Title |
Effect of Antibiotic-Mediated Microbiome Modulation on Rotavirus Vaccine Immunogenicity: A Human, Randomized-Control Proof-of-Concept Trial
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Published in |
Cell Host & Microbe (Science Direct), August 2018
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DOI | 10.1016/j.chom.2018.07.005 |
Pubmed ID | |
Authors |
Vanessa C. Harris, Bastiaan W. Haak, Scott A. Handley, Baoming Jiang, Daniel E. Velasquez, Barry L. Hykes, Lindsay Droit, Guy A.M. Berbers, Elles Marleen Kemper, Ester M.M. van Leeuwen, Michael Boele van Hensbroek, Willem Joost Wiersinga |
Abstract |
Rotavirus vaccines (RVV) protect against childhood gastroenteritis caused by rotavirus (RV) but have decreased effectiveness in low- and middle-income settings. This proof-of-concept, randomized-controlled, open-label trial tested if microbiome modulation can improve RVV immunogenicity. Healthy adults were randomized and administered broad-spectrum (oral vancomycin, ciprofloxacin, metronidazole), narrow-spectrum (vancomycin), or no antibiotics and then vaccinated with RVV, 21 per group per protocol. Baseline anti-RV IgA was high in all subjects. Although antibiotics did not alter absolute anti-RV IgA titers, RVV immunogenicity was boosted at 7 days in the narrow-spectrum group. Further, antibiotics increased fecal shedding of RV while also rapidly altering gut bacterial beta diversity. Beta diversity associated with RVV immunogenicity boosting at day 7 and specific bacterial taxa that distinguish RVV boosters and RV shedders were identified. Despite the negative primary endpoint, this study demonstrates that microbiota modification alters the immune response to RVV and supports further exploration of microbiome manipulation to improve RVV immunogenicity. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 18 | 20% |
France | 7 | 8% |
United Kingdom | 7 | 8% |
Australia | 3 | 3% |
Netherlands | 2 | 2% |
Ireland | 2 | 2% |
Thailand | 1 | 1% |
Mexico | 1 | 1% |
Kenya | 1 | 1% |
Other | 9 | 10% |
Unknown | 37 | 42% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 55 | 63% |
Scientists | 25 | 28% |
Practitioners (doctors, other healthcare professionals) | 5 | 6% |
Science communicators (journalists, bloggers, editors) | 3 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 197 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 30 | 15% |
Student > Master | 29 | 15% |
Student > Ph. D. Student | 27 | 14% |
Student > Bachelor | 20 | 10% |
Student > Doctoral Student | 14 | 7% |
Other | 30 | 15% |
Unknown | 47 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Biochemistry, Genetics and Molecular Biology | 31 | 16% |
Immunology and Microbiology | 31 | 16% |
Agricultural and Biological Sciences | 24 | 12% |
Medicine and Dentistry | 21 | 11% |
Nursing and Health Professions | 7 | 4% |
Other | 25 | 13% |
Unknown | 58 | 29% |