Evidence map›Paper›PMID 20090837›Full record

ArticlePLoS pathogens2010

Within-host evolution of Burkholderia pseudomallei in four cases of acute melioidosis.

Erin P Price, Heidie M Hornstra, Direk Limmathurotsakul, Tamara L Max, Derek S Sarovich, Amy J Vogler, Julia L Dale, Jennifer L Ginther, Benjamin Leadem, Rebecca E Colman and 6 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in PLoS pathogens, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Case Report: Genetic evolution ofWellcome open research · 2025
    Article
  3. Phenotypic and genetic alterations ofFrontiers in microbiology · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Melioidosis.Nature reviews. Disease primers · 2018
    Review
  10. Article
  11. Article
  12. Differences in Inflammation Patterns Induced by African and AsianThe American journal of tropical medicine and hygiene · 2017
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. 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

16 authors at 3 institutions in 3 countries.

Erin P PriceNorthern Arizona University, Center for Microbial Genetics and Genomics, Flagstaff, Arizona, United States of America.
Heidie M Hornstra
Direk Limmathurotsakul
Tamara L Max
Derek S Sarovich
Amy J Vogler
Julia L Dale
Jennifer L Ginther
Benjamin Leadem
Rebecca E Colman
Jeffrey T Foster
Apichai Tuanyok
David M Wagner
Sharon J Peacock
Talima Pearson
Paul Keim
Northern Arizona University · USMahidol Oxford Tropical Medicine Research Unit · THMahidol University · TH

Funding

Vaccines and Diagnostics TrialsU54AI065359 · NIAID · UNIVERSITY OF CALIFORNIA-IRVINE · PI BARBOUR, ALAN G. · 2005 to 2013
$88.8M
Burkholderia: International Collaborative Development of Novel DiagnosticsU01AI075568 · NIAID · TRANSLATIONAL GENOMICS RESEARCH INST · PI KEIM, PAUL STEPHEN · 2007 to 2011
$4.5M
NIAID NIH HHS AI065359NIAID NIH HHS AI075568NIAID NIH HHS U01 AI075568NIAID NIH HHS U54 AI065359Wellcome Trust
6 · The paper itself

Abstract

Little is currently known about bacterial pathogen evolution and adaptation within the host during acute infection. Previous studies of Burkholderia pseudomallei, the etiologic agent of melioidosis, have shown that this opportunistic pathogen mutates rapidly both in vitro and in vivo at tandemly repeated loci, making this organism a relevant model for studying short-term evolution. In the current study, B. pseudomallei isolates cultured from multiple body sites from four Thai patients with disseminated melioidosis were subjected to fine-scale genotyping using multilocus variable-number tandem repeat analysis (MLVA). In order to understand and model the in vivo variable-number tandem repeat (VNTR) mutational process, we characterized the patterns and rates of mutations in vitro through parallel serial passage experiments of B. pseudomallei. Despite the short period of infection, substantial divergence from the putative founder genotype was observed in all four melioidosis cases. This study presents a paradigm for examining bacterial evolution over the short timescale of an acute infection. Further studies are required to determine whether the mutational process leads to phenotypic alterations that impact upon bacterial fitness in vivo. Our findings have important implications for future sampling strategies, since colonies in a single clinical sample may be genetically heterogeneous, and organisms in a culture taken late in the infective process may have undergone considerable genetic change compared with the founder inoculum.

Indexed as

Evolution, MolecularPhylogenyAdultBase SequenceBurkholderia pseudomalleiElectrophoresis, Gel, Pulsed-FieldFemaleGenes, BacterialGenotypeHumansMaleMelioidosisMiddle AgedMinisatellite RepeatsMolecular Sequence DataMutation

Identifiers

PMID20090837
PMCPMC2799673
OpenAlexW1997137222

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.