Evidence map›Paper›PMID 23429698›Full record

ArticleJournal of medical microbiology2013

Prevalence of enteroaggregative Escherichia coli and its virulence-related genes in a case-control study among children from north-eastern Brazil.

Ila Fernanda Nunes Lima, Nadia Boisen, Josiane da Quetz Silva, Alexandre Havt, Eunice Bobo de Carvalho, Alberto Melo Soares, Noélia Leal Lima, Rosa Maria Salani Mota, James P Nataro, Richard Littleton Guerrant and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of medical microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

50 citing papers in PubMed, 94 citations in OpenAlex.

  1. Article
  2. EnteroaggregativeEcoSal Plus · 2025
    Review
  3. Microbiology and epidemiology of enteroaggregativeJournal of medical microbiology · 2025
    Article
  4. Article
  5. Article
  6. Plasmid-encoded toxin ofFrontiers in cellular and infection microbiology · 2024
    Article
  7. Transposon mutagenesis of atypical enteroaggregativeFrontiers in cellular and infection microbiology · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Molecular Epidemiology of EnteroaggregativeInternational journal of molecular sciences · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Genomic Surveillance of Ceftriaxone-ResistantFrontiers in microbiology · 2020
    Article
  18. Genetic and Virulence Profiles of EnteroaggregativeFrontiers in cellular and infection microbiology · 2020
    Article
  19. Article
  20. Prevalence of Virulence Genes in EnteroaggregativeThe American journal of tropical medicine and hygiene · 2019
    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

11 authors at 3 institutions in 2 countries.

Ila Fernanda Nunes LimaInstitute of Biomedicine for Brazilian Semi-Arid and Clinical Research Unit/Center for Global Health, School of Medicine, Federal University of Ceara, Fortaleza, CE, Brazil.
Nadia BoisenCenter for Global Health, Division of Infectious Diseases and International Health, Departments of Medicine and Pediatrics, School of Medicine, University of Virginia, Charlottesville, VA, USA.
Josiane da Quetz Silva
Alexandre HavtInstitute of Biomedicine for Brazilian Semi-Arid and Clinical Research Unit/Center for Global Health, School of Medicine, Federal University of Ceara, Fortaleza, CE, Brazil.
Eunice Bobo de CarvalhoInstitute of Biomedicine for Brazilian Semi-Arid and Clinical Research Unit/Center for Global Health, School of Medicine, Federal University of Ceara, Fortaleza, CE, Brazil.
Alberto Melo SoaresInstitute of Biomedicine for Brazilian Semi-Arid and Clinical Research Unit/Center for Global Health, School of Medicine, Federal University of Ceara, Fortaleza, CE, Brazil.
Noélia Leal LimaInstitute of Biomedicine for Brazilian Semi-Arid and Clinical Research Unit/Center for Global Health, School of Medicine, Federal University of Ceara, Fortaleza, CE, Brazil.
Rosa Maria Salani MotaDepartament of Statistics and Applied Mathematics, Science Center, Federal University of Ceara, Fortaleza, CE, Brazil.
James P NataroCenter for Global Health, Division of Infectious Diseases and International Health, Departments of Medicine and Pediatrics, School of Medicine, University of Virginia, Charlottesville, VA, USA.
Richard Littleton GuerrantCenter for Global Health, Division of Infectious Diseases and International Health, Departments of Medicine and Pediatrics, School of Medicine, University of Virginia, Charlottesville, VA, USA.
Aldo Ângelo Moreira LimaCenter for Global Health, Division of Infectious Diseases and International Health, Departments of Medicine and Pediatrics, School of Medicine, University of Virginia, Charlottesville, VA, USA.
Universidade Federal do Ceará · BRCenter for Global Health · USUniversity of Virginia · US

Funding

Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
RECOGNITION &EXPRESSION OF TROPICAL INFECTIOUS DISEASESU01AI026512 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI GUERRANT, RICHARD L · 1994 to 2014
$8.5M
Virulence in Enteroaggregative Escherichia coliR01AI033096 · NIAID · UNIVERSITY OF VIRGINIA · PI NATARO, JAMES P. · 1996 to 2014
$6.6M
Global Infectious Disease Research Training Program at UVAD43TW006578 · FIC · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI GUERRANT, RICHARD L · 2003 to 2018
$2.7M
ADHERENCE IN ENTEROAGGREGATIVE E. COLIR29AI033096 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI NATARO, JAMES P. · 1992 to 1996
–
FIC NIH HHS 3D43TW006578-04S1FIC NIH HHS 3D43TW006578-05S1FIC NIH HHS 5R24TW007988FIC NIH HHS D43 TW006578FIC NIH HHS R24 TW007988NIAID NIH HHS 2U01AI026512NIAID NIH HHS AI-033096NIAID NIH HHS R01 AI033096NIAID NIH HHS U01 AI026512
6 · The paper itself

Abstract

Enteroaggregative Escherichia coli (EAEC) is an important agent that causes endemic and epidemic diarrhoeal diseases worldwide. Several EAEC virulence-related genes (VRGs) have been described but their role in the clinical outcome of infection is not completely defined. This study investigated the prevalence of EAEC and potential associations of its VRGs with risk of or protection from diarrhoeal diseases in children from urban communities in north-eastern Brazil. The case-control study included 166 children, who had their stools evaluated for the EAEC diagnostic genes (aaiC and aatA) using PCR. Positive samples were further analysed by multiplex PCR and identified 18 VRGs. EAEC was found in the same proportion in both groups (41%). The plasmid-borne gene encoding a hexosyltransferase homologue (capU) was the most frequently detected (89.6%), followed by dispersin protein (aap, 58.2%) and EAEC HilA homologue (eilA, 57.8%). The AAF/III fimbrial subunit (agg3A) gene was observed at lower frequency (1.5%). Plasmid-encoded toxin (pet) or AAF/II fimbrial subunit (aafA) was associated significantly with disease. AAF/IV fimbrial subunit (agg4A) or hypothetical plasmid-encoded haemolysin (orf61) was detected significantly more in controls than in children with diarrhoea. In addition, one set of genes in combination, aaiC and agg3/4C but lacking agg4A and orf61, was associated with diarrhoea cases; and another one, orf61 in the absence of pet and aafA, was correlated with control children. These data confirm a high prevalence, endemicity and heterogeneity of EAEC strains in the developing urban areas of north-eastern Brazil. Statistical correlation between cases and controls was seen with either isolated or combined sets of genes, suggesting that the pathophysiology of EAEC infection involves a complex and dynamic modulation of several VRGs.

Indexed as

BrazilCase-Control StudiesChild, PreschoolEscherichia coliEscherichia coli InfectionsFemaleGene Expression Regulation, BacterialHumansInfantMalePrevalenceVirulence

Identifiers

PMID23429698
PMCPMC3709657
OpenAlexW1984302322

What OpenQuestion holds

Textmetadata
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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.