Evidence map›Paper›PMID 12183570›Full record

ArticleInfection and immunity2002

Analysis of pathogen-host cell interactions in purpura fulminans: expression of capsule, type IV pili, and PorA by Neisseria meningitidis in vivo.

O B Harrison, B D Robertson, S N Faust, M A Jepson, R D Goldin, M Levin, R S Heyderman

Abstract read
In one paragraph

Article in Infection and immunity, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

24 citing papers in PubMed, 61 citations in OpenAlex.

  1. Prospective controlled study of the diagnostic value of skin biopsy in patients with presumed meningococcal disease.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2006
    Trial
  2. Article
  3. Frontiers in cellular and infection microbiology · 2023
    Article
  4. The Host-Pathogen Interactions and Epicellular Lifestyle ofFrontiers in cellular and infection microbiology · 2022
    Review
  5. Frontiers in cellular and infection microbiology · 2022
    Article
  6. Article
  7. Review
  8. Deletion of D-Lactate Dehydrogenase A inFrontiers in microbiology · 2019
    Article
  9. Article
  10. Article
  11. Pathogenesis of meningococcemia.Cold Spring Harbor perspectives in medicine · 2013
    Review
  12. Article
  13. Article
  14. Biofilm formation by the human pathogen Neisseria meningitidis.Medical microbiology and immunology · 2010
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

7 authors at 2 institutions in 1 country.

O B HarrisonInfectious Diseases & Microbiology, Faculty of Medicine, Imperial College, London, United Kingdom.
B D Robertson
S N Faust
M A Jepson
R D Goldin
M Levin
R S Heyderman
Imperial College London · GBUniversity of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pattern of meningococcal surface structure expression in different microenvironments following bloodstream invasion in vivo is not known. We used immunohistochemistry to determine the expression of capsule, type IV pili, and PorA by meningococci residing in the skin lesions of children with purpura fulminans. All the skin biopsy samples showed evidence of thrombosis and, frequently, a perivascular inflammatory cell infiltrate consisting of neutrophils (elastase positive) and monocytes/macrophages (CD68 positive). Modified Gram staining revealed 20 to over 100 gram-negative diplococci in each 4-microm-thick section, usually grouped into microcolonies. Immunoperoxidase staining demonstrated that the invading meningococci expressed PorA, capsule, and type IV pilin. Expression of these antigens was not restricted to any particular environment and was found in association with meningococci located in leukocytes, small blood vessels, and the dermal interstitium. Confocal laser scanning microscopy demonstrated coexpression of pilin and capsule by numerous microcolonies. However, there was some discordance in capsule and pilin expression within the microcolonies, suggesting phase variation. The strategy employed in this study will be helpful in investigating invasive bacterial diseases where antigenic and phase variation has a significant impact on virulence and on vaccine design.

Indexed as

AdolescentAntibodies, BacterialAntigenic VariationChildChild, PreschoolFimbriae, BacterialFimbriae ProteinsHumansIgA VasculitisImmunohistochemistryInfantInflammationIn Vitro TechniquesMembrane ProteinsMeningococcal InfectionsMicroscopy, ConfocalAntibodies, BacterialFimbriae ProteinsMembrane Proteinsporin protein, NeisseriaPorins

Identifiers

PMID12183570
PMCPMC128269
OpenAlexW2148463908

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.