Evidence map›Paper›PMID 19490652›Full record

ArticleBMC microbiology2009

Characterisation of atypical enteropathogenic E. coli strains of clinical origin.

Sharon M Tennant, Marija Tauschek, Kristy Azzopardi, Andrea Bigham, Vicki Bennett-Wood, Elizabeth L Hartland, Weihong Qi, Thomas S Whittam, Roy M Robins-Browne

Abstract read
In one paragraph

Article in BMC microbiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Characterization of UropathogenicMicroorganisms · 2022
    Article
  9. Article
  10. Characterisation of Porcine EnteropathogenicJournal of veterinary research · 2020
    Article
  11. Article
  12. Article
  13. Pathogenomes of Atypical Non-shigatoxigenicFrontiers in microbiology · 2020
    Article
  14. Article
  15. Article
  16. Outbreak of multiple strains of non-O157 Shiga toxin-producing and enteropathogenicEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2018
    Article
  17. Article
  18. DiarrheagenicThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2018
    Article
  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

9 authors.

Sharon M TennantDepartment of Microbiology and Immunology, The University of Melbourne, Royal Children's Hospital, Victoria 3010, Australia. stennant@medicine.umaryland.edu
Marija Tauschek
Kristy Azzopardi
Andrea Bigham
Vicki Bennett-Wood
Elizabeth L Hartland
Weihong Qi
Thomas S Whittam
Roy M Robins-Browne

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnteropathogenic E. coli (EPEC) is a prominent cause of diarrhoea, and is characterised in part by its carriage of a pathogenicity island: the locus for enterocyte effacement (LEE). EPEC is divided into two subtypes according to the presence of bundle-forming pili (BFP), a fimbrial adhesin that is a virulence determinant of typical EPEC (tEPEC), but is absent from atypical EPEC (aEPEC). Because aEPEC lack BFP, their virulence has been questioned, as they may represent LEE-positive Shiga toxin-producing E. coli (STEC) that have lost the toxin-encoding prophage, or tEPEC that have lost the genes for BFP. To determine if aEPEC isolated from humans in Australia or New Zealand fall into either of these categories, we undertook phylogenetic analysis of 75 aEPEC strains, and compared them with reference strains of EPEC and STEC. We also used PCR and DNA hybridisation to determine if aEPEC carry virulence determinants that could compensate for their lack of BFP.

resultsThe results showed that aEPEC are highly heterogeneous. Multilocus sequence typing revealed that 61 of 75 aEPEC strains did not belong to known tEPEC or STEC clades, and of those that did, none expressed an O:H serotype that is frequent in tEPEC or STEC strains associated with disease. PCR for each of 18 known virulence-associated determinants of E. coli was positive in less than 15% of strains, apart from NleB which was detected in 30%. Type I fimbriae were expressed by all aEPEC strains, and 12 strains hybridised with DNA probes prepared from either bfpA or bfpB despite being negative in the PCR for bfpA.

conclusionOur findings indicate that clinical isolates of aEPEC obtained from patients in Australia or New Zealand are not derived from tEPEC or STEC, and suggest that functional equivalents of BFP and possibly type I fimbriae may contribute to the virulence of some aEPEC strains.

Indexed as

AnimalsAustraliaBacterial Typing TechniquesCattleCell LineDNA, BacterialEnteropathogenic Escherichia coliEscherichia coli InfectionsEscherichia coli ProteinsFimbriae, BacterialHumansNew ZealandPhylogenyVirulenceDNA, BacterialEscherichia coli Proteins

Identifiers

PMID19490652
PMCPMC2700815

What OpenQuestion holds

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Registered trials

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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.