Evidence map›Paper›PMID 26482797›Full record

ArticleBMC microbiology2015

Sensitive quantification of Clostridium perfringens in human feces by quantitative real-time PCR targeting alpha-toxin and enterotoxin genes.

Ravinder Nagpal, Kiyohito Ogata, Hirokazu Tsuji, Kazunori Matsuda, Takuya Takahashi, Koji Nomoto, Yoshio Suzuki, Kazunari Kawashima, Satoru Nagata, Yuichiro Yamashiro

Abstract readValidation Study
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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

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  10. Toxigenic Profile ofComparative medicine · 2022
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  11. Fecal Transplant andBrain sciences · 2021
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  12. Frontiers in physiology · 2021
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  13. Article
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  17. Review
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  20. Review
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

10 authors.

Ravinder NagpalProbiotics Research Laboratory, Juntendo University Graduate School of Medicine, Tokyo, Japan. ravinder@juntendo.ac.jp.
Kiyohito OgataYakult Central Institute, Tokyo, Japan. kiyohito-ogata@yakult.co.jp.
Hirokazu TsujiYakult Central Institute, Tokyo, Japan. hirokazu-tsuji@yakult.co.jp.
Kazunori MatsudaYakult Honsha European Research Center for Microbiology, Ghent-Zwijnaarde, Belgium. kazunori.matsuda@yher.be.
Takuya TakahashiYakult Central Institute, Tokyo, Japan. takuya-takahashi@yakult.co.jp.
Koji NomotoYakult Central Institute, Tokyo, Japan. koji-nomoto@yakult.co.jp.
Yoshio SuzukiDepartment of Sports Science, Juntendo University School of Health and Sports Sciences, Chiba, Japan. yssuzuki@juntendo.ac.jp.
Kazunari KawashimaGonohashi Obstetrics and Gynecology Hospital, Tokyo, Japan. kawashima-5084@umin.ac.jp.
Satoru NagataDepartment of Pediatrics, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan. nagata.satoru@ped.twmu.ac.jp.
Yuichiro YamashiroProbiotics Research Laboratory, Juntendo University Graduate School of Medicine, Tokyo, Japan. yamasiro@juntendo.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClostridium perfringens is a widespread pathogen, but the precise quantification of this subdominant gut microbe remains difficult due to its low fecal count (particularly in asymptomatic subjects) and also due to the presence of abundant polymerase-inhibitory substances in human feces. Also, information on the intestinal carriage of toxigenic C. perfringens strains in healthy subjects is sparse. Therefore, we developed a sensitive quantitative real-time PCR assays for quantification of C. perfringens in human feces by targeting its α-toxin and enterotoxin genes. To validate the assays, we finally observed the occurrence of α-toxigenic and enterotoxigenic C. perfringens in the fecal microbiota of healthy Japanese infants and young adults.

methodsThe plc-specific qPCR assay was newly validated, while primers for 16S rRNA and cpe genes were retrieved from literature. The assays were validated for specificity and sensitivity in pre-inoculated fecal samples, and were finally applied to quantify C. perfringens in stool samples from apparently healthy infants (n 124) and young adults (n 221).

resultsThe qPCR assays were highly specific and sensitive, with a minimum detection limit of 10(3) bacterial cells/g feces. Alpha-toxigenic C. perfringens was detected in 36% infants and 33% adults, with counts ranging widely (10(3)-10(7) bacterial cells/g). Intriguingly, the mean count of α-toxigenic C. perfringens was significantly higher in infants (6.0±1.5 log10 bacterial cells/g), as compared to that in adults (4.8±1.2). Moreover, the prevalence of enterotoxigenic C. perfringens was also found to be significantly higher in infants, as compared to that in adults. The mean enterotoxigenic C. perfringens count was 5.9±1.9 and 4.8±0.8 log10 bacterial cells/g in infants and adults, respectively.

conclusionsThese data indicate that some healthy infants and young adults carry α-toxigenic and enterotoxigenic C. perfringens at significant levels, and may be predisposed to related diseases. Thus, high fecal carriage of toxigenic C. perfringens in healthy children warrants further investigation on its potential sources and clinical significance in these subjects. In summary, we present a novel qPCR assay for sensitive and accurate quantification of α-toxigenic and enterotoxigenic C. perfringens in human feces, which should facilitate prospective studies of the gut microbiota.

Indexed as

AdolescentAdultBacterial LoadBacterial ToxinsCalcium-Binding ProteinsCarrier StateClostridium InfectionsClostridium perfringensCohort StudiesEnterotoxinsFecesFemaleHealthy VolunteersHumansInfantMalealpha toxin, Clostridium perfringensBacterial ToxinsCalcium-Binding Proteinsenterotoxin, ClostridiumEnterotoxinsType C Phospholipases

Identifiers

PMID26482797
PMCPMC4615878

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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.