Evidence map›Paper›PMID 23505464›Full record

ArticlePloS one2013

Subpopulations of Staphylococcus aureus clonal complex 121 are associated with distinct clinical entities.

Kevin Kurt, Jean-Philippe Rasigade, Frederic Laurent, Richard V Goering, Helena Žemličková, Ivana Machova, Marc J Struelens, Andreas E Zautner, Silva Holtfreter, Barbara Bröker and 8 more

Open access · goldAbstract read
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. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 45 citations in OpenAlex.

  1. Frontiers in cellular and infection microbiology · 2026
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  2. Emergence and spread of a mupirocin-resistant variant of the European epidemic fusidic acid-resistant impetigo clone ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
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  3. Article
  4. An unusual outbreak in the Netherlands: community-onset impetigo caused by a meticillin-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Observational
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  8. Toxins · 2019
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  9. Temperate Phages ofMicrobiology spectrum · 2019
    Review
  10. Characterisation ofEpidemiology and infection · 2019
    Article
  11. Article
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  14. Evolution of themBio · 2017
    Article
  15. Review
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  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

18 authors at 10 institutions in 9 countries.

Kevin KurtRobert Koch Institute, Wernigerode, Germany.
Jean-Philippe Rasigade
Frederic Laurent
Richard V Goering
Helena Žemličková
Ivana Machova
Marc J Struelens
Andreas E Zautner
Silva Holtfreter
Barbara Bröker
Stephen Ritchie
Sin Reaksmey
Direk Limmathurotsakul
Sharon J Peacock
Christiane Cuny
Franziska Layer
Wolfgang Witte
Ulrich Nübel
Robert Koch Institute · DENational Institute of Public Health · CZUniversité Claude Bernard Lyon 1 · FRAngkor Hospital for Children · KHCreighton University · USEuropean Centre for Disease Prevention and Control · SEMahidol University · THUniversitätsmedizin Göttingen · DEUniversity of Auckland · NZUniversity of Cambridge · GB

Funding

Wellcome Trust 089275
6 · The paper itself

Abstract

We investigated the population structure of Staphylococcus aureus clonal complex CC121 by mutation discovery at 115 genetic housekeeping loci from each of 154 isolates, sampled on five continents between 1953 and 2009. In addition, we pyro-sequenced the genomes from ten representative isolates. The genome-wide SNPs that were ascertained revealed the evolutionary history of CC121, indicating at least six major clades (A to F) within the clonal complex and dating its most recent common ancestor to the pre-antibiotic era. The toxin gene complement of CC121 isolates was correlated with their SNP-based phylogeny. Moreover, we found a highly significant association of clinical phenotypes with phylogenetic affiliations, which is unusual for S. aureus. All isolates evidently sampled from superficial infections (including staphylococcal scalded skin syndrome, bullous impetigo, exfoliative dermatitis, conjunctivitis) clustered in clade F, which included the European epidemic fusidic-acid resistant impetigo clone (EEFIC). In comparison, isolates from deep-seated infections (abscess, furuncle, pyomyositis, necrotizing pneumonia) were disseminated in several clades, but not in clade F. Our results demonstrate that phylogenetic lineages with distinct clinical properties exist within an S. aureus clonal complex, and that SNPs serve as powerful discriminatory markers, able to identify these lineages. All CC121 genomes harboured a 41-kilobase prophage that was dissimilar to S. aureus phages sequenced previously. Community-associated MRSA and MSSA from Cambodia were extremely closely related, suggesting this MRSA arose in the region.

Indexed as

Bacterial ToxinsGenes, EssentialGenome, BacterialHumansPhenotypePhylogenyPolymorphism, Single NucleotideStaphylococcal InfectionsStaphylococcus aureusBacterial Toxins

Identifiers

PMID23505464
PMCPMC3591430
OpenAlexW2052274834

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.