Evidence map›Paper›PMID 26056381›Full record

ArticleInfection and immunity2015

DksA and (p)ppGpp have unique and overlapping contributions to Haemophilus ducreyi pathogenesis in humans.

Concerta L Holley, Xinjun Zhang, Kate R Fortney, Sheila Ellinger, Paula Johnson, Beth Baker, Yunlong Liu, Diane M Janowicz, Barry P Katz, Robert S Munson and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Infection and immunity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  3. Molecular pathogenesis ofMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  4. The protein degradation system encoded byInfection and immunity · 2025
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  5. Review
  6. Article
  7. Article
  8. The extended (p)ppGpp family: New dimensions in Stress response.Current research in microbial sciences · 2021
    Review
  9. Virus-Host Interaction GetsInternational journal of molecular sciences · 2021
    Article
  10. Article
  11. Interactions of the Skin PathogenFrontiers in immunology · 2020
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. TheViruses · 2018
    Article
  17. Review
  18. Article
  19. Article
  20. 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

11 authors at 4 institutions in 1 country.

Concerta L HolleyDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA.
Xinjun ZhangSchool of Informatics and Computing, Indiana University, Indianapolis, Indiana, USA.
Kate R FortneyDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA.
Sheila EllingerDepartment of Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA.
Paula JohnsonDepartment of Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA.
Beth BakerCenter for Microbial Pathogenesis, Nationwide Children's Hospital, Columbus, Ohio, USA.
Yunlong LiuDepartment of Medical and Molecular Genetics, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA.
Diane M JanowiczDepartment of Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA.
Barry P KatzDepartment of Biostatistics, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA Department of Biostatistics, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA.
Robert S MunsonCenter for Microbial Pathogenesis, Nationwide Children's Hospital, Columbus, Ohio, USA Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Stanley M SpinolaDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA Department of Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA Center for Immunobiology, Indiana University School of Medicine, Indiana University, Indianapolis, Indiana, USA sspinola@iupui.edu.
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineNationwide Children's Hospital · USThe Ohio State University · US

Funding

Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
PATHOGENESIS OF HAEMOPHILUS DUCREYI INFECTIONSR01AI027863 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SPINOLA, STANLEY M. · 1995 to 2013
$3.8M
PATHOGENESIS OF HAEMOPHILUS DUCREYI INFECTIONSR29AI027863 · NIAID · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI SPINOLA, STANLEY M · 1990 to 1994
–
NCATS NIH HHS UL1 TR001108NCRR NIH HHS UL RR052761NIAID NIH HHS AI27863NIAID NIH HHS AI27863S1NIAID NIH HHS AI27863S2NIAID NIH HHS R01 AI027863
6 · The paper itself

Abstract

The (p)ppGpp-mediated stringent response is important for bacterial survival in nutrient limiting conditions. For maximal effect, (p)ppGpp interacts with the cofactor DksA, which stabilizes (p)ppGpp's interaction with RNA polymerase. We previously demonstrated that (p)ppGpp was required for the virulence of Haemophilus ducreyi in humans. Here, we constructed an H. ducreyi dksA mutant and showed it was also partially attenuated for pustule formation in human volunteers. To understand the roles of (p)ppGpp and DksA in gene regulation in H. ducreyi, we defined genes potentially altered by (p)ppGpp and DksA deficiency using transcriptome sequencing (RNA-seq). In bacteria collected at stationary phase, lack of (p)ppGpp and DksA altered expression of 28% and 17% of H. ducreyi open reading frames, respectively, including genes involved in transcription, translation, and metabolism. There was significant overlap in genes differentially expressed in the (p)ppGpp mutant relative to the dksA mutant. Loss of (p)ppGpp or DksA resulted in the dysregulation of several known virulence determinants. Deletion of dksA downregulated lspB and rendered the organism less resistant to phagocytosis and increased its sensitivity to oxidative stress. Both mutants had reduced ability to attach to human foreskin fibroblasts; the defect correlated with reduced expression of the Flp adhesin proteins in the (p)ppGpp mutant but not in the dksA mutant, suggesting that DksA regulates the expression of an unknown cofactor(s) required for Flp-mediated adherence. We conclude that both (p)ppGpp and DksA serve as major regulators of H. ducreyi gene expression in stationary phase and have both overlapping and unique contributions to pathogenesis.

Indexed as

AdultBacterial ProteinsChancroidFemaleGene Expression Regulation, BacterialGuanosine TetraphosphateHaemophilus ducreyiHumansMaleVirulenceBacterial ProteinsGuanosine Tetraphosphate

Identifiers

PMID26056381
PMCPMC4496623
OpenAlexW2106100333

What OpenQuestion holds

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Registered trials

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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.