Evidence map›Paper›PMID 25474211›Full record

ArticlePLoS neglected tropical diseases2014

Glucose- but not rice-based oral rehydration therapy enhances the production of virulence determinants in the human pathogen Vibrio cholerae.

Juliane Kühn, Flavio Finger, Enrico Bertuzzo, Sandrine Borgeaud, Marino Gatto, Andrea Rinaldo, Melanie Blokesch

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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.7field-weighted citation impact, top 19% 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

18 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Epidemicity conditions in spatial models of infectious diseases.Bollettino della Unione matematica italiana (2008) · 2026
    Article
  3. Structural insight intoActa biochimica et biophysica Sinica · 2025
    Article
  4. Article
  5. Article
  6. Rise of cholera in Iraq: A rising concern.Annals of medicine and surgery (2012) · 2022
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. A MARTX ToxinmBio · 2020
    Article
  12. Article
  13. Article
  14. Combating Cholera.F1000Research · 2019
    Review
  15. Article
  16. Article
  17. Mobile phone data highlights the role of mass gatherings in the spreading of cholera outbreaks.Proceedings of the National Academy of Sciences of the United States of America · 2016
    Article
  18. 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

7 authors at 3 institutions in 2 countries.

Juliane KühnLaboratory of Molecular Microbiology, Global Health Institute, School of Life Sciences, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
Flavio FingerLaboratory of Ecohydrology, Environmental Engineering Institute, School of Architecture, Civil and Environmental Engineering, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
Enrico BertuzzoLaboratory of Ecohydrology, Environmental Engineering Institute, School of Architecture, Civil and Environmental Engineering, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
Sandrine BorgeaudLaboratory of Molecular Microbiology, Global Health Institute, School of Life Sciences, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
Marino GattoDipartimento di Elettronica Informazione & Bioingegneria, Politecnico di Milano, Milan, Italy.
Andrea RinaldoLaboratory of Ecohydrology, Environmental Engineering Institute, School of Architecture, Civil and Environmental Engineering, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland; Dipartimento ICEA, Universitá di Padova, Padova, Italy.
Melanie BlokeschLaboratory of Molecular Microbiology, Global Health Institute, School of Life Sciences, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
École Polytechnique Fédérale de Lausanne · CHPolitecnico di Milano · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite major attempts to prevent cholera transmission, millions of people worldwide still must address this devastating disease. Cholera research has so far mainly focused on the causative agent, the bacterium Vibrio cholerae, or on disease treatment, but rarely were results from both fields interconnected. Indeed, the treatment of this severe diarrheal disease is mostly accomplished by oral rehydration therapy (ORT), whereby water and electrolytes are replenished. Commonly distributed oral rehydration salts also contain glucose. Here, we analyzed the effects of glucose and alternative carbon sources on the production of virulence determinants in the causative agent of cholera, the bacterium Vibrio cholerae during in vitro experimentation. We demonstrate that virulence gene expression and the production of cholera toxin are enhanced in the presence of glucose or similarly transported sugars in a ToxR-, TcpP- and ToxT-dependent manner. The virulence genes were significantly less expressed if alternative non-PTS carbon sources, including rice-based starch, were utilized. Notably, even though glucose-based ORT is commonly used, field studies indicated that rice-based ORT performs better. We therefore used a spatially explicit epidemiological model to demonstrate that the better performing rice-based ORT could have a significant impact on epidemic progression based on the recent outbreak of cholera in Haiti. Our results strongly support a change of carbon source for the treatment of cholera, especially in epidemic settings.

Indexed as

Fluid TherapyCholeraGlucoseHaitiHumansModels, TheoreticalOryzaPhosphoenolpyruvate Sugar Phosphotransferase SystemQuorum SensingStarchVibrio choleraeVirulence FactorsGlucosePhosphoenolpyruvate Sugar Phosphotransferase SystemStarchVirulence Factors

Identifiers

PMID25474211
PMCPMC4256474
OpenAlexW1963541917

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.