Evidence map›Paper›PMID 23437088›Full record

ArticlePloS one2013

Comparative microbial analysis of paired amniotic fluid and cord blood from pregnancies complicated by preterm birth and early-onset neonatal sepsis.

Xiaowei Wang, Catalin S Buhimschi, Stephanie Temoin, Vineet Bhandari, Yiping W Han, Irina A Buhimschi

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03841994 (Association of Gut Microbiome With Neonatal Complications and Neurodevelopment in Preterm Infants), which is not on this map. Cited by 93 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 2 pooled it
18.9field-weighted citation impact, top 1% 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.

NCT03841994 completednot on this mapstarted 2018, after this paper: background citation

Association of Gut Microbiome With Neonatal Complications and Neurodevelopment in Preterm Infants

TypeobservationalSponsorSeoul National University HospitalRan2018 to 2024Enrolled47ConditionsPreterm Infants
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 193 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Journal of bacteriology · 2025
    Review
  11. Review
  12. Article
  13. Ethanolamine-induced assembly of microcompartments is required forbioRxiv : the preprint server for biology · 2024
    Article
  14. Article
  15. Review
  16. Review
  17. Observational
  18. The Role ofMicroorganisms · 2023
    Review
  19. Article
  20. Journal of oral microbiology · 2023
    Article

33 more citing papers are in PubMed but not listed here.

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

6 authors at 2 institutions in 1 country.

Xiaowei WangDepartment of Periodontics, Case Western Reserve University, Cleveland, Ohio, USA.
Catalin S Buhimschi
Stephanie Temoin
Vineet Bhandari
Yiping W Han
Irina A Buhimschi
Case Western Reserve University · USYale University · US

Funding

Molecular Mechanism of F. Nucleatum VirulenceR01DE014924 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HAN, YIPING · 2003 to 2013
$3.0M
A PROTEOMICS COMPUTATIONAL APPROACH TO PRETERM DELIVERYR01HD047321 · NICHD · YALE UNIVERSITY · PI BUHIMSCHI, IRINA A · 2004 to 2008
$1.8M
DAMP-RAGE Signaling and Fetal Injury in Inflammation-Induced Preterm BirthR01HD062007 · NICHD · YALE UNIVERSITY · PI BUHIMSCHI, CATALIN SORIN, BUHIMSCHI, IRINA A · 2010 to 2014
$1.5M
NICHD NIH HHS R01 HD047321NICHD NIH HHS R01HD047321NICHD NIH HHS R01 HD062007NICHD NIH HHS R01HD062007-01A1NIDCR NIH HHS R01 DE014924NIDCR NIH HHS R01DE014924
6 · The paper itself

Abstract

background16S rRNA-based genomic analyses have revolutionized our understanding of infectious diseases. Many cases which were recognized as "idiopathic" are now known to have an infectious etiology. Here, we present a proof-of-concept study to examine the microbial link between intra-amniotic infection (IAI) and early-onset neonatal sepsis (EONS).

resultsUsing culture independent methods, we analyzed paired amniotic fluid (AF) and cord blood (CB) samples from 36 singleton pregnancies complicated by preterm birth (PTB), IAI, and/or EONS. PTB cases were grouped as 1) Group 1- neonatal blood culture-positive EONS (n=6). 2) Group 2- neonatal blood culture-negative presumed EONS with positive IAI (n=16). 3) Group 3- neonatal blood culture-negative presumed EONS with no IAI (n=7); 4) Group 4- no EONS or IAI (n=7). In addition, samples from term healthy deliveries (n=8) served as technical controls. A total of 31 species (15 non-redundant) were identified in AF, of which only 1/3 were cultivated. Significantly fewer microorganisms were detected in CB, with a total of 18 species (7 non-redundant) identified, of which only 2 (Escherichia coli, Streptococcus agalactiae) were cultivated. Of those, Bergeyella, Fusobacterium nucleatum, and Sneathia sanguinegens had not been detected in EONS before. The novel species identified in AF by PCR include Peptoniphilus harei and Lachnospiraceae sp. The majority (72%) of CB species were also detected in the matching AF, with E. coli and F. nucleatum as the most prevalent. The 16S rRNA sequences of paired AF and CB were 99.9-100% identical, while no identical sequences were found between different pregnancies.

conclusionsPreviously unrecognized, uncultivated or difficult-to-cultivate species are implicated in EONS. Microbial species in paired AF and CB likely share the same infectious origin. Given its prevalence in EONS, F. nucleatum should be placed on the same importance scale as E. coli.

Indexed as

AdultAmniotic FluidBacteriaBase SequenceFemaleFetal BloodHumansInfant, NewbornInfant, Newborn, DiseasesMetagenomePregnancyPremature BirthRNA, Ribosomal, 16SSepsisSpecies SpecificityYoung AdultRNA, Ribosomal, 16S

Identifiers

PMID23437088
PMCPMC3577789
OpenAlexW2069816292

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.