Evidence map›Paper›PMID 23516588›Full record

ArticlePloS one2013

Investigation of encephalopathy caused by Shiga toxin 2c-producing Escherichia coli infection in mice.

Muhammad Yunus Amran, Jun Fujii, Satoshi O Suzuki, Glynis L Kolling, Sharon Y A M Villanueva, Mosaburo Kainuma, Hideyuki Kobayashi, Hideko Kameyama, Shin-ichi Yoshida

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 23 citations in OpenAlex.

  1. Shiga Toxin-ProducingKidney international reports · 2025
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Rescue from Stx2-Producing E. coli-Associated Encephalopathy by Intravenous Injection of Muse Cells in NOD-SCID Mice.Molecular therapy : the journal of the American Society of Gene Therapy · 2020
    Article
  7. Review
  8. Role of Shiga/Vero toxins in pathogenesis.Microbiology spectrum · 2014
    Review
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

9 authors at 4 institutions in 3 countries.

Muhammad Yunus AmranDepartment of Bacteriology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. yunus09@bact.med.kyushu-u.ac.jp
Jun Fujii
Satoshi O Suzuki
Glynis L Kolling
Sharon Y A M Villanueva
Mosaburo Kainuma
Hideyuki Kobayashi
Hideko Kameyama
Shin-ichi Yoshida
Kyushu University · JPHasanuddin University · IDUniversity of Occupational and Environmental Health Japan · JPUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A large outbreak of Shiga toxin (Stx)-producing enteroaggregative Escherichia coli (EAEC) O104:H4 occurred in northern Germany. From this outbreak, at least 900 patients developed hemolytic uremic syndrome (HUS), resulting in more than 50 deaths. Thirty percent of the HUS patients showed encephalopathy. We previously established a mouse model with encephalopathy associated with blood brain barrier (BBB) damage after oral infection with the Shiga toxin (Stx) 2c-producing Escherichia coli O157: H- strain E32511 (E32511). In this model, we detected high expression of the Stx receptor synthase enzyme, glycosphingolipid globotriaosylceramide (Gb3) synthase, in endothelial cells (ECs) and neurons in the reticular formation of the medulla oblongata by in situ hybridization. Caspase-3 was activated in neurons in the reticular formation of the medulla oblongata and the anterior horn of the spinal cord. Astrocytes (ASTs) were activated in the medulla oblongata and spinal cord, and a decrease in aquaporin 4 around the ECs suggested that BBB integrity was compromised directly by Stx2c or through the activation of ASTs. We also report the effectiveness of azithromycin (AZM) in our model. Moreover, AZM strongly inhibited the release of Stx2c from E32511 in vitro.

Indexed as

AnimalsAnti-Bacterial AgentsAquaporin 4AstrocytesAzithromycinBlood-Brain BarrierCaspase 3Endothelial CellsEscherichia coli InfectionsFemaleMedulla OblongataMiceMice, Inbred ICRNeuronsNeurotoxicity SyndromesShiga-Toxigenic Escherichia coliAnti-Bacterial AgentsAquaporin 4AzithromycinCaspase 3

Identifiers

PMID23516588
PMCPMC3596349
OpenAlexW2066732755

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.