Evidence map›Paper›PMID 24625807›Full record

ArticleThe Journal of infectious diseases2014

A role for the vacuolating cytotoxin, VacA, in colonization and Helicobacter pylori-induced metaplasia in the stomach.

Jody A Winter, Darren P Letley, Katherine W Cook, Joanne L Rhead, Abed A M Zaitoun, Richard J M Ingram, Karin R Amilon, Nicola J Croxall, Phillip V Kaye, Karen Robinson and 1 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 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
10.3field-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

43 citing papers in PubMed, 85 citations in OpenAlex.

  1. Article
  2. Microbiology and molecular biology reviews : MMBR · 2026
    Review
  3. Review
  4. Mitochondrial Stress inAntioxidants (Basel, Switzerland) · 2026
    Review
  5. Review
  6. Microbiology (Reading, England) · 2025
    Article
  7. Review
  8. Characterization ofThe Pan African medical journal · 2024
    Article
  9. Review
  10. Review
  11. Reactive Oxygen Species andAntioxidants (Basel, Switzerland) · 2023
    Review
  12. Review
  13. Review
  14. Article
  15. Helicobacter pylori: an up-to-date overview on the virulence and pathogenesis mechanisms.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2022
    Review
  16. Virulence Genes ofCanadian journal of gastroenterology & hepatology · 2022
    Article
  17. Effects ofMicroorganisms · 2021
    Article
  18. Association ofCanadian journal of gastroenterology & hepatology · 2021
    Review
  19. Review
  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

11 authors at 3 institutions in 1 country.

Jody A WinterNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
Darren P LetleyNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
Katherine W CookNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
Joanne L RheadNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
Abed A M ZaitounDepartment of Pathology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre Campus, United Kingdom.
Richard J M IngramNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
Karin R AmilonNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
Nicola J CroxallNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
Phillip V KayeDepartment of Pathology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre Campus, United Kingdom.
Karen RobinsonNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
John C AthertonNottingham Digestive Diseases Biomedical Research Unit, School of Medicine, University of Nottingham.
University of Nottingham · GBNIHR Nottingham Digestive Diseases Biomedical Research Unit · GBNottingham University Hospitals NHS Trust · GB

Funding

Cancer Research UK C8968/A11204Medical Research Council G0601170Medical Research Council G1000311
6 · The paper itself

Abstract

Carriage of Helicobacter pylori strains producing more active (s1/i1) forms of VacA is strongly associated with gastric adenocarcinoma. To our knowledge, we are the first to determine effects of different polymorphic forms of VacA on inflammation and metaplasia in the mouse stomach. Bacteria producing the less active s2/i2 form of VacA colonized mice more efficiently than mutants null for VacA or producing more active forms of it, providing the first evidence of a positive role for the minimally active s2/i2 toxin. Strains producing more active toxin forms induced more severe and extensive metaplasia and inflammation in the mouse stomach than strains producing weakly active (s2/i2) toxin. We also examined the association in humans, controlling for cagPAI status. In human gastric biopsy specimens, the vacA i1 allele was strongly associated with precancerous intestinal metaplasia, with almost complete absence of intestinal metaplasia in subjects infected with i2-type strains, even in a vacA s1, cagA(+) background.

Indexed as

Helicobacter pyloriAdolescentAdultAgedAged, 80 and overAnimalsBacterial ProteinsBacterial ToxinsFemaleHelicobacter InfectionsHumansMaleMetaplasiaMiceMice, Inbred C57BLMiddle AgedBacterial ProteinsBacterial ToxinsVacA protein, Helicobacter pyloricolonizationgastric cancerHelicobacter pyloripathogenesisSPEMvirulence

Identifiers

PMID24625807
PMCPMC4136800
OpenAlexW2130207964

What OpenQuestion holds

Textmetadata
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.