Evidence map›Paper›PMID 21525217›Full record

ArticleJournal of clinical microbiology2011

Use of bexB to detect the capsule locus in Haemophilus influenzae.

Gregg S Davis, Sara A Sandstedt, Mayuri Patel, Carl F Marrs, Janet R Gilsdorf

Abstract readValidation Study
In one paragraph

Article in Journal of clinical microbiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.9field-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

32 citing papers in PubMed, 57 citations in OpenAlex.

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  4. Frontiers in microbiology · 2025
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  9. Can non-typeablePediatric investigation · 2023
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  10. Review
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  13. Article
  14. Epidemiology of Haemophilus influenzae in the Republic of Ireland, 2010-2018.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  15. Article
  16. hicap:Journal of clinical microbiology · 2019
    Article
  17. Article
  18. Article
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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

5 authors at 1 institution in 1 country.

Gregg S DavisDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Sara A Sandstedt
Mayuri Patel
Carl F Marrs
Janet R Gilsdorf
University of Michigan–Ann Arbor · US

Funding

Molecular Mechanisms of Microbial Pathogenesis Training ProgramT32AI007528 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARRUTHERS, VERNON BRUCE · 1998 to 2024
$6.8M
H. influenzae Genes Associated with Acute Otitis MediaR01DC005840 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GILSDORF, JANET R · 2002 to 2010
$3.6M
Interdisciplinary Training Program in Infectious DiseasesT32AI049816 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FOXMAN, BETSY · 2002 to 2011
$1.5M
H. influenzae genes associated with COPDR01HL083893 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GILSDORF, JANET R · 2006 to 2009
$1.5M
NHLBI NIH HHS R01 HL083893NHLBI NIH HHS R01-HL083893NIAID NIH HHS AI007528NIAID NIH HHS T32 AI007528NIAID NIH HHS T32 AI049816NIAID NIH HHS TA32AI049816NIDCD NIH HHS R01 DC005840NIDCD NIH HHS R01-DC05840
6 · The paper itself

Abstract

Haemophilus influenzae strains are classified as typeable or nontypeable H. influenzae (NTHI) based upon the presence or absence of capsule. In addition to serotyping, which is subject to false-positive results, typeable strains can be identified through the detection of the capsular export gene bexA and one of six capsule-specific genes, but this method is resource intensive, especially in characterizing large numbers of strains. To address these challenges, we developed a bexB-based method to differentiate true NTHI strains from typeable strains. We validated a PCR-based method to detect bexB in 10 strains whose capsule status was well defined. Among 40 strains that were previously serotype positive in clinical microbiology laboratories, 5 lacked bexA, bexB, and capsule type-specific genes by PCR analysis and thus likely represent false-positive serotyping results. Among 94 additional otitis media, commensal, and serotype b-negative invasive strains, 85 were bexA and bexB negative and 9 contained either a complete or partial capsule locus, i.e., 8 were bexA and bexB positive and 1 was bexA negative but bexB positive. Finally, we adapted the method for use in a high-throughput DNA hybridization-based microarray method, which showed 98.75 and 97.5% concordance to the PCR methods for bexA and bexB, respectively. In addition, bexB showed 84% or greater nucleotide identity among strains containing the capsule locus. In this study, we demonstrate that bexB is a reliable proxy for the capsule locus and that its detection provides a simple and reliable method for differentiating strains that lack the entire capsule locus from those containing a partial or complete capsule locus.

Indexed as

Bacterial CapsulesBacterial ProteinsBacterial Typing TechniquesDNA, BacterialHaemophilus influenzaeHumansMembrane Transport ProteinsMicroarray AnalysisMolecular Sequence DataNucleic Acid HybridizationPolymerase Chain ReactionSequence Analysis, DNABacterial ProteinsbexB protein, Haemophilus influenzaeDNA, BacterialMembrane Transport Proteins

Identifiers

PMID21525217
PMCPMC3147886
OpenAlexW2150709792

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.