Evidence map›Paper›PMID 10531268›Full record

ArticleInfection and immunity1999

Enterococcus faecalis bearing aggregation substance is resistant to killing by human neutrophils despite phagocytosis and neutrophil activation.

R M Rakita, N N Vanek, K Jacques-Palaz, M Mee, M M Mariscalco, G M Dunny, M Snuggs, W B Van Winkle, S I Simon

Open access · bronzeAbstract read
In one paragraph

Article in Infection and immunity, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

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

68 citing papers in PubMed, 162 citations in OpenAlex.

  1. Science advances · 2026
    Article
  2. Article
  3. Infection and immunity · 2026
    Article
  4. Review
  5. Insights into ecology, pathogenesis, and biofilm formation ofMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  6. Microbiology and molecular biology reviews : MMBR · 2024
    Review
  7. Article
  8. Non-Clinical microbiology reviews · 2024
    Review
  9. Review
  10. Article
  11. Antibiotics (Basel, Switzerland) · 2022
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Pathogenicity of Enterococci.Microbiology spectrum · 2019
    Review

8 more citing papers are in PubMed but not listed here.

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

9 authors at 4 institutions in 1 country.

R M RakitaDivision of Infectious Diseases, Department of Internal Medicine, University of Texas Medical School at Houston, Texas 77030, USA.
N N Vanek
K Jacques-Palaz
M Mee
M M Mariscalco
G M Dunny
M Snuggs
W B Van Winkle
S I Simon
The University of Texas Health Science Center at Houston · USBaylor College of Medicine · USOffice of Infectious Diseases · USUniversity of Minnesota Medical Center · US

Funding

ROLE OF CELLWALL COMPONENTS IN ENTEROCOCCAL ENDOCARDITISR01HL051987 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI DUNNY, GARY M · 1995 to 2006
$2.1M
PMN MOTILITY AND ADHERENCE IN NEONATESR01AI019031 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI SMITH, CLIFTON WAYNE · 1985 to 1999
–
FLOW CYTOMETRIC ANALYSIS/MODELING OF LEUKOCYTES ADHESIONR29AI031652 · NIAID · UNIVERSITY OF NEW MEXICO · PI SIMON, SCOTT IRWIN · 1992 to 1996
–
PMN MOTILITY AND ADHERENCE IN NEONATESR37AI019031 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI ANDERSON, DONALD C. · 1989 to 1991
–
NHLBI NIH HHS HL51987NHLBI NIH HHS R01 HL051987NIAID NIH HHS AI19031NIAID NIH HHS AI31652
6 · The paper itself

Abstract

Enterococcus faecalis aggregation substance (AS) mediates efficient bacterium-bacterium contact to facilitate plasmid exchange as part of a bacterial sex pheromone system. We have previously determined that AS promotes direct, opsonin-independent binding of E. faecalis to human neutrophils (PMNs) via complement receptor type 3 and other receptors on the PMN surface. We have now examined the functional consequences of this bacterium-host cell interaction. AS-bearing E. faecalis was phagocytosed and internalized by PMNs, as determined by deconvolution fluorescence microscopy. However, these bacteria were not killed by PMNs, and internalized bacteria excluded propidium iodide, indicating intact bacterial membranes. Resistance to killing occurred despite activation of PMNs, as indicated by an increase in both functional and total surface Mac-1 expression, shedding of L-selectin, and an increase in PMN extracellular superoxide and phagosomal oxidant production. Deconvolution fluorescence microscopy also revealed that phagosomes containing AS-bearing bacteria were markedly larger than phagosomes containing opsonized E. faecalis, suggesting that some modification of phagosomal maturation may be involved in AS-induced resistance to killing. PMN phagosomal pH was significantly higher after ingestion of nonopsonized AS-bearing E. faecalis than after that of opsonized bacteria. The novel ability of AS to promote intracellular survival of E. faecalis inside PMNs suggests that AS may be a virulence factor used by strains of E. faecalis.

Indexed as

Blood Bactericidal ActivityNeutrophil ActivationPhagocytosisAnimalsCell LineEnterococcus faecalisHumansHydrogen-Ion ConcentrationMacrophage-1 AntigenMiceNeutrophilsPeroxidaseSuperoxidesMacrophage-1 AntigenPeroxidaseSuperoxides

Identifiers

PMID10531268
PMCPMC96994
OpenAlexW2116050067

What OpenQuestion holds

Textmetadata
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.