Evidence map›Paper›PMID 25156739›Full record

ArticleInfection and immunity2014

Characterization of urinary tract infection-associated Shiga toxin-producing Escherichia coli.

Francisco Toval, Roswitha Schiller, Iris Meisen, Johannes Putze, Ivan U Kouzel, Wenlan Zhang, Helge Karch, Martina Bielaszewska, Michael Mormann, Johannes Müthing and 1 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Infection and immunity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Molecular characterization of ESBL-producingFrontiers in cellular and infection microbiology · 2026
    Article
  3. Article
  4. Multidrug resistance in pathogenicFrontiers in veterinary science · 2024
    Article
  5. Article
  6. Characterization of UropathogenicMicroorganisms · 2022
    Article
  7. Review
  8. Article
  9. Diversity of Hybrid- and Hetero-PathogenicFrontiers in cellular and infection microbiology · 2020
    Review
  10. Structural Insights intoMicroorganisms · 2019
    Article
  11. Bacteriophages of the lower urinary tract.Nature reviews. Urology · 2019
    Review
  12. Article
  13. Study on the presence of resistant diarrheagenic pathotypes inGastroenterology and hepatology from bed to bench · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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 1 institution in 1 country.

Francisco TovalInstitute of Hygiene, University of Münster, Münster, Germany.
Roswitha SchillerInstitute of Hygiene, University of Münster, Münster, Germany Institute for Molecular Infection Biology, University of Würzburg, Würzburg, Germany.
Iris MeisenInstitute of Hygiene, University of Münster, Münster, Germany Interdisciplinary Center for Clinical Research (IZKF), University of Münster, Münster, Germany.
Johannes PutzeInstitute of Hygiene, University of Münster, Münster, Germany.
Ivan U KouzelInstitute of Hygiene, University of Münster, Münster, Germany.
Wenlan ZhangInstitute of Hygiene, University of Münster, Münster, Germany.
Helge KarchInstitute of Hygiene, University of Münster, Münster, Germany.
Martina BielaszewskaInstitute of Hygiene, University of Münster, Münster, Germany.
Michael MormannInstitute of Hygiene, University of Münster, Münster, Germany.
Johannes MüthingInstitute of Hygiene, University of Münster, Münster, Germany Interdisciplinary Center for Clinical Research (IZKF), University of Münster, Münster, Germany.
Ulrich DobrindtInstitute of Hygiene, University of Münster, Münster, Germany Institute for Molecular Infection Biology, University of Würzburg, Würzburg, Germany dobrindt@uni-muenster.de.
University of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enterohemorrhagic Escherichia coli (EHEC), a subgroup of Shiga toxin (Stx)-producing E. coli (STEC), is a leading cause of diarrhea and hemolytic-uremic syndrome (HUS) in humans. However, urinary tract infections (UTIs) caused by this microorganism but not associated with diarrhea have occasionally been reported. We geno- and phenotypically characterized three EHEC isolates obtained from the urine of hospitalized patients suffering from UTIs. These isolates carried typical EHEC virulence markers and belonged to HUS-associated E. coli (HUSEC) clones, but they lacked virulence markers typical of uropathogenic E. coli. One isolate exhibited a localized adherence (LA)-like pattern on T24 urinary bladder epithelial cells. Since the glycosphingolipids (GSLs) globotriaosylceramide (Gb3Cer) and globotetraosylceramide (Gb4Cer) are well-known receptors for Stx but also for P fimbriae, a major virulence factor of extraintestinal pathogenic E. coli (ExPEC), the expression of Gb3Cer and Gb4Cer by T24 cells and in murine urinary bladder tissue was examined by thin-layer chromatography and mass spectrometry. We provide data indicating that Stxs released by the EHEC isolates bind to Gb3Cer and Gb4Cer isolated from T24 cells, which were susceptible to Stx. All three EHEC isolates expressed stx genes upon growth in urine. Two strains were able to cause UTI in a murine infection model and could not be outcompeted in urine in vitro by typical uropathogenic E. coli isolates. Our results indicate that despite the lack of ExPEC virulence markers, EHEC variants may exhibit in certain suitable hosts, e.g., in hospital patients, a uropathogenic potential. The contribution of EHEC virulence factors to uropathogenesis remains to be further investigated.

Indexed as

AdultAgedAnimalsCell LineCystitisEnterohemorrhagic Escherichia coliEscherichia coli InfectionsFemaleHumansMiceUrinary Tract InfectionsYoung Adult

Identifiers

PMID25156739
PMCPMC4249321
OpenAlexW2141071177

What OpenQuestion holds

Textmetadata
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.