Evidence map›Paper›PMID 23750216›Full record

ArticlePloS one2013

Host response and bacterial virulence factor expression in Pseudomonas aeruginosa and Streptococcus pneumoniae corneal ulcers.

Rajapandian SivaGanesa Karthikeyan, Jeganathan Lakshmi Priya, Sixto M Leal, Jonida Toska, Arne Rietsch, Venkatesh Prajna, Eric Pearlman, Prajna Lalitha

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 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
6.0field-weighted citation impact, top 4% 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, 77 citations in OpenAlex.

  1. Infection and immunity · 2026
    Article
  2. Differences in antimicrobial resistance between exoU and exoS isolates of Pseudomonas aeruginosa.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  3. Article
  4. Article
  5. The Role ofPharmaceutics · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Immunity to pathogenic fungi in the eye.Seminars in immunology · 2023
    Review
  12. Heat-KilledNutrients · 2023
    Article
  13. Frontiers in cellular and infection microbiology · 2023
    Review
  14. Autophagy in the normal and diseased cornea.Experimental eye research · 2022
    Review
  15. Article
  16. Absence ofMicroorganisms · 2022
    Article
  17. Epithelial Pyroptosis in Host Defense.Journal of molecular biology · 2022
    Review
  18. Article
  19. Review
  20. Genetic disruption of zebrafish mab21l1 reveals a conserved role in eye development and affected pathways.Developmental dynamics : an official publication of the American Association of Anatomists · 2021
    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

8 authors at 2 institutions in 2 countries.

Rajapandian SivaGanesa KarthikeyanDr. G. Venkatasamy Eye Research Institute, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Jeganathan Lakshmi Priya
Sixto M Leal
Jonida Toska
Arne Rietsch
Venkatesh Prajna
Eric Pearlman
Prajna Lalitha
Aravind Eye Hospital · INCase Western Reserve University · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
Toll Like Receptors in Bacterial KeratitisR01EY014362 · NEI · UNIVERSITY OF CALIFORNIA-IRVINE · PI GEORGE R DUBYAK, Eric Pearlman · 2003 to 2026
$8.7M
P. aeruginosa type III secreted effectors in corneal diseaseR01EY022052 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI RIETSCH, ARNE · 2012 to 2019
$3.1M
The Pathogenesis of Aspergillus KeratitisF31EY019841 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI LEAL, SIXTO MANUEL · 2009 to 2012
$154k
NEI NIH HHS EY22052NEI NIH HHS F31 EY019841NEI NIH HHS R01 EY014362NEI NIH HHS R01 EY022052NEI NIH HHS R01 EY14362NIGMS NIH HHS T32 GM007250
6 · The paper itself

Abstract

P. aeruginosa and S. pneumoniae are major bacterial causes of corneal ulcers in industrialized and in developing countries. The current study examined host innate immune responses at the site of infection, and also expression of bacterial virulence factors in clinical isolates from patients in south India. Corneal ulcer material was obtained from 49 patients with confirmed P. aeruginosa and 27 patients with S. pneumoniae, and gene expression of Toll Like Receptors (TLR), cytokines and inflammasome proteins was measured by quantitative PCR. Expression of P. aeruginosa type III secretion exotoxins and S. pneumoniae pneumolysin was detected by western blot analysis. We found that neutrophils comprised >90% cells in corneal ulcers, and that there was elevated expression of TLR2, TLR4, TLR5 and TLR9, the NLRP3 and NLRC4 inflammasomes and the ASC adaptor molecule. IL-1α IL-1β and IFN-γ expression was also elevated; however, there was no significant difference in expression of any of these genes between corneal ulcers from P. aeruginosa and S. pneumoniae infected patients. We also show that 41/49 (84%) of P. aeruginosa clinical isolates expressed ExoS and ExoT, whereas 5/49 (10%) of isolates expressed ExoS, ExoT and ExoU with only 2/49 isolates expressing ExoT and ExoU. In contrast, all 27 S. pneumoniae clinical isolates produced pneumolysin. Taken together, these findings demonstrate that ExoS/T expressing P. aeruginosa and pneumolysin expressing S. pneumoniae predominate in bacterial keratitis. While P. aeruginosa strains expressing both ExoU and ExoS are usually rare, these strains actually outnumbered strains expressing only ExoU in the current study. Further, as neutrophils are the predominant cell type in these corneal ulcers, they are the likely source of cytokines and of the increased TLR and inflammasome expression.

Indexed as

Gene Expression Regulation, BacterialAdolescentAdultAgedBacterial Secretion SystemsChildCorneal UlcerFemaleHost-Pathogen InteractionsHumansImmunity, InnateMaleMiddle AgedPseudomonas aeruginosaStreptococcus pneumoniaeVirulence FactorsBacterial Secretion SystemsVirulence Factors

Identifiers

PMID23750216
PMCPMC3672173
OpenAlexW2062285048

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.