Evidence map›Paper›PMID 23431033›Full record

ArticleThe Journal of infectious diseases2013

DNase inhibits Gardnerella vaginalis biofilms in vitro and in vivo.

Saul R Hymes, Tara M Randis, Thomas Yang Sun, Adam J Ratner

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
6.1field-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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Infection and immunity · 2023
    Review
  9. Review
  10. Review
  11. Treatment ofFrontiers in microbiology · 2022
    Review
  12. Article
  13. Treatment of Male Sexual Partners of Women With Bacterial Vaginosis: A Randomized, Double-Blind, Placebo-Controlled Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  14. The dental plaque biofilm matrix.Periodontology 2000 · 2021
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. The Female Vaginal Microbiome in Health and Bacterial Vaginosis.Frontiers in cellular and infection microbiology · 2021
    Review
  20. Bacterial Vaginosis: What Do We Currently Know?Frontiers in cellular and infection microbiology · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Saul R HymesDepartment of Pediatrics, Columbia University, New York 10032, USA.
Tara M Randis
Thomas Yang Sun
Adam J Ratner
Columbia University · US

Funding

Training in Pediatric Infectious DiseasesT32AI007531 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PRINCE, ALICE S, SAIMAN, LISA · 1998 to 2023
$4.0M
Gardnerella vaginalis: toxin production and pathogenesisR01AI092743 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RATNER, ADAM JONATHAN · 2011 to 2015
$2.0M
DNase For Prevention Of Reproductive Tract Infections In PregnancyR33AI098654 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RATNER, ADAM JONATHAN · 2014 to 2016
$1.6M
K23 Bacterial Vaginosis: Vitamin D Links Mucosal Immunity and Patient RiskK23HD065844 · NICHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RANDIS, TARA M · 2011 to 2015
$684k
DNase For Prevention Of Reproductive Tract Infections In PregnancyR21AI098654 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI RATNER, ADAM JONATHAN · 2012 to 2013
$448k
NIAID NIH HHS R01 AI092743NIAID NIH HHS R21 AI098654NIAID NIH HHS T32 AI007531NICHD NIH HHS K23 HD065844
6 · The paper itself

Abstract

Bacterial vaginosis is a highly prevalent and poorly understood polymicrobial disorder of the vaginal microbiota, with significant adverse sequelae. Gardnerella vaginalis predominates in bacterial vaginosis. Biofilms of G. vaginalis are present in human infections and are implicated in persistent disease, treatment failure, and transmission. Here we demonstrate that G. vaginalis biofilms contain extracellular DNA, which is essential to their structural integrity. Enzymatic disruption of this DNA specifically inhibits biofilms, acting on both newly forming and established biofilms. DNase liberates bacteria from the biofilm to supernatant fractions and potentiates the activity of metronidazole, an antimicrobial agent used in the treatment of bacterial vaginosis. Using a new murine vaginal colonization model for G. vaginalis, we demonstrate >10-fold inhibition of G. vaginalis colonization by DNase. We conclude that DNase merits investigation as a potential nonantibiotic adjunct to existing bacterial vaginosis therapies in order to decrease the risk of chronic infection, recurrence, and associated morbidities.

Indexed as

AnimalsAnti-Infective AgentsBiofilmsDeoxyribonucleasesDisease Models, AnimalFemaleGardnerella vaginalisMetagenomeMetronidazoleMiceMice, Inbred C57BLVaginaVaginosis, BacterialAnti-Infective AgentsDeoxyribonucleasesMetronidazole

Identifiers

PMID23431033
PMCPMC3627197
OpenAlexW2121446443

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.