Evidence map›Paper›PMID 24621342›Full record

ArticleBMC microbiology2014

Prevalence of Staphylococcus aureus protein A (spa) mutants in the community and hospitals in Oxfordshire.

Antonina A Votintseva, Rowena Fung, Ruth R Miller, Kyle Knox, Heather Godwin, David H Wyllie, Rory Bowden, Derrick W Crook, A Sarah Walker

Abstract readEvaluation Study
In one paragraph

Article in BMC microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
–field-weighted citation impact
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

52 citing papers in PubMed.

  1. Naked-Eye and On-Site Detection ofFoods (Basel, Switzerland) · 2026
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  7. Development of triplex assay for simultaneous detection ofJournal of food science and technology · 2024
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  8. Molecular detection of virulence genes inOne health (Amsterdam, Netherlands) · 2024
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  11. Molecular Characterization ofMicroorganisms · 2023
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  16. The immune evasion roles ofFrontiers in cellular and infection microbiology · 2023
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  18. Anti-leishmaniasis Effect ofAdvanced biomedical research · 2023
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  19. The Relative ofArchives of Razi Institute · 2022
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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.

Antonina A VotintsevaNuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Level 7, Room 7724, Oxford OX3 9DU, United Kingdom. votintse@stats.ox.ac.uk.
Rowena Fung
Ruth R Miller
Kyle Knox
Heather Godwin
David H Wyllie
Rory Bowden
Derrick W Crook
A Sarah Walker

Funding

Biotechnology and Biological Sciences Research CouncilDepartment of Health G0800778Medical Research Council G0800778Wellcome Trust 087646/Z/08/Z
6 · The paper itself

Abstract

backgroundStaphylococcal protein A (spa) is an important virulence factor which enables Staphylococcus aureus to evade host immune responses. Genotypes known as "spa-types", based on highly variable Xr region sequences of the spa-gene, are frequently used to classify strains. A weakness of current spa-typing primers is that rearrangements in the IgG-binding region of the gene cause 1-2% of strains to be designated as "non-typeable".

resultsWe developed an improved primer which enabled sequencing of all strains, containing any type of genetic rearrangement, in a large study among community carriers and hospital inpatients in Oxfordshire, UK (6110 isolates). We identified eight novel spa-gene variants, plus one previously described. Three of these rearrangements would be designated "non-typeable" using current spa-typing methods; they occurred in 1.8% (72/3905) asymptomatically carried and 0.6% (14/2205) inpatient S. aureus strains. Some individuals were simultaneously colonized by both formerly non-typeable and typeable strains; previously such patients would have been identified as carrying only currently typeable strains, underestimating mixed carriage prevalence and diversity. Formerly non-typeable strains were found in more spa-types associated with multilocus sequence type ST398 (35%), common among livestock, compared to other groups with any non-typeable strains (1-4%), suggesting particular spa-types may have been under-represented in previous human studies.

conclusionsThis improved method allows us to spa-type previously non-typeable strains with rearrangements in the spa-gene and to resolve cases of mixed colonization with deletions in one or more strains, thus accounting for hidden diversity of S. aureus in both community and hospital environments.

Indexed as

MutationDNA, BacterialDNA PrimersHospitalsHumansMolecular Sequence DataMolecular TypingPrevalenceSensitivity and SpecificitySequence Analysis, DNAStaphylococcal InfectionsStaphylococcal Protein AStaphylococcus aureusUnited KingdomDNA, BacterialDNA PrimersStaphylococcal Protein A

Identifiers

PMID24621342
PMCPMC4007515

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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.