Evidence map›Paper›PMID 33045466›Full record

ArticleEBioMedicine2020

Live vaccine infection burden elicits adaptive humoral and cellular immunity required to prevent Zika virus infection.

Clement Yau, Esther Shuyi Gan, Swee Sen Kwek, Hwee Cheng Tan, Eugenia Z Ong, Noor Zayanah Hamis, Laura Rivino, Kuan Rong Chan, Satoru Watanabe, Subhash G Vasudevan and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07527247 (Using AS01 Adjuvant to Improve Immune Response in Older Adults Through Trained Immunity), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
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.

NCT07527247 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Using AS01 Adjuvant to Improve Immune Response in Older Adults Through Trained Immunity

TypeinterventionalSponsorSingapore General HospitalRan2025 to 2029Enrolled40ConditionsImmune System Responses and Trained Immunity After AS01 Administration, Healthy AdultArmsAS01 adjuvant (0.5 mL intramuscular), YF17D (Stamaril, Sanofi-Pasteur), Placebo (NaCl 09%, 0.5mL)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  3. Effects ofInternational journal of molecular sciences · 2023
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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

11 authors at 4 institutions in 2 countries.

Clement YauProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore.
Esther Shuyi GanProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore.
Swee Sen KwekProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore.
Hwee Cheng TanProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore.
Eugenia Z OngProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore; Viral Research and Experimental Medicine Centre, SingHealth Duke-NUS Academic Medical Centre, Singapore 169857, Singapore.
Noor Zayanah HamisProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore.
Laura RivinoSchool of Cellular and Molecular Medicine, University of Bristol, Bristol BS8 1TD, United Kingdom.
Kuan Rong ChanProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore.
Satoru WatanabeProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore.
Subhash G VasudevanProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore.
Eng Eong OoiProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore 169857, Singapore; Viral Research and Experimental Medicine Centre, SingHealth Duke-NUS Academic Medical Centre, Singapore 169857, Singapore; Saw Swee Hock School of Public health, National University of Singapore, Singapore 117549, Singapore; Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117545, Singapore. Electronic address: engeong.ooi@duke-nus.edu.sg.
Duke-NUS Medical School · SGSingHealth · SGSingHealth Duke-NUS Academic Medical Centre · SGUniversity of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe emergence of Zika virus (ZIKV) as an important cause of congenital and childhood developmental disorders presents another challenge to global health. Efforts to develop a Zika vaccine have begun although vaccine development against flaviviruses, of which ZIKV belongs to, has proven to be time-consuming and challenging. Defining the vaccine attributes that elicit adaptive immune response necessary for preventing ZIKV infection could provide an evidence-based guide to Zika vaccine development.

methodsWe used a previously described attenuated ZIKV DN-2 strain in a type-I interferon receptor deficient mouse model and tested the hypothesis that duration of vaccine burden rather than peak level of infection, is a determinant of immunogenicity. We quantified both humoral and cellular responses against ZIKV using plaque reduction neutralisation test and flow cytometry with ELISPOT assays, respectively. Vaccinated mice were challenged with wild-type ZIKV (H/PF/2013 strain) to determine the level of protection against infection.

findingsWe found that the overall vaccine burden is directly correlated with neutralising antibody titres. Reduced duration of vaccine burden lowered neutralising antibody titres that resulted in subclinical infection, despite unchanged peak vaccine viraemia levels. We also found that sterilising immunity is dependant on both neutralising antibody and CD8

interpretationOur findings indicate that duration of attenuated virus vaccine burden is a determinant of humoral and cellular immunity and also suggest that vaccines that elicit both arms of the adaptive immune response are needed to fully prevent ZIKV transmission.

fundingThis study was supported by the National Medical Research Council through the Clinician-Scientist Award (Senior Investigator) to E.E.O. Salary support for S.W. was from a Competitive Research Programme grant awarded by the National Research Foundation of Singapore.

Indexed as

Immunity, CellularImmunity, HumoralAnimalsAntibodies, NeutralizingAntibodies, ViralCell LineDisease Models, AnimalEpididymisFemaleHumansImmunizationLeukocytes, MononuclearMaleMiceNeutralization TestsTestisAntibodies, NeutralizingAntibodies, ViralVaccines, AttenuatedViral VaccinesCD8(+) T cellsNeutralizing antibodiesSterilizing immunityVaccine burdenZika virus (ZIKV)

Identifiers

PMID33045466
PMCPMC7553235
OpenAlexW3092537686

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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 Socratic graph.