Evidence map›Paper›PMID 26467858›Full record

ArticleBMC microbiology2015

Characterizing the pathotype of neonatal meningitis causing Escherichia coli (NMEC).

D S S Wijetunge, S Gongati, C DebRoy, K S Kim, P O Couraud, I A Romero, B Weksler, S Kariyawasam

Abstract read
In one paragraph

Article in BMC microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

51 citing papers in PubMed.

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  11. Frontiers in microbiology · 2025
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  15. Evolutionary genomic analyses of canineApplied and environmental microbiology · 2024
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  16. High-riskeLife · 2024
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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

8 authors.

D S S WijetungeDepartment of Veterinary and Biomedical Sciences, Pennsylvania State University, 115 Henning Bldg, University Park, Pennsylvania, USA. dsw179@psu.edu.
S GongatiDepartment of Veterinary and Biomedical Sciences, Pennsylvania State University, 115 Henning Bldg, University Park, Pennsylvania, USA. srg220@psu.edu.
C DebRoyE. coli Reference Center, Department of Veterinary and Biomedical Sciences, Pennsylvania State University, University Park, Pennsylvania, USA. rcd3@psu.edu.
K S KimDivision of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. kwangkim@jhmi.edu.
P O CouraudDepartment of Cell Biology, University of Paris Descartes, Paris, France. pierre-olivier.couraud@inserm.fr.
I A RomeroDepartment of Biological Sciences, Open University, Milton Keynes, UK. i.romero@open.ac.uk.
B WekslerDepartment of Medicine, Weill Cornell Medical College in New York, New York, USA. babette@med.cornell.edu.
S KariyawasamDepartment of Veterinary and Biomedical Sciences, Pennsylvania State University, 115 Henning Bldg, University Park, Pennsylvania, USA. sxk91@psu.edu.

Funding

Host factors and bacterial meningitisR01NS091102 · NINDS · JOHNS HOPKINS UNIVERSITY · PI KIM, KWANG S · 2015 to 2019
$1.8M
E. coli penetration of the blood-brain barrierR21AI113273 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KIM, KWANG S · 2016 to 2017
$446k
Bacterial penetration of the blood-brain barrierR21AI114925 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KIM, KWANG S · 2015 to 2016
$446k
NIAID NIH HHS R21 AI113273NIAID NIH HHS R21 AI114925NINDS NIH HHS R01 NS091102
6 · The paper itself

Abstract

backgroundNeonatal meningitis-causing Escherichia coli (NMEC) is the predominant Gram-negative bacterial pathogen associated with meningitis in newborn infants. High levels of heterogeneity and diversity have been observed in the repertoire of virulence traits and other characteristics among strains of NMEC making it difficult to define the NMEC pathotype. The objective of the present study was to identify genotypic and phenotypic characteristics of NMEC that can be used to distinguish them from commensal E. coli.

methodsA total of 53 isolates of NMEC obtained from neonates with meningitis and 48 isolates of fecal E. coli obtained from healthy individuals (HFEC) were comparatively evaluated using five phenotypic (serotyping, serum bactericidal assay, biofilm assay, antimicorbial susceptibility testing, and in vitro cell invasion assay) and three genotypic (phylogrouping, virulence genotyping, and pulsed-field gel electrophoresis) methods.

resultsA majority (67.92%) of NMEC belonged to B2 phylogenetic group whereas 59% of HFEC belonged to groups A and D. Serotyping revealed that the most common O and H types present in NMEC tested were O1 (15%), O8 (11.3%), O18 (13.2%), and H7 (25.3%). In contrast, none of the HFEC tested belonged to O1 or O18 serogroups. The most common serogroup identified in HFEC was O8 (6.25%). The virulence genotyping reflected that more than 70% of NMEC carried kpsII, K1, neuC, iucC, sitA, and vat genes with only less than 27% of HFEC possessing these genes. All NMEC and 79% of HFEC tested were able to invade human cerebral microvascular endothelial cells. No statistically significant difference was observed in the serum resistance phenotype between NMEC and HFEC. The NMEC strains demonstrated a greater ability to form biofilms in Luria Bertani broth medium than did HFEC (79.2% vs 39.9%).

conclusionThe results of our study demonstrated that virulence genotyping and phylogrouping may assist in defining the potential NMEC pathotype.

Indexed as

GenotypePhenotypeBiofilmsBlood Bactericidal ActivityEndocytosisEscherichia coliEscherichia coli InfectionsHumansInfant, NewbornMeningitis, BacterialMicrobial Sensitivity TestsMolecular TypingSerogroupVirulence FactorsVirulence Factors

Identifiers

PMID26467858
PMCPMC4606507

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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.