Evidence map›Paper›PMID 14638803›Full record

ArticleInfection and immunity2003

Critical roles for stx2, eae, and tir in enterohemorrhagic Escherichia coli-induced diarrhea and intestinal inflammation in infant rabbits.

Jennifer M Ritchie, Cheleste M Thorpe, Arlin B Rogers, Matthew K Waldor

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
3.7field-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

89 citing papers in PubMed, 163 citations in OpenAlex.

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  15. TheProceedings of the National Academy of Sciences of the United States of America · 2020
    Article
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29 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

4 authors at 3 institutions in 1 country.

Jennifer M RitchieDivision of Geographic Medicine and Infectious Diseases, Tufts-New England Medical Center, and Howard Hughes Medical Institute, Boston, Massachusetts 02111, USA.
Cheleste M Thorpe
Arlin B Rogers
Matthew K Waldor
Tufts Medical Center · USHoward Hughes Medical Institute · USMassachusetts Institute of Technology · US

Funding

PILOT AND FEASIBILITY STUDIESP30DK034928 · NIDDK · TUFTS MEDICAL CENTER · PI KANE, ANNE VIRGINIA · 1986 to 2007
$8.5M
Vibrio cholerae intestinal colonization and vaccine developmentR01AI042347 · NIAID · TUFTS UNIVERSITY BOSTON · PI WALDOR, MATTHEW K · 1998 to 2025
$7.3M
Molecular Biology and Virulence of CTX PhageR37AI042347 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI WALDOR, MATTHEW K · 2008 to 2017
$3.8M
SHIGA TOXIN EFFECTS ON GENE REGULATIONK08AI001715 · NIAID · TUFTS MEDICAL CENTER · PI THORPE, CHELESTE M · 2000 to 2003
$484k
NIAID NIH HHS AI-01715NIAID NIH HHS AI-42347NIAID NIH HHS R01 AI042347NIAID NIH HHS R37 AI042347NIDDK NIH HHS P30 DK034928NIDDK NIH HHS P30DK-34928
6 · The paper itself

Abstract

Enterohemorrhagic Escherichia coli (EHEC) is a group of food-borne pathogens that can cause diarrhea, colitis, and the hemolytic uremic syndrome (HUS). The importance of several of the proposed EHEC virulence factors lacks experimental verification in animal models. The limitations of current animal models led us to reexamine the infant rabbit model for the study of EHEC pathogenicity. Here, we report that intragastric inoculation of a Shiga toxin 2 (Stx2)-producing E. coli O157:H7 clinical isolate into infant rabbits led to severe diarrhea and intestinal inflammation but no signs of HUS. We constructed a set of isogenic derivatives of this isolate with deletions in several putative virulence genes, including stx(2), eae, tir, and ehxA, to investigate the contribution of individual virulence factors to EHEC pathogenicity. stx(2) increased the severity and duration of EHEC-induced diarrhea. Furthermore, although stx(2) had no role in EHEC intestinal colonization nor was it required for EHEC-induced inflammation, stx(2) altered how the host responded to EHEC infection by promoting heterophilic infiltration of the colonic epithelium and lamina propria. Intragastric inoculation of purified Stx2 also induced inflammation and diarrhea in this model. Diarrhea and intestinal inflammation were also dependent on EHEC colonization, as EHEC derivatives with deletions in eae and tir did not colonize, form attaching and effacing lesions, or develop clinical signs of disease. Our studies indicate that infant rabbits are a useful model for investigation of the intestinal stage of EHEC pathogenesis and suggest that Shiga toxin may play a critical role in causing diarrhea and inflammation in patients infected with EHEC.

Indexed as

Adhesins, BacterialAnimalsAnimals, NewbornCarrier ProteinsDiarrheaDisease Models, AnimalEscherichia coli InfectionsEscherichia coli O157Escherichia coli ProteinsGene Expression Regulation, BacterialHumansInflammationIntestinesRabbitsReceptors, Cell SurfaceShiga Toxin 2Adhesins, BacterialCarrier ProteinseaeA protein, E coliEscherichia coli ProteinsReceptors, Cell SurfaceShiga Toxin 2Tir protein, E coliVirulence Factors

Identifiers

PMID14638803
PMCPMC308950
OpenAlexW2115182402

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.