Evidence map›Paper›PMID 25578031›Full record

ArticleScientific reports2015

Recombination is a key driver of genomic and phenotypic diversity in a Pseudomonas aeruginosa population during cystic fibrosis infection.

Sophie E Darch, Alan McNally, Freya Harrison, Jukka Corander, Helen L Barr, Konrad Paszkiewicz, Stephen Holden, Andrew Fogarty, Shanika A Crusz, Stephen P Diggle

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
6.6field-weighted citation impact, top 2% 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

81 citing papers in PubMed, 142 citations in OpenAlex.

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21 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

10 authors at 2 institutions in 2 countries.

Sophie E DarchSchool of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, U.K.
Alan McNallyPathogen Research Group, Nottingham Trent University, Nottingham, U.K.
Freya HarrisonSchool of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, U.K.
Jukka CoranderDepartment of Mathematics and Statistics, University of Helsinki, Finland.
Helen L BarrDivision of Respiratory Medicine, Nottingham City Hospital, Nottingham, NG5 1PB, U.K.
Konrad PaszkiewiczCollege of Life and Environmental Sciences, University of Exeter, Exeter.
Stephen HoldenDepartment of Clinical Microbiology, Nottingham University NHS Trust, U.K.
Andrew FogartyDivision of Epidemiology &Public Health, Nottingham City Hospital, Nottingham, NG5 1PB, U.K.
Shanika A Crusz1] School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, U.K. [2] Department of Clinical Microbiology, Nottingham University NHS Trust, U.K.
Stephen P DiggleSchool of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, U.K.
University of Exeter · GBUniversity of Helsinki · FI

Funding

Medical Research CouncilWellcome Trust WT097835MF
6 · The paper itself

Abstract

The Cystic Fibrosis (CF) lung harbors a complex, polymicrobial ecosystem, in which Pseudomonas aeruginosa is capable of sustaining chronic infections, which are highly resistant to multiple antibiotics. Here, we investigate the phenotypic and genotypic diversity of 44 morphologically identical P. aeruginosa isolates taken from a single CF patient sputum sample. Comprehensive phenotypic analysis of isolates revealed large variances and trade-offs in growth, virulence factors and quorum sensing (QS) signals. Whole genome analysis of 22 isolates revealed high levels of intra-isolate diversity ranging from 5 to 64 SNPs and that recombination and not spontaneous mutation was the dominant driver of diversity in this population. Furthermore, phenotypic differences between isolates were not linked to mutations in known genes but were statistically associated with distinct recombination events. We also assessed antibiotic susceptibility of all isolates. Resistance to antibiotics significantly increased when multiple isolates were mixed together. Our results highlight the significant role of recombination in generating phenotypic and genetic diversification during in vivo chronic CF infection. We also discuss (i) how these findings could influence how patient-to-patient transmission studies are performed using whole genome sequencing, and (ii) the need to refine antibiotic susceptibility testing in sputum samples taken from patients with CF.

Indexed as

Genetic VariationGenome, BacterialRecombination, GeneticAnti-Bacterial AgentsCystic FibrosisDrug Resistance, MicrobialEvolution, MolecularFemaleGenotypeGenotyping TechniquesHumansMicrobial Sensitivity TestsMutationPhenotypePhylogenyPolymorphism, Single NucleotideAnti-Bacterial Agents

Identifiers

PMID25578031
PMCPMC4289893
OpenAlexW1978191903

What OpenQuestion holds

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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.