Evidence map›Paper›PMID 24386336›Full record

ArticlePloS one2013

Staphylococcus aureus sarA regulates inflammation and colonization during central nervous system biofilm formation.

Jessica N Snowden, Matt Beaver, Karen Beenken, Mark Smeltzer, Alexander R Horswill, Tammy Kielian

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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Antibacterial and Antibiofilm Activity ofJournal of microbiology and biotechnology · 2025
    Article
  2. Article
  3. Antibiotics (Basel, Switzerland) · 2025
    Review
  4. Article
  5. GlutamateJournal of bacteriology · 2024
    Article
  6. Article
  7. Article
  8. Host-pathogen interaction between macrophage co-cultures with Staphylococcus aureus biofilms.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  9. Microorganisms · 2019
    Review
  10. Article
  11. Article
  12. Unexpected eosinophilia in children affected by hydrocephalus accompanied with shunt infection.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018
    Article
  13. Staphylococcal Biofilms and Immune Polarization During Prosthetic Joint Infection.The Journal of the American Academy of Orthopaedic Surgeons · 2017
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  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

6 authors at 3 institutions in 1 country.

Jessica N SnowdenDepartment of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska, United States of America ; Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, Nebraska, United States of America.
Matt BeaverDepartment of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska, United States of America.
Karen BeenkenDepartment of Microbiology and Immunology, University for Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Mark SmeltzerDepartment of Microbiology and Immunology, University for Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Alexander R HorswillDepartment of Microbiology, Carver College of Medicine, University of Iowa, Iowa City, Iowa, United States of America.
Tammy KielianDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, Nebraska, United States of America.
University of Nebraska Medical Center · USUniversity of Arkansas for Medical Sciences · USUniversity of Iowa · US

Funding

The S. aureus biofilm lifecycleP01AI083211 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI KIELIAN, TAMMY L · 2009 to 2023
$32.1M
Characterization of a novel murine model of central nervous system catheter infecK08NS069812 · NINDS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SNOWDEN, JESSICA · 2010 to 2014
$850k
NIAID NIH HHS P01 AI083211NINDS NIH HHS 1K08NS069812-01NINDS NIH HHS K08 NS069812
6 · The paper itself

Abstract

Infection is a frequent and serious complication following the treatment of hydrocephalus with CSF shunts, with limited therapeutic options because of biofilm formation along the catheter surface. Here we evaluated the possibility that the sarA regulatory locus engenders S. aureus more resistant to immune recognition in the central nervous system (CNS) based on its reported ability to regulate biofilm formation. We utilized our established model of CNS catheter-associated infection, similar to CSF shunt infections seen in humans, to compare the kinetics of bacterial titers, cytokine production and inflammatory cell influx elicited by wild type S. aureus versus an isogenic sarA mutant. The sarA mutant was more rapidly cleared from infected catheters compared to its isogenic wild type strain. Consistent with this finding, several pro-inflammatory cytokines and chemokines, including IL-17, CXCL1, and IL-1β were significantly increased in the brain following infection with the sarA mutant versus wild type S. aureus, in agreement with the fact that the sarA mutant displayed impaired biofilm growth and favored a planktonic state. Neutrophil influx into the infected hemisphere was also increased in the animals infected with the sarA mutant compared to wild type bacteria. These changes were not attributable to extracellular protease activity, which is increased in the context of SarA mutation, since similar responses were observed between sarA and a sarA/protease mutant. Overall, these results demonstrate that sarA plays an important role in attenuating the inflammatory response during staphylococcal biofilm infection in the CNS via a mechanism that remains to be determined.

Indexed as

AnimalsBacterial ProteinsBacterial ToxinsBiofilmsBrainCatheter-Related InfectionsCerebral VentriclesChildHumansInflammationMaleMiceMutationPeptide HydrolasesPostoperative ComplicationsStaphylococcus aureusBacterial ProteinsBacterial ToxinsPeptide HydrolasesSarA protein, bacterialTrans-Activators

Identifiers

PMID24386336
PMCPMC3875531
OpenAlexW2037982852

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.