn Swan, Chih-Ming Tsai, Irshad A Hajam, Cesia Gonzalez, Brian Lin, Victor Nizet and 1 more

Abstract read
In one paragraph

Article in JCI insight, 2026. 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Xin DuDepartment of Pediatrics, UCSD, San Diego, California, USA.
Ching Wen TsengOrca Bio, Menlo Park, California, USA.
Elisabet BjånesDepartment of Pediatrics, UCSD, San Diego, California, USA.
Hunter GageDepartment of Pediatrics, UCSD, San Diego, California, USA.
Jaclyn SwanDepartment of Ecological Plant and Animal Sciences, La Trobe University, Melbourne, Victoria, Australia.
Chih-Ming TsaiDepartment of Pediatrics, UCSD, San Diego, California, USA.
Irshad A HajamDepartment of Pediatrics, UCSD, San Diego, California, USA.
Cesia GonzalezDepartment of Pediatrics, UCSD, San Diego, California, USA.
Brian LinDepartment of Pediatrics, UCSD, San Diego, California, USA.
Victor NizetDepartment of Pediatrics, UCSD, San Diego, California, USA.
George Y LiuDepartment of Pediatrics, UCSD, San Diego, California, USA.

Funding

Interrogating human anti-staphylococcal antibody responses for S. aureus vaccine insightsR01AI181321 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Clarence Buddy Creech, George Y Liu · 2023 to 2026
$3.2M
Mechanisms of vaccine interference by S. aureus-induced imprintsR01AI179098 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI George Y Liu · 2024 to 2026
$2.2M
NIAID NIH HHS R01 AI179098NIAID NIH HHS R01 AI181321
6 · The paper itself

Abstract

It remains unclear why vaccines targeting prominent microbial virulence factors often fail in clinical trials. Because microbial virulence depends on interaction with the host immune system, we investigated how changes in host immune function alter vaccine efficacy. Using a vaccine against Staphylococcus aureus α-toxin (Hla), which targets host metalloprotease ADAM10 on myeloid cells, we show that Hla virulence is reduced in aged mice due to diminished ADAM10 activity and impaired myeloid cell function. Depletion of myeloid cells with cyclophosphamide in young mice similarly reduced toxin virulence. Immunization against Hla conferred strong protection against S. aureus infection in young but not aged mice. These findings indicate that pathogenic functions of microbial factors characterized in immunocompetent young animals may not predict virulence or vaccine efficacy in immunocompromised hosts. These findings underscore the need to account for host immune status in the development and evaluation of vaccines targeting microbial virulence factors.

Indexed as

AgingBacterial ToxinsHemolysin ProteinsStaphylococcal InfectionsStaphylococcal VaccinesStaphylococcus aureusADAM10 ProteinAnimalsFemaleMiceMice, Inbred C57BLMyeloid CellsVaccine EfficacyVirulenceVirulence FactorsADAM10 ProteinBacterial ToxinsHemolysin Proteinsstaphylococcal alpha-toxinStaphylococcal VaccinesVirulence FactorsInfectious diseaseMicrobiologyVaccines

Identifiers

PMID42258746
PMCPMC13313543

What OpenQuestion holds

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LicenceCC BY
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.