Evidence map›Paper›PMID 25344534›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015

Genomic Investigations unmask Mycoplasma amphoriforme, a new respiratory pathogen.

Stephen H Gillespie, Clare L Ling, Katarina Oravcova, Miguel Pinheiro, Louise Wells, Josephine M Bryant, Timothy D McHugh, Cecile Bébéar, David Webster, Simon R Harris and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact, top 88% 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

4 citing papers in PubMed, 16 citations in OpenAlex.

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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.

Stephen H GillespieSchool of Medicine, University of St Andrews, United Kingdom.
Clare L LingShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand University College London Centre for Clinical Microbiology, Royal Free Campus, and.
Katarina OravcovaSchool of Medicine, University of St Andrews, United Kingdom.
Miguel PinheiroSchool of Medicine, University of St Andrews, United Kingdom.
Louise WellsWellcome Trust Sanger Institute, Hinxton, United Kingdom.
Josephine M BryantWellcome Trust Sanger Institute, Hinxton, United Kingdom.
Timothy D McHughUniversity College London Centre for Clinical Microbiology, Royal Free Campus, and.
Cecile BébéarUniversity of Bordeaux, France.
David WebsterDepartment of Immunology, Royal Free Hospital NHS Trust, London, United Kingdom.
Simon R HarrisWellcome Trust Sanger Institute, Hinxton, United Kingdom.
Helena M B Seth-SmithWellcome Trust Sanger Institute, Hinxton, United Kingdom.
Nicholas R ThomsonWellcome Trust Sanger Institute, Hinxton, United Kingdom.
Wellcome Sanger Institute · GBUniversity of St Andrews · GBUniversity College London · GBThe Royal Free Hospital · GBUniversité de Bordeaux · FR

Funding

Medical Research Council G1000413Wellcome TrustWellcome Trust 097831/Z/11/BWellcome Trust 098051
6 · The paper itself

Abstract

backgroundMycoplasma amphoriforme has been associated with infection in patients with primary antibody deficiency (PAD). Little is known about the natural history of infection with this organism and its ability to be transmitted in the community.

methodsThe bacterial load was estimated in sequential sputum samples from 9 patients by quantitative polymerase chain reaction. The genomes of all available isolates, originating from patients in the United Kingdom, France, and Tunisia, were sequenced along with the type strain. Genomic data were assembled and annotated, and a high-resolution phylogenetic tree was constructed.

resultsBy using high-resolution whole-genome sequencing (WGS) data, we show that patients can be chronically infected with M. amphoriforme manifesting as a relapsing-remitting bacterial load, interspersed by periods when the organism is undetectable. Importantly, we demonstrate transmission of strains within a clinical environment. Antibiotic resistance mutations accumulate in isolates taken from patients who received multiple courses of antibiotics.

conclusionsMycoplasma amphoriforme isolates form a closely related species responsible for a chronic relapsing and remitting infection in PAD patients in the United Kingdom and from immunocompetent patients in other countries. We provide strong evidence of transmission between patients attending the same clinic, suggesting that screening and isolation may be necessary for susceptible patients. This work demonstrates the critical role that WGS can play in rapidly unraveling the biology of a novel pathogen.

Indexed as

Genome, BacterialAdultBacterial LoadDisease Transmission, InfectiousDrug Resistance, BacterialGenomicsHumansImmunologic Deficiency SyndromesMutationMycoplasmaMycoplasma InfectionsPhylogenyRecurrenceSputuminfection controlMycoplasma amphoriformeprimary antibody deficiencyrespiratory infectionwhole genome sequencing

Identifiers

PMID25344534
PMCPMC4293396
OpenAlexW2138857902

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.