Evidence map›Paper›PMID 26079275›Full record

ArticleThe Journal of infection2015

Clinical MRSA isolates from skin and soft tissue infections show increased in vitro production of phenol soluble modulins.

Nicholas R Berlon, Robert Qi, Batu K Sharma-Kuinkel, Hwang-Soo Joo, Lawrence P Park, Dennis George, Joshua T Thaden, Julia A Messina, Stacey A Maskarinec, Manica Mueller-Premru and 6 more

Abstract read
In one paragraph

Article in The Journal of infection, 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
2.3field-weighted citation impact, top 12% 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, 34 citations in OpenAlex.

  1. Black and White Patients With Staphylococcus aureus Bacteremia Have Similar Outcomes but Different Risk Factors.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  2. Microbes and the fate of neutrophils.Immunological reviews · 2023
    Review
  3. Article
  4. Genotypes ofToxins · 2022
    Article
  5. Article
  6. Staphylococcus aureus Bacteremia Among Patients Receiving Maintenance Hemodialysis: Trends in Clinical Characteristics and Outcomes.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Article
  7. International journal of molecular sciences · 2022
    Review
  8. Review
  9. Article
  10. Article
  11. Changing Characteristics of Staphylococcus aureus Bacteremia: Results From a 21-Year, Prospective, Longitudinal Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
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  13. Review
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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

16 authors at 7 institutions in 5 countries.

Nicholas R BerlonDuke U Med Center, NC, USA.
Robert QiDuke U Med Center, NC, USA.
Batu K Sharma-KuinkelDuke U Med Center, NC, USA.
Hwang-Soo JooNational Institutes of Health, MD, USA.
Lawrence P ParkDuke U Med Center, NC, USA.
Dennis GeorgeDuke U Med Center, NC, USA.
Joshua T ThadenDuke U Med Center, NC, USA.
Julia A MessinaDuke U Med Center, NC, USA.
Stacey A MaskarinecDuke U Med Center, NC, USA.
Manica Mueller-PremruUniversity of Ljubljana, Ljubljana, Slovenia.
Eugene AthanBarwon Health, Deakin University, VIC, Australia.
Pierre TattevinPontchaillou University, Pontchaillou, France.
Juan M PericasHospital Clinic - IDIBAPS. Univ. Barcelona, Spain.
Christopher W WoodsDuke U Med Center, NC, USA.
Michael OttoNational Institutes of Health, MD, USA.
Vance G FowlerDuke U Med Center, NC, USA. Electronic address: fowle003@mc.duke.edu.
Med Center · USNational Institutes of Health · USBarwon Health · AUDuke Energy (United States) · USHôpital Pontchaillou · FRHospital Clínic de Barcelona · ESUniversity of Ljubljana · SI

Funding

Staphylococcal pathogenesisZIAAI000904 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI OTTO, MICHAEL · 2009 to 2025
$22.6M
Host Susceptibility to S. aureusR01AI068804 · NIAID · DUKE UNIVERSITY · PI FOWLER, VANCE G. · 2007 to 2016
$6.9M
Mentoring Patient Oriented Research in Antibiotic-Resistant BacteriaK24AI093969 · NIAID · DUKE UNIVERSITY · PI FOWLER, VANCE G. · 2011 to 2020
$1.6M
Intramural NIH HHSNIAID NIH HHS K24 AI093969NIAID NIH HHS K24-AI093969NIAID NIH HHS R01 AI068804NIAID NIH HHS R01-AI068804
6 · The paper itself

Abstract

backgroundPhenol-soluble modulins (PSMs) are amphipathic, pro-inflammatory proteins secreted by most Staphylococcus aureus isolates. This study tested the hypothesis that in vitro PSM production levels are associated with specific clinical phenotypes.

methods177 methicillin-resistant S. aureus (MRSA) isolates from infective endocarditis (IE), skin and soft tissue infection (SSTI), and hospital-acquired/ventilator-associated pneumonia (HAP) were matched by geographic origin, then genotyped using spa-typing. In vitro PSM production was measured by high performance liquid chromatography/mass spectrometry. Statistical analysis was performed using Chi-squared or Kruskal-Wallis tests as appropriate.

resultsSpa type 1 was significantly more common in SSTI isolates (62.7% SSTI; 1.7% IE; 16.9% HAP; p < 0.0001) while HAP and IE isolates were more commonly spa type 2 (0% SSTI; 37.3% IE; 40.7% HAP; p < 0.0001). USA300 isolates produced the highest levels of PSMs in vitro. SSTI isolates produced significantly higher quantities of PSMα1-4, PSMβ1, and δ-toxin than other isolates (p < 0.001). These findings persisted when USA300 isolates were excluded from analysis.

conclusionsIncreased in vitro production of PSMs is associated with an SSTI clinical source. This significant association persisted after exclusion of USA300 genotype isolates from analysis, suggesting that PSMs play a particularly important role in the pathogenesis of SSTI as compared to other infection types.

Indexed as

Anti-Bacterial AgentsBacterial ToxinsCommunity-Acquired InfectionsEndocarditis, BacterialGenotypeHumansMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsPhenolsPhenotypePneumonia, Ventilator-AssociatedSkinSoft Tissue InfectionsStaphylococcal Skin InfectionsAnti-Bacterial AgentsBacterial ToxinsPhenolsstaphylococcal delta toxinEndocarditisMRSAPhenol soluble modulinPneumoniaSkin and soft tissue infection

Identifiers

PMID26079275
PMCPMC4816458
OpenAlexW1899349788

What OpenQuestion holds

Textmetadata
LicenceTDM
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.