Evidence map›Paper›PMID 19366918›Full record

ReviewClinical microbiology reviews2009

Enterotoxigenic Bacteroides fragilis: a rogue among symbiotes.

Cynthia L Sears

Open access · greenAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 228 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
228citing papers in PubMed, 2 pooled it
7.8field-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

228 citing papers in PubMed, 2 syntheses or guidelines pooled it, 397 citations in OpenAlex.

  1. [Fecal Microbiota Transplantation: A Promising Avenue for Lung Cancer Therapy].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2025
    Pooled it
  2. Prevalence of enterotoxigenicFrontiers in cellular and infection microbiology · 2025
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. NontoxigenicMicroorganisms · 2026
    Review
  9. Review
  10. Article
  11. Orally available designed miniproteins inhibit enterotoxigenicbioRxiv : the preprint server for biology · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Relationship BetweenVeterinary sciences · 2026
    Article
  19. Review
  20. Article

168 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

1 author at 1 institution in 1 country.

Cynthia L SearsDivisions of Infectious Diseases and Gastroenterology, Department of Medicine, Johns Hopkins University School of Medicine, 1550 Orleans Street, CRB2 Building, Suite 1M.05, Baltimore, MD 21231, USA. csears@jhmi.edu
Johns Hopkins University · US

Funding

PHYSIOLOGY AND CLONING OF B FRAGILIS ENTEROTOXINR01DK045496 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SEARS, CYNTHIA · 1993 to 2010
$3.6M
Mechanisms of Interleukin-17 Inflammation Induced by Bacteroides fragilisR01DK080817 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SEARS, CYNTHIA · 2008 to 2012
$1.7M
Pathogen of Enterotoxigenic Bacteriodes Fragilis InfectR01DK059655 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SEARS, CYNTHIA · 2001 to 2003
$757k
NIDDK NIH HHS R01 DK045496NIDDK NIH HHS R01 DK059655NIDDK NIH HHS R01 DK080817NIDDK NIH HHS R01 DK45496
6 · The paper itself

Abstract

Enterotoxigenic Bacteroides fragilis (ETBF) strains are strains of B. fragilis that secrete a 20-kDa heat-labile zinc-dependent metalloprotease toxin termed the B. fragilis toxin (BFT). BFT is the only recognized virulence factor specific for ETBF. ETBF strains are associated with inflammatory diarrheal disease in children older than 1 year of age and in adults; limited data suggest an association of ETBF colonization with inflammatory bowel disease flare-ups and colorectal cancer. ETBF secretes one of three highly related BFT isoforms. The relationship between BFT isoform and disease expression is unknown. Although the mechanism of action of BFT is incompletely understood, available data suggest that BFT binds to a specific intestinal epithelial cell receptor, stimulating intestinal cell signal transduction pathways that result in cell morphology changes, cleavage of E-cadherin, reduced colonic barrier function, and increased epithelial cell proliferation and cytokine expression (such as the proinflammatory chemokine interleukin-8). Together, the data suggest that in some hosts, ETBF acts via secretion of BFT to induce colitis. However, the full spectrum of clinical disease related to ETBF and the impact of chronic ETBF colonization on the host remain to be defined.

Indexed as

Bacteroides InfectionsAnimalsBacterial ToxinsBacteroides fragilisHumansBacterial Toxins

Identifiers

PMID19366918
PMCPMC2668231
OpenAlexW2168033293

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.