Evidence map›Paper›PMID 25007814›Full record

ArticleGut2015

Progressive genomic convergence of two Helicobacter pylori strains during mixed infection of a patient with chronic gastritis.

Qizhi Cao, Xavier Didelot, Zhongbiao Wu, Zongwei Li, Lihua He, Yunsheng Li, Ming Ni, Yuanhai You, Xi Lin, Zhen Li and 9 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Gut, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 54 citations in OpenAlex.

  1. Microbiology and molecular biology reviews : MMBR · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Pathogenomics of Helicobacter pylori.Current topics in microbiology and immunology · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Whole-Genome Sequencing and Comparative Genomics of ThreePathogens (Basel, Switzerland) · 2021
    Article
  16. Article
  17. Detection ofPathogens (Basel, Switzerland) · 2020
    Article
  18. Review of current diagnostic methods and advances inWorld journal of gastroenterology · 2019
    Review
  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

19 authors at 6 institutions in 4 countries.

Qizhi CaoState Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou, China Department of Immunology, Binzhou Medical University, Yantai, China.
Xavier DidelotDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.
Zhongbiao WuThe First People's Hospital of Wenling, the Affiliated Wenling Hospital of Wenzhou Medical College, Zhejiang, China.
Zongwei LiBeijing Institute of Radiation Medicine, Beijing, China.
Lihua HeState Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou, China.
Yunsheng LiThe First People's Hospital of Wenling, the Affiliated Wenling Hospital of Wenzhou Medical College, Zhejiang, China.
Ming NiBeijing Institute of Radiation Medicine, Beijing, China.
Yuanhai YouState Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou, China.
Xi LinThe First People's Hospital of Wenling, the Affiliated Wenling Hospital of Wenzhou Medical College, Zhejiang, China.
Zhen LiBeijing Institute of Radiation Medicine, Beijing, China.
Yanan GongState Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou, China.
Minqiao ZhengThe First People's Hospital of Wenling, the Affiliated Wenling Hospital of Wenzhou Medical College, Zhejiang, China.
Minli ZhangBeijing Institute of Radiation Medicine, Beijing, China.
Jie LiuState Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou, China.
Weijun WangThe First People's Hospital of Wenling, the Affiliated Wenling Hospital of Wenzhou Medical College, Zhejiang, China.
Xiaochen BoBeijing Institute of Radiation Medicine, Beijing, China.
Daniel FalushMax Planck Institute for Evolutionary Anthropology, Leipzig, Germany Graduate School of Frontier Sciences, University of Tokyo, Tokyo, Japan.
Shengqi WangBeijing Institute of Radiation Medicine, Beijing, China.
Jianzhong ZhangState Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou, China.
Beijing Radiation Center · CNNational Institute for Communicable Disease Control and Prevention · CNThe First People's Hospital of Wenling · CNBinzhou Medical University · CNImperial College London · GBMax Planck Institute for Evolutionary Anthropology · DE

Funding

Medical Research Council MR/K010174/1Medical Research Council MR/M501608/1
6 · The paper itself

Abstract

objectiveTo study the detailed nature of genomic microevolution during mixed infection with multiple Helicobacter pylori strains in an individual.

designWe sampled 18 isolates from a single biopsy from a patient with chronic gastritis and nephritis. Whole-genome sequencing was applied to these isolates, and statistical genetic tools were used to investigate their evolutionary history.

resultsThe genomes fall into two clades, reflecting colonisation of the stomach by two distinct strains, and these lineages have accumulated diversity during an estimated 2.8 and 4.2 years of evolution. We detected about 150 clear recombination events between the two clades. Recombination between the lineages is a continuous ongoing process and was detected on both clades, but the effect of recombination in one clade was nearly an order of magnitude higher than in the other. Imputed ancestral sequences also showed evidence of recombination between the two strains prior to their diversification, and we estimate that they have both been infecting the same host for at least 12 years. Recombination tracts between the lineages were, on average, 895 bp in length, and showed evidence for the interspersion of recipient sequences that has been observed in in vitro experiments. The complex evolutionary history of a phage-related protein provided evidence for frequent reinfection of both clades by a single phage lineage during the past 4 years.

conclusionsWhole genome sequencing can be used to make detailed conclusions about the mechanisms of genetic change of H. pylori based on sampling bacteria from a single gastric biopsy.

Indexed as

Chronic DiseaseCoinfectionGastritisGenomicsHelicobacter InfectionsHelicobacter pyloriHumansMaleMiddle AgedHelicobacter Pylori

Identifiers

PMID25007814
PMCPMC4392222
OpenAlexW2171800666

What OpenQuestion holds

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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.