Evidence map›Paper›PMID 25188535›Full record

ArticlePLoS neglected tropical diseases2014

Investigating the role of free-living amoebae as a reservoir for Mycobacterium ulcerans.

Nana Ama Amissah, Sophie Gryseels, Nicholas J Tobias, Bahram Ravadgar, Mitsuko Suzuki, Koen Vandelannoote, Lies Durnez, Herwig Leirs, Timothy P Stinear, Françoise Portaels and 2 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Free-living amoebae and their role inFrontiers in microbiology · 2025
    Article
  4. Systematic review: Global host range, case fatality and detection rates ofJournal of clinical tuberculosis and other mycobacterial diseases · 2024
    Review
  5. Article
  6. Linking theOne health (Amsterdam, Netherlands) · 2021
    Review
  7. Review
  8. Article
  9. The many lives of nontuberculous mycobacteria.Journal of bacteriology · 2018
    Article
  10. EnvironmentalFrontiers in cellular and infection microbiology · 2018
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Taxonomy, Physiology, and Natural Products of Actinobacteria.Microbiology and molecular biology reviews : MMBR · 2016
    Review
  17. Article
  18. Article
  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

12 authors at 5 institutions in 3 countries.

Nana Ama AmissahBacteriology Department, Noguchi Memorial Institute for Medical Research, Accra, Ghana.
Sophie GryseelsEvolutionary Ecology Group, Department of Biology, University of Antwerp, Antwerp, Belgium.
Nicholas J TobiasDepartment of Microbiology, University of Melbourne, Melbourne, Victoria, Australia.
Bahram RavadgarDepartment of Microbiology, Monash University, Victoria, Australia.
Mitsuko SuzukiParasitology Department, Noguchi Memorial Institute for Medical Research, Accra, Ghana.
Koen VandelannooteEvolutionary Ecology Group, Department of Biology, University of Antwerp, Antwerp, Belgium; Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Lies DurnezDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Herwig LeirsEvolutionary Ecology Group, Department of Biology, University of Antwerp, Antwerp, Belgium.
Timothy P StinearDepartment of Microbiology, University of Melbourne, Melbourne, Victoria, Australia; Department of Microbiology, Monash University, Victoria, Australia.
Françoise PortaelsDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Anthony AblordeyBacteriology Department, Noguchi Memorial Institute for Medical Research, Accra, Ghana.
Miriam EddyaniDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Instituut voor Tropische Geneeskunde · BENoguchi Memorial Institute for Medical Research · GHUniversity of Antwerp · BEUniversity of Melbourne · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe reservoir and mode of transmission of Mycobacterium ulcerans, the causative agent of Buruli ulcer, still remain a mystery. It has been suggested that M. ulcerans persists with difficulty as a free-living organism due to its natural fragility and inability to withstand exposure to direct sunlight, and thus probably persists within a protective host environment. METHODOLOGY/PRINCIPAL

findingsWe investigated the role of free-living amoebae as a reservoir of M. ulcerans by screening the bacterium in free-living amoebae (FLA) cultures isolated from environmental specimens using real-time PCR. We also followed the survival of M. ulcerans expressing green fluorescence protein (GFP) in Acanthameoba castellanii by flow cytometry and observed the infected cells using confocal and transmission electron microscopy for four weeks in vitro. IS2404 was detected by quantitative PCR in 4.64% of FLA cultures isolated from water, biofilms, detritus and aerosols. While we could not isolate M. ulcerans, 23 other species of mycobacteria were cultivated from inside FLA and/or other phagocytic microorganisms. Laboratory experiments with GFP-expressing M. ulcerans in A. castellani trophozoites for 28 days indicated the bacteria did not replicate inside amoebae, but they could remain viable at low levels in cysts. Transmission electron microscopy of infected A. castellani confirmed the presence of bacteria within both trophozoite vacuoles and cysts. There was no correlation of BU notification rate with detection of the IS2404 in FLA (r = 0.07, n = 539, p = 0.127). CONCLUSION/SIGNIFICANCE: This study shows that FLA in the environment are positive for the M. ulcerans insertion sequence IS2404. However, the detection frequency and signal strength of IS2404 positive amoabae was low and no link with the occurrence of BU was observed. We conclude that FLA may host M. ulcerans at low levels in the environment without being directly involved in the transmission to humans.

Indexed as

AmoebaBuruli UlcerDisease ReservoirsHumansMycobacterium ulcerans

Identifiers

PMID25188535
PMCPMC4154674
OpenAlexW2068265286

What OpenQuestion holds

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LicenceCC BY
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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.