Evidence map›Paper›PMID 24009156›Full record

ArticleThe Journal of infectious diseases2014

Intraclonal variations among Streptococcus pneumoniae isolates influence the likelihood of invasive disease in children.

Sarah Browall, Martin Norman, Jeanette Tångrot, Ilias Galanis, Karin Sjöström, Jessica Dagerhamn, Christel Hellberg, Anuj Pathak, Tiziana Spadafina, Andreas Sandgren and 6 more

Open access · bronzeAbstract 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 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  11. Experimental Human Pneumococcal Colonization in Older Adults Is Feasible and Safe, Not Immunogenic.American journal of respiratory and critical care medicine · 2021
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  12. Experimental Model for Studies of Pneumococcal Colonization in Older Adults.American journal of respiratory and critical care medicine · 2021
    Article
  13. Review
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  16. Lysogeny inMicroorganisms · 2020
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Sarah BrowallDepartment of Microbiology, Tumor, and Cell Biology.
Martin Norman
Jeanette Tångrot
Ilias Galanis
Karin Sjöström
Jessica Dagerhamn
Christel Hellberg
Anuj Pathak
Tiziana Spadafina
Andreas Sandgren
Patrick Bättig
Oscar Franzén
Björn Andersson
Åke Örtqvist
Staffan Normark
Birgitta Henriques-Normark
Karolinska Institutet · SEKarolinska University Hospital · SEStockholm County Council · SEUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPneumococcal serotypes are represented by a varying number of clonal lineages with different genetic contents, potentially affecting invasiveness. However, genetic variation within the same genetic lineage may be larger than anticipated.

methodsA total of 715 invasive and carriage isolates from children in the same region and during the same period were compared using pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing. Bacterial genome sequencing, functional assays, and in vivo virulence mice studies were performed.

resultsClonal types of the same serotype but also intraclonal variants within clonal complexes (CCs) showed differences in invasive-disease potential. CC138, a common CC, was divided into several PFGE patterns, partly explained by number, location, and type of temperate bacteriophages. Whole-genome sequencing of 4 CC138 isolates representing PFGE clones with different invasive-disease potentials revealed intraclonal sequence variations of the virulence-associated proteins pneumococcal surface protein A (PspA) and pneumococcal choline-binding protein C (PspC). A carrier isolate lacking PcpA exhibited decreased virulence in mice, and there was a differential binding of human factor H, depending on invasiveness.

conclusionsPneumococcal clonal types but also intraclonal variants exhibited different invasive-disease potentials in children. Intraclonal variants, reflecting different prophage contents, showed differences in major surface antigens. This suggests ongoing immune selection, such as that due to PspC-mediated complement resistance through varied human factor H binding, that may affect invasiveness in children.

Indexed as

Genetic VariationAdolescentAnimalsAntigens, BacterialCarrier StateChildChild, PreschoolDisease Models, AnimalElectrophoresis, Gel, Pulsed-FieldFemaleGenome, BacterialGenotypeHumansInfantMaleMembrane ProteinsAntigens, BacterialMembrane Proteinsbacteriophagesfactor H bindingintraclonal variationinvasive disease potentialPcpApneumococcal infectionsPspAPspCStreptococcus pneumoniaesurface proteins

Identifiers

PMID24009156
PMCPMC4014860
OpenAlexW2126890688

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.