Evidence map›Paper›PMID 19114544›Full record

ArticleInfection and immunity2009

Phosphoethanolamine substitution of lipid A and resistance of Neisseria gonorrhoeae to cationic antimicrobial peptides and complement-mediated killing by normal human serum.

Lisa A Lewis, Biswa Choudhury, Jacqueline T Balthazar, Larry E Martin, Sanjay Ram, Peter A Rice, David S Stephens, Russell Carlson, William M Shafer

Abstract read
In one paragraph

Article in Infection and immunity, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
3.0field-weighted citation impact, top 10% 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

67 citing papers in PubMed, 116 citations in OpenAlex.

  1. An antibody-drug conjugate active against antibiotic-resistantProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Anti-Virulence Therapeutic Approaches forAntibiotics (Basel, Switzerland) · 2021
    Review
  16. Predominant phosphorylation patterns inJournal of lipid research · 2020
    Article
  17. Article
  18. Short Cationic Peptidomimetic Antimicrobials.Antibiotics (Basel, Switzerland) · 2019
    Review
  19. Quantitative Proteomics of the 2016 WHOMolecular & cellular proteomics : MCP · 2019
    Article
  20. Review

7 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.

Lisa A LewisDepartment of Medicine, University of Massachusetts School of Medicine, Worcester, Massachusetts, USA.
Biswa Choudhury
Jacqueline T Balthazar
Larry E Martin
Sanjay Ram
Peter A Rice
David S Stephens
Russell Carlson
William M Shafer
University of Massachusetts Chan Medical School · USVeterans Health Administration · USUniversity of Georgia · USEmory University · US

Funding

Complement Activation on Neisseria meningitidisR01AI054544 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI RAM, SANJAY · 2004 to 2014
$3.4M
MENINGOCOCCAL LIPOOLIGOSACCHARIDE &MUCOSAL PATHOGENESISR01AI033517 · NIAID · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 1993 to 2007
$1.7M
Sexually Transmitted Infections &Antimicrobial PeptidesR01AI062755 · NIAID · EMORY UNIVERSITY · PI SHAFER, WILLIAM MAURICE · 2005 to 2009
$1.6M
NIAID NIH HHS AI054544NIAID NIH HHS AI062755NIAID NIH HHS AI322725NIAID NIH HHS AI33517NIAID NIH HHS R01 AI033517NIAID NIH HHS R01 AI054544NIAID NIH HHS R01 AI062755
6 · The paper itself

Abstract

The capacity of Neisseria gonorrhoeae to cause disseminated gonococcal infection requires that such strains resist the bactericidal action of normal human serum. The bactericidal action of normal human serum against N. gonorrhoeae is mediated by the classical complement pathway through an antibody-dependent mechanism. The mechanism(s) by which certain strains of gonococci resist normal human serum is not fully understood, but alterations in lipooligosaccharide structure can affect such resistance. During an investigation of the biological significance of phosphoethanolamine extensions from lipooligosaccharide, we found that phosphoethanolamine substitutions from the heptose II group of the lipooligosaccharide beta-chain did not impact levels of gonococcal (strain FA19) resistance to normal human serum or polymyxin B. However, loss of phosphoethanolamine substitution from the lipid A component of lipooligosaccharide, due to insertional inactivation of lptA, resulted in increased gonococcal susceptibility to polymyxin B, as reported previously for Neisseria meningitidis. In contrast to previous reports with N. meningitidis, loss of phosphoethanolamine attached to lipid A rendered strain FA19 susceptible to complement killing. Serum killing of the lptA mutant occurred through the classical complement pathway. Both serum and polymyxin B resistance as well as phosphoethanolamine decoration of lipid A were restored in the lptA-null mutant by complementation with wild-type lptA. Our results support a role for lipid A phosphoethanolamine substitutions in resistance of this strict human pathogen to innate host defenses.

Indexed as

Anti-Bacterial AgentsAntimicrobial Cationic PeptidesComplement System ProteinsDrug Resistance, MicrobialEthanolaminesGonorrheaHumansLipid ANeisseria gonorrhoeaePolymyxin BSerumSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationAnti-Bacterial AgentsAntimicrobial Cationic PeptidesComplement System ProteinsEthanolaminesLipid AphosphorylethanolaminePolymyxin B

Identifiers

PMID19114544
PMCPMC2643632
OpenAlexW2127109116

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.