Evidence map›Paper›PMID 19795979›Full record

ArticleThe Journal of infectious diseases2009

Restriction fragment length polymorphism typing demonstrates substantial diversity among Pneumocystis jirovecii isolates.

Chiara Ripamonti, Abigail Orenstein, Geetha Kutty, Laurence Huang, Regina Schuhegger, Andreas Sing, Giovanna Fantoni, Chiara Atzori, Carol Vinton, Charles Huber and 2 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Unanticipated Global Emergence of MultiplemedRxiv : the preprint server for health sciences · 2025
    Article
  2. Estimated Burden of Fungal Infections in Oman.Journal of fungi (Basel, Switzerland) · 2020
    Article
  3. Article
  4. A multi-centered study ofCurrent medical mycology · 2019
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Infections in the immunosuppressed host.Annals of the American Thoracic Society · 2014
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Outbreaks of Pneumocystis pneumonia in 2 renal transplant centers linked to a single strain of Pneumocystis: implications for transmission and virulence.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2012
    Article
  16. HIV-associated Pneumocystis pneumonia.Proceedings of the American Thoracic Society · 2011
    Review
  17. 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

12 authors.

Chiara RipamontiCritical Care Medicine Department, NIH Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA.
Abigail Orenstein
Geetha Kutty
Laurence Huang
Regina Schuhegger
Andreas Sing
Giovanna Fantoni
Chiara Atzori
Carol Vinton
Charles Huber
Patricia S Conville
Joseph A Kovacs

Funding

International HIV-associated Opportunistic Pneumonias (IHOP) StudyR01HL090335 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, LAURENCE · 2007 to 2011
$4.0M
Patient-Oriented Research and Mentoring in PneumocystisK24HL087713 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, LAURENCE · 2006 to 2018
$1.8M
Molecular Studies Of Human Pneumocystis CariniiZIACL000192 · CLC · CLINICAL CENTER · PI KOVACS, JOSEPH A · 2009 to 2025
$0k
Intramural NIH HHS ZIA CL000192NHLBI NIH HHS K24 HL 087713NHLBI NIH HHS K24 HL087713NHLBI NIH HHS R01 HL 090335NHLBI NIH HHS R01 HL090335
6 · The paper itself

Abstract

Better understanding of the epidemiology and transmission patterns of human Pneumocystis should lead to improved strategies for preventing Pneumocystis pneumonia (PCP). We have developed a typing method for Pneumocystis jirovecii that is based on restriction fragment length polymorphism (RFLP) analysis after polymerase chain reaction amplification of an approximately 1300 base-pair region of the msg gene family, which comprises an estimated 50-100 genes/genome. The RFLP pattern was reproducible in samples containing >1000 msg copies/reaction and was stable over time, based on analysis of serial samples from the same patient. In our initial analysis of 48 samples, we found that samples obtained from different individuals showed distinct banding patterns; only samples obtained from the same patient showed an identical RFLP pattern. Despite this substantial diversity, samples tended to cluster on the basis of country of origin. In an evaluation of samples obtained from an outbreak of PCP in kidney transplant recipients in Germany, RFLP analysis demonstrated identical patterns in samples that were from 12 patients previously linked to this outbreak, as well as from 2 additional patients. Our results highlight the presence of a remarkable diversity in human Pneumocystis strains. RFLP may be very useful for studying clusters of PCP in immunosuppressed patients, to determine whether there is a common source of infection.

Indexed as

Bacterial Typing TechniquesFungal ProteinsGenotypeHumansMembrane GlycoproteinsPneumocystis cariniiPneumonia, PneumocystisPolymorphism, Restriction Fragment LengthPolymorphism, Single NucleotideFungal ProteinsGPA protein, Pneumocystis carinii sp.Membrane Glycoproteins

Identifiers

PMID19795979
PMCPMC2803681

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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.