Evidence map›Paper›PMID 18198942›Full record

Trial reportPLoS medicine2008

Key role for clumping factor B in Staphylococcus aureus nasal colonization of humans.

Heiman F L Wertheim, Evelyn Walsh, Roos Choudhurry, Damian C Melles, Hélène A M Boelens, Helen Miajlovic, Henri A Verbrugh, Timothy Foster, Alex van Belkum

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in PLoS medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

101 citing papers in PubMed, 190 citations in OpenAlex.

  1. Article
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  4. Transcriptional Profiling ofInternational journal of molecular sciences · 2024
    Article
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  7. Natural compounds in the fight againstFrontiers in pharmacology · 2024
    Review
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  9. Community-Acquired Methicillin-ResistantDiagnostics (Basel, Switzerland) · 2023
    Article
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  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
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  19. Article
  20. Review

41 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 2 institutions in 2 countries.

Heiman F L WertheimErasmus MC, University Medical Center Rotterdam, Department of Medical Microbiology and Infectious Diseases, Rotterdam, The Netherlands. h.wertheim@erasmusmc.nl
Evelyn Walsh
Roos Choudhurry
Damian C Melles
Hélène A M Boelens
Helen Miajlovic
Henri A Verbrugh
Timothy Foster
Alex van Belkum
Erasmus MC · NLTrinity College Dublin · IE

Funding

Wellcome TrustWellcome Trust 0728220
6 · The paper itself

Abstract

backgroundStaphylococcus aureus permanently colonizes the vestibulum nasi of one-fifth of the human population, which is a risk factor for autoinfection. The precise mechanisms whereby S. aureus colonizes the nose are still unknown. The staphylococcal cell-wall protein clumping factor B (ClfB) promotes adhesion to squamous epithelial cells in vitro and might be a physiologically relevant colonization factor. METHODS AND

findingsWe define the role of the staphylococcal cytokeratin-binding protein ClfB in the colonization process by artificial inoculation of human volunteers with a wild-type strain and its single locus ClfB knock-out mutant. The wild-type strain adhered to immobilized recombinant human cytokeratin 10 (CK10) in a dose-dependent manner, whereas the ClfB(-) mutant did not. The wild-type strain, when grown to the stationary phase in a poor growth medium, adhered better to CK10, than when the same strain was grown in a nutrient-rich environment. Nasal cultures show that the mutant strain is eliminated from the nares significantly faster than the wild-type strain, with a median of 3 +/- 1 d versus 7 +/- 4 d (p = 0.006). Furthermore, the wild-type strain was still present in the nares of 3/16 volunteers at the end of follow-up, and the mutant strain was not.

conclusionsThe human colonization model, in combination with in vitro data, shows that the ClfB protein is a major determinant of nasal-persistent S. aureus carriage and is a candidate target molecule for decolonization strategies.

Indexed as

Administration, IntranasalAdultBacterial AdhesionCarrier StateCoagulaseCulture MediaDouble-Blind MethodEnzyme-Linked Immunosorbent AssayFemaleGene Expression Regulation, BacterialHumansKeratin-10MaleMiddle AgedNasal CavityRecombinant Fusion ProteinsCoagulaseCulture MediaKeratin-10Recombinant Fusion Proteins

Identifiers

PMID18198942
PMCPMC2194749
OpenAlexW2098159900

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.