Evidence map›Paper›PMID 26039753›Full record

ReviewGut microbes2015

Shiga toxin 2a and Enteroaggregative Escherichia coli--a deadly combination.

Nadia Boisen, Angela R Melton-Celsa, Flemming Scheutz, Alison D O'Brien, James P Nataro

Open access · bronzeAbstract readReview
In one paragraph

Review in Gut microbes, 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
3.9field-weighted citation impact, top 7% 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, 45 citations in OpenAlex.

  1. Review
  2. EnteroaggregativeEcoSal Plus · 2025
    Review
  3. Review
  4. Article
  5. Prevalence and Implications of Shiga Toxin-ProducingPathogens (Basel, Switzerland) · 2022
    Review
  6. EnterohemorrhagicInternational journal of molecular sciences · 2022
    Review
  7. Article
  8. Article
  9. Pathogenic potential assessment of the Shiga toxin-producingProceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  10. Article
  11. In Silico Characterization of a Hypothetical Protein fromBioinformatics and biology insights · 2021
    Article
  12. QseC Signaling in the Outbreak O104:H4Journal of bacteriology · 2019
    Article
  13. Article
  14. Type VI Secretion System in PathogenicFrontiers in microbiology · 2019
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  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

5 authors at 3 institutions in 2 countries.

Nadia Boisena Statens Serum Institut; Department of Microbiology and Clinical Control ; Copenhagen , Denmark.
Angela R Melton-Celsa
Flemming Scheutz
Alison D O'Brien
James P Nataro
Statens Serum Institut · DKCharlottesville Medical Research · USUniformed Services University of the Health Sciences · US

Funding

Virulence in Enteroaggregative Escherichia coliR01AI033096 · NIAID · UNIVERSITY OF VIRGINIA · PI NATARO, JAMES P. · 1996 to 2014
$6.6M
Pathogenicity of Shiga Toxin Producing E.coliR37AI020148 · NIAID · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI O'BRIEN, ALISON DAVIS · 2008 to 2016
$3.8M
ADHERENCE IN ENTEROAGGREGATIVE E. COLIR29AI033096 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI NATARO, JAMES P. · 1992 to 1996
–
NIAID NIH HHS AI-033096NIAID NIH HHS R37 AI020148PHS HHS R0731977
6 · The paper itself

Abstract

In 2011, a Shiga toxin (Stx) type 2a-producing enteroaggregative E. coli (EAEC) strain of serotype O104:H4 caused a large lethal outbreak in Northern Europe. Until recently, the pathogenic mechanisms explaining the high virulence of the strain have remained unclear. Our laboratories have shown that EAEC genes encoded on the pAA virulence plasmid, particularly the AggR-regulated AAF/I fimbriae, enhance inflammation and enable the outbreak strain to both adhere to epithelial cells and translocate Stx2a across the intestinal epithelium, possibly explaining the high incidence of the life threatening post-diarrheal sequelae of hemolytic uremic syndrome. Epidemiologic evidence supports a model of EAEC pathogenesis comprising the concerted action of multiple virulence factors along with induction of inflammation. Here, we suggest a model for the pathogenesis of the O104:H4 outbreak strain that includes contributions from EAEC alone, but incorporating additional injury induced by Stx2a.

Indexed as

Disease OutbreaksAnimalsEscherichia coliEscherichia coli InfectionsEuropeHumansModels, BiologicalPlasmidsShiga Toxin 2Shiga Toxin 2diarrheaenteroaggregative Escherichia coli (EAEC)Mechanisms of pathogenesis of gut microbesO104:H4Shiga toxinvirulence

Identifiers

PMID26039753
PMCPMC4615819
OpenAlexW1482392623

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.