Evidence map›Paper›PMID 25038258›Full record

ArticleThe Journal of infectious diseases2014

The presence of the pAA plasmid in the German O104:H4 Shiga toxin type 2a (Stx2a)-producing enteroaggregative Escherichia coli strain promotes the translocation of Stx2a across an epithelial cell monolayer.

Nadia Boisen, Anne-Marie Hansen, Angela R Melton-Celsa, Tonia Zangari, Ninell Pollas Mortensen, James B Kaper, Alison D O'Brien, James P Nataro

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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

25 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. EnteroaggregativeEcoSal Plus · 2025
    Review
  3. Article
  4. Review
  5. Shiga-Toxin-Producing Strains ofMicroorganisms · 2023
    Article
  6. EnterohemorrhagicInternational journal of molecular sciences · 2022
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. QseC Signaling in the Outbreak O104:H4Journal of bacteriology · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. EnteroaggregativemBio · 2017
    Article
  18. Article
  19. Article
  20. EnterohemorrhagicCellular and molecular gastroenterology and hepatology · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Nadia BoisenDepartment of Pediatrics, University of Virginia School of Medicine, Charlottesville.
Anne-Marie HansenDepartment of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore.
Angela R Melton-CelsaDepartment of Microbiology and Immunology, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Tonia ZangariDepartment of Microbiology and Immunology, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Ninell Pollas MortensenTechnology for Industry and the Environment, Discovery-Science-Technology, RTI International, Research Triangle Park, North Carolina Biological and Nanoscale Systems, BioSciences Division, Oak Ridge National Laboratory, Tennessee.
James B KaperDepartment of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore.
Alison D O'BrienDepartment of Microbiology and Immunology, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
James P NataroDepartment of Pediatrics, University of Virginia School of Medicine, Charlottesville.
Uniformed Services University of the Health Sciences · USUniversity of Maryland, Baltimore · USUniversity of Virginia · USOak Ridge National Laboratory · US

Funding

Virulence in Enteroaggregative Escherichia coliR01AI033096 · NIAID · UNIVERSITY OF VIRGINIA · PI NATARO, JAMES P. · 1996 to 2014
$6.6M
Molecular Genetics of Enteropathogenic E. Coli AdhesionR37AI021657 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI KAPER, JAMES B · 2004 to 2013
$4.8M
Pathogenicity of Shiga Toxin Producing E.coliR37AI020148 · NIAID · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI O'BRIEN, ALISON DAVIS · 2008 to 2016
$3.8M
SHIGA-LIKE TOXIN OF ESCHERICHIA COLIR01AI020148 · NIAID · U.S. UNIFORMED SERVICES UNIV OF HLTH SCI · PI MELTON-CELSA, ANGELA · 1987 to 2017
$3.3M
NOVEL E. COLI 0157:H7 INTESTINAL COLONIZATION FACTORSR01DK058957 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI KAPER, JAMES B · 2000 to 2009
$3.1M
MOLECULAR GENETICS OF ENTEROPATHOGENIC E COLI ADHESIONR01AI021657 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI KAPER, JAMES B · 1989 to 2003
$1.4M
SHIGA-LIKE TOXIN OF ESCHERICHIA COLIR22AI020148 · NIAID · U.S. UNIFORMED SERVICES UNIV OF HLTH SCI · PI O'BRIEN, ALISON DAVIS · 1985 to 1991
–
MOLECULAR GENETICS OF ENTEROPATHOGENIC E. COLI ADHESIONR22AI021657 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI KAPER, JAMES B · 1986 to 1991
–
ADHERENCE IN ENTEROAGGREGATIVE E. COLIR29AI033096 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI NATARO, JAMES P. · 1992 to 1996
–
NIAID NIH HHS AI-020148NIAID NIH HHS AI-021657NIAID NIH HHS AI-033096NIAID NIH HHS R01 AI020148NIAID NIH HHS R01 AI021657NIAID NIH HHS R01 AI033096NIAID NIH HHS R37 AI020148NIAID NIH HHS R37 AI021657NIDDK NIH HHS DK-058957NIDDK NIH HHS R01 DK058957
6 · The paper itself

Abstract

backgroundA Shiga toxin type 2a (Stx2a)-producing enteroaggregative Escherichia coli (EAEC) strain of serotype O104:H4 caused a large outbreak in 2011 in northern Europe. Pathogenic mechanisms for this strain are unclear. We hypothesized that EAEC genes encoded on the pAA virulence plasmid promoted the translocation of Stx2a across the intestinal mucosa.

methodsWe investigated the potential contribution of pAA by using mutants of Stx-EAEC strain C227-11, either cured of the pAA plasmid or deleted for individual known pAA-encoded virulence genes (ie, aggR, aggA, and sepA). The resulting mutants were tested for their ability to induce interleukin 8 (IL-8) secretion and translocation of Stx2a across a polarized colonic epithelial (T84 cell) monolayer.

resultsWe found that deletion of aggR or aggA significantly reduced bacterial adherence and (independently) translocation of Stx2a across the T84-cell monolayer. Moreover, deletion of aggR, aggA, sepA, or the Stx2a-encoding phage from C227-11 resulted in reduced secretion of IL-8 from the infected monolayer.

conclusionsOur data suggest that the AggR-regulated aggregative adherence fimbriae I enhance inflammation and enable the outbreak strain to both adhere to epithelial cells and translocate Stx2a across the intestinal epithelium.

Indexed as

Protein TransportBacterial AdhesionCell LineEpithelial CellsEscherichia coliEscherichia coli InfectionsEscherichia coli ProteinsGene DeletionGenotypeGermanyHumansInterleukin-8PlasmidsSerogroupShiga Toxin 2Trans-ActivatorsAggR protein, E coliEscherichia coli ProteinsInterleukin-8Shiga Toxin 2Trans-ActivatorsVirulence Factorsdiarrheaenteroaggregative Escherichia coli (EAEC)O104:H4pAA plasmidShiga toxin

Identifiers

PMID25038258
PMCPMC4296181
OpenAlexW2119085826

What OpenQuestion holds

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Registered trials

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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.