Evidence map›Paper›PMID 25900650›Full record

ArticlemBio2015

Hybrid Vibrio cholerae El Tor lacking SXT identified as the cause of a cholera outbreak in the Philippines.

David C Klinzing, Seon Young Choi, Nur A Hasan, Ronald R Matias, Enrique Tayag, Josefina Geronimo, Evan Skowronski, Shah M Rashed, Kent Kawashima, C Nicole Rosenzweig and 8 more

Abstract read
In one paragraph

Article in mBio, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Genomic analysis ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  3. Article
  4. Molecular characterization ofJournal of medical microbiology · 2021
    Article
  5. Article
  6. Article
  7. Comparative Genomic Analysis of the 2016Frontiers in public health · 2019
    Article
  8. Article
  9. 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

18 authors.

David C KlinzingSt. Luke's Medical Center, Research and Biotechnology Division, Quezon City, Philippines.
Seon Young Choi
Nur A Hasan
Ronald R MatiasSt. Luke's Medical Center, Research and Biotechnology Division, Quezon City, Philippines.
Enrique TayagNational Epidemiology Center, Department of Health, Manila, Philippines.
Josefina GeronimoResearch Institute for Tropical Medicine, Alabang, Philippines.
Evan SkowronskiTMG Biosciences, LLC, Austin, Texas, USA.
Shah M RashedMaryland Pathogen Research Institute, University of Maryland, College Park, Maryland, USA.
Kent KawashimaSt. Luke's Medical Center, Research and Biotechnology Division, Quezon City, Philippines.
C Nicole RosenzweigU.S. Army Edgewood Chemical Biological Center, Aberdeen, Maryland, USA.
Henry S GibbonsU.S. Army Edgewood Chemical Biological Center, Aberdeen, Maryland, USA.
Brian C TorresSt. Luke's Medical Center, Research and Biotechnology Division, Quezon City, Philippines.
Veni LilesSt. Luke's Medical Center, Research and Biotechnology Division, Quezon City, Philippines.
Alicia C AlfonSt. Luke's Medical Center, Research and Biotechnology Division, Quezon City, Philippines.
Maria Luisa JuanSt. Luke's Medical Center, Research and Biotechnology Division, Quezon City, Philippines.
Filipinas F NatividadSt. Luke's Medical Center, Research and Biotechnology Division, Quezon City, Philippines.
Thomas A CebulaDepartment of Biology, Johns Hopkins University, Baltimore, Maryland, USA.
Rita R Colwellrcolwell@umiacs.umd.edu.

Funding

PHS HHS 1 R01 A139129-01
6 · The paper itself

Abstract

unlabelledCholera continues to be a global threat, with high rates of morbidity and mortality. In 2011, a cholera outbreak occurred in Palawan, Philippines, affecting more than 500 people, and 20 individuals died. Vibrio cholerae O1 was confirmed as the etiological agent. Source attribution is critical in cholera outbreaks for proper management of the disease, as well as to control spread. In this study, three V. cholerae O1 isolates from a Philippines cholera outbreak were sequenced and their genomes analyzed to determine phylogenetic relatedness to V. cholerae O1 isolates from recent outbreaks of cholera elsewhere. The Philippines V. cholerae O1 isolates were determined to be V. cholerae O1 hybrid El Tor belonging to the seventh-pandemic clade. They clustered tightly, forming a monophyletic clade closely related to V. cholerae O1 hybrid El Tor from Asia and Africa. The isolates possess a unique multilocus variable-number tandem repeat analysis (MLVA) genotype (12-7-9-18-25 and 12-7-10-14-21) and lack SXT. In addition, they possess a novel 15-kb genomic island (GI-119) containing a predicted type I restriction-modification system. The CTXΦ-RS1 array of the Philippines isolates was similar to that of V. cholerae O1 MG116926, a hybrid El Tor strain isolated in Bangladesh in 1991. Overall, the data indicate that the Philippines V. cholerae O1 isolates are unique, differing from recent V. cholerae O1 isolates from Asia, Africa, and Haiti. Furthermore, the results of this study support the hypothesis that the Philippines isolates of V. cholerae O1 are indigenous and exist locally in the aquatic ecosystem of the Philippines. IMPORTANCE: Genetic characterization and phylogenomics analysis of outbreak strains have proven to be critical for probing clonal relatedness to strains isolated in different geographical regions and over time. Recently, extensive genetic analyses of V. cholerae O1 strains isolated in different countries have been done. However, genome sequences of V. cholerae O1 isolates from the Philippines have not been available for epidemiological investigation. In this study, molecular typing and phylogenetic analysis of Vibrio cholerae isolated from both clinical and environmental samples in 2011 confirmed unique genetic features of the Philippines isolates, which are helpful to understand the global epidemiology of cholera.

Indexed as

Disease OutbreaksGenes, BacterialCholeraCluster AnalysisDrug Resistance, BacterialGenome, BacterialGenotypeMinisatellite RepeatsMolecular Sequence DataMolecular TypingPhilippinesPhylogenyRecombination, GeneticSequence Analysis, DNASequence HomologyVibrio cholerae O1

Identifiers

PMID25900650
PMCPMC4453562

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LicenceCC BY-NC-SA
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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.