Evidence map›Paper›PMID 25378635›Full record

ArticleThe Journal of infectious diseases2015

Host fate is rapidly determined by innate effector-microbial interactions during Acinetobacter baumannii bacteremia.

Kevin W Bruhn, Paul Pantapalangkoor, Travis Nielsen, Brandon Tan, Justin Junus, Kristine M Hujer, Meredith S Wright, Robert A Bonomo, Mark D Adams, Wangxue Chen and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
2.7field-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

74 citing papers in PubMed, 97 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Resistance, heteroresistance, and fitness costs drive colistin treatment failure duringProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Article
  6. Modulation of macrophage survival duringFrontiers in cellular and infection microbiology · 2026
    Review
  7. Article
  8. Antivirulence drugs against Acinetobacter baumannii: where do they stand?World journal of microbiology & biotechnology · 2025
    Review
  9. Article
  10. HypervirulentAntibiotics (Basel, Switzerland) · 2025
    Review
  11. Article
  12. The intricacies ofFrontiers in microbiology · 2025
    Review
  13. Multidrug resistantCurrent research in microbial sciences · 2025
    Review
  14. Article
  15. Polymyxins retainAntimicrobial agents and chemotherapy · 2024
    Article
  16. Article
  17. The Comparative Characterization of a HypervirulentInternational journal of molecular sciences · 2024
    Article
  18. Article
  19. Article
  20. Article

14 more citing papers are in PubMed but not listed here.

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 4 institutions in 2 countries.

Kevin W BruhnDepartment of Molecular Microbiology and Immunology.
Paul PantapalangkoorDepartment of Molecular Microbiology and Immunology.
Travis NielsenDepartment of Molecular Microbiology and Immunology.
Brandon TanDepartment of Molecular Microbiology and Immunology.
Justin JunusDepartment of Molecular Microbiology and Immunology.
Kristine M HujerDepartment of Medicine Department of Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Ohio.
Meredith S WrightDepartment of J. Craig Venter Institute, La Jolla, California.
Robert A BonomoDepartment of Medicine Department of Pharmacology Department of Molecular Biology and Microbiology, Case Western Reserve University Department of Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Ohio.
Mark D AdamsDepartment of J. Craig Venter Institute, La Jolla, California.
Wangxue ChenDepartment of Human Health Therapeutics, National Research Council Canada, Ottawa, Ontario.
Brad SpellbergDepartment of Medicine, Division of Infectious Diseases, Keck School of Medicine, University of Southern California, Los Angeles.
J. Craig Venter Institute · USLouis Stokes Cleveland VA Medical Center · USNational Research Council Canada · CAUniversity of Southern California · US

Funding

Understanding B-Lactam Resistance in Acinetobacter baumanniiR01AI072219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI ROBERT A. BONOMO, Philip N. Rather · 2007 to 2026
$6.6M
Activated Targeted Killer (ATAK) Cells for Invasive Fungal InfectionsR01AI081719 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI SPELLBERG, BRAD J · 2009 to 2013
$1.7M
Humanized Monoclonal Antibodies to Treat Acinetobacter InfectionsR41AI106375 · NIAID · BIOLOGICAL ANTI-INFECTIVE MEDICINES, LLC · PI SPELLBERG, BRAD J · 2013 to 2014
$574k
Acinetobacter virulence and host innunopathogenesisR21AI101750 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SPELLBERG, BRAD J · 2013 to 2014
$434k
Monoclonal antibody passive vaccination to treat XDR Acinetobacter infectionsR56AI104751 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SPELLBERG, BRAD J · 2014 to 2014
$434k
The Continuing Challenge of Carbapenemases in K. pneumoniae: KPC-2 & NDM-1I01BX001974 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI BONOMO, ROBERT A. · 2013 to 2024
–
BLRD VA I01 BX001974NIAID NIH HHS R01 AI072219NIAID NIH HHS R01 AI081719NIAID NIH HHS R01 AI1081719NIAID NIH HHS R21 AI101750NIAID NIH HHS R41 AI106375NIAID NIH HHS R56 AI104751
6 · The paper itself

Abstract

backgroundAcinetobacter baumannii is one of the most antibiotic-resistant pathogens. Defining mechanisms driving pathogenesis is critical to enable new therapeutic approaches.

methodsWe studied virulence differences across a diverse panel of A. baumannii clinical isolates during murine bacteremia to elucidate host-microbe interactions that drive outcome.

resultsWe identified hypervirulent strains that were lethal at low intravenous inocula and achieved very high early, and persistent, blood bacterial densities. Virulent strains were nonlethal at low inocula but lethal at 2.5-fold higher inocula. Finally, relatively avirulent (hypovirulent) strains were nonlethal at 20-fold higher inocula and were efficiently cleared by early time points. In vivo virulence correlated with in vitro resistance to complement and macrophage uptake. Depletion of complement, macrophages, and neutrophils each independently increased bacterial density of the hypovirulent strain but insufficiently to change lethality. However, disruption of all 3 effector mechanisms enabled early bacterial densities similar to hypervirulent strains, rendering infection 100% fatal.

conclusionsThe lethality of A. baumannii strains depends on distinct stages. Strains resistant to early innate effectors are able to establish very high early bacterial blood density, and subsequent sustained bacteremia leads to Toll-like receptor 4-mediated hyperinflammation and lethality. These results have important implications for translational efforts to develop therapies that modulate host-microbe interactions.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAnimalsAnti-Bacterial AgentsBacteremiaDrug Resistance, Multiple, BacterialImmunity, InnateMacrophagesMiceMice, Inbred C3HMicrobial InteractionsNeutrophilsVirulenceVirulence FactorsAnti-Bacterial AgentsVirulence FactorsAcinetobacter baumanniibloodstreammousepathogenesisvirulence

Identifiers

PMID25378635
PMCPMC4447835
OpenAlexW1993933321

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.