Evidence map›Paper›PMID 23935202›Full record

ArticleThe Journal of infectious diseases2014

Importance of toxin A, toxin B, and CDT in virulence of an epidemic Clostridium difficile strain.

Sarah A Kuehne, Mark M Collery, Michelle L Kelly, Stephen T Cartman, Alan Cockayne, Nigel P Minton

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed
12.7field-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.

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

124 citing papers in PubMed, 218 citations in OpenAlex.

  1. Review
  2. Article
  3. Colonization Dynamics ofVeterinary sciences · 2026
    Article
  4. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  5. Article
  6. Gut microbes · 2025
    Article
  7. Review
  8. Article
  9. Unravelling three-way interactions betweenJournal of medical microbiology · 2025
    Review
  10. Article
  11. bioRxiv : the preprint server for biology · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Comparative Genomics of Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Article
  17. Immunization Strategies Against Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Review
  18. Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sarah A KuehneClostridia Research Group, Nottingham Digestive Diseases Centre, NIHR Biomedical Research Unit, School of Life Sciences, University of Nottingham, United Kingdom.
Mark M Collery
Michelle L Kelly
Stephen T Cartman
Alan Cockayne
Nigel P Minton
NIHR Nottingham Digestive Diseases Biomedical Research Unit · GBUniversity of Nottingham · GB

Funding

Medical Research Council G0601176
6 · The paper itself

Abstract

Clostridium difficile infection is the main cause of healthcare-acquired diarrhea in the developed world. In addition to the main virulence factors toxin A and B, epidemic, PCR Ribotype 027 strains, such as R20291, produce a third toxin, CDT. To develop effective medical countermeasures, it is important to understand the importance of each toxin. Accordingly, we created all possible combinations of isogenic toxin mutants of R20291 and assessed their virulence. We demonstrated that either toxin A or toxin B alone can cause fulminant disease in the hamster infection model and present tantalizing data that C. difficile toxin may also contribute to virulence.

Indexed as

ADP Ribose TransferasesAnimalsBacterial ProteinsBacterial ToxinsCell DeathClostridioides difficileClostridium InfectionsCricetinaeEnterotoxinsFemaleHT29 CellsHumansMesocricetusVirulenceactin-specific ADP-ribosyltransferase, ClostridiumADP Ribose TransferasesBacterial ProteinsBacterial ToxinsEnterotoxinstcdA protein, Clostridium difficiletoxB protein, Clostridium difficileCDTClostridium difficile infectionpathogenesisTcdATcdB

Identifiers

PMID23935202
PMCPMC3864386
OpenAlexW2151646027

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.