Evidence map›Paper›PMID 25404692›Full record

ArticleJournal of bacteriology2015

Allele variants of enterotoxigenic Escherichia coli heat-labile toxin are globally transmitted and associated with colonization factors.

Enrique Joffré, Astrid von Mentzer, Moataz Abd El Ghany, Numan Oezguen, Tor Savidge, Gordon Dougan, Ann-Mari Svennerholm, Åsa Sjöling

Open access · bronzeAbstract read
In one paragraph

Article in Journal of bacteriology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 16% 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, 27 citations in OpenAlex.

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  11. Strain-specific transcriptional and posttranscriptional regulation of heat-labile toxin expression by enterotoxigenic Escherichia coli.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2020
    Article
  12. Open forum infectious diseases · 2020
    Article
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  18. Diarrheagenic Escherichia coli.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2016
    Review
  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

8 authors at 5 institutions in 5 countries.

Enrique JoffréDepartment of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden Institute of Molecular Biology and Biotechnology, Universidad Mayor de San Andrés, La Paz, Bolivia.
Astrid von MentzerDepartment of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden The Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Moataz Abd El GhanyPathogen Genomics Laboratory, Computational Bioscience Research Center, King Abdullah University of Science and Technology (KAUST), Thuwal, Saudi Arabia.
Numan OezguenTexas Children's Microbiome Center, Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas, USA.
Tor SavidgeTexas Children's Microbiome Center, Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas, USA.
Gordon DouganThe Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom.
Ann-Mari SvennerholmDepartment of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Åsa SjölingDepartment of Microbiology and Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden asa.sjoling@ki.se.
University of Gothenburg · SEBaylor College of Medicine · USKarolinska Institutet · SEKing Abdullah University of Science and Technology · SAWellcome Sanger Institute · GB

Funding

PHS HHS R01 NIAID AI0094001
6 · The paper itself

Abstract

Enterotoxigenic Escherichia coli (ETEC) is a significant cause of morbidity and mortality in the developing world. ETEC-mediated diarrhea is orchestrated by heat-labile toxin (LT) and heat-stable toxins (STp and STh), acting in concert with a repertoire of more than 25 colonization factors (CFs). LT, the major virulence factor, induces fluid secretion after delivery of a monomeric ADP-ribosylase (LTA) and its pentameric carrier B subunit (LTB). A study of ETEC isolates from humans in Brazil reported the existence of natural LT variants. In the present study, analysis of predicted amino acid sequences showed that the LT amino acid polymorphisms are associated with a geographically and temporally diverse set of 192 clinical ETEC strains and identified 12 novel LT variants. Twenty distinct LT amino acid variants were observed in the globally distributed strains, and phylogenetic analysis showed these to be associated with different CF profiles. Notably, the most prevalent LT1 allele variants were correlated with major ETEC lineages expressing CS1 + CS3 or CS2 + CS3, and the most prevalent LT2 allele variants were correlated with major ETEC lineages expressing CS5 + CS6 or CFA/I. LTB allele variants generally exhibited more-stringent amino acid sequence conservation (2 substitutions identified) than LTA allele variants (22 substitutions identified). The functional impact of LT1 and LT2 polymorphisms on virulence was investigated by measuring total-toxin production, secretion, and stability using GM1-enzyme-linked immunosorbent assays (GM1-ELISA) and in silico protein modeling. Our data show that LT2 strains produce 5-fold more toxin than LT1 strains (P < 0.001), which may suggest greater virulence potential for this genetic variant. Our data suggest that functionally distinct LT-CF variants with increased fitness have persisted during the evolution of ETEC and have spread globally.

Indexed as

AllelesBacterial ToxinsEnterotoxinsEscherichia coli InfectionsEscherichia coli ProteinsBacterial ToxinsEnterotoxinsEscherichia coli Proteinsheat-labile enterotoxin, E coli

Identifiers

PMID25404692
PMCPMC4272596
OpenAlexW2130493514

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.