Evidence map›Paper›PMID 26491182›Full record

ArticleJournal of clinical microbiology2016

Molecular Characterization of Nonhemolytic and Nonpigmented Group B Streptococci Responsible for Human Invasive Infections.

Anne Six, Arnaud Firon, Céline Plainvert, Camille Caplain, Abdelouhab Bouaboud, Gérald Touak, Nicolas Dmytruk, Magalie Longo, Franck Letourneur, Agnès Fouet and 2 more

Erratum issued Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03371056 (Innovative Strategies for Perinatal Infectious Risk Reduction), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT03371056 nacompletednot on this mapstarted 2018, after this paper: background citation

Innovative Strategies for Perinatal Infectious Risk Reduction

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2018 to 2023Enrolled2,569ConditionsNeonatal InfectionArmsBacteriological analyses on clinical samples performed with swabs
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Infant Group B Streptococcal Disease Incidence and Serotypes Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  3. Improved detection of group BMicrobiology spectrum · 2026
    Article
  4. Analysis of serotype distribution and characteristics of nonhemolytic and nonpigmented strains among group B Streptococcus isolates in a southern Taiwan local hospital.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
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  12. Bacterial toxins in musculoskeletal infections.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Anne SixINSERM U 1016, Institut Cochin, Team Barriers and Pathogens, Paris, France CNRS UMR 8104, Paris, France Université Paris Descartes, Sorbonne Paris, Paris, France DHU Risques et Grossesse, Assistance Publique Hôpitaux de Paris, Paris, France.
Arnaud FironInstitut Pasteur, Unité Biologie des Bactéries Pathogènes à Gram Positif, Paris, France CNRS ERL3526, Paris, France.
Céline PlainvertINSERM U 1016, Institut Cochin, Team Barriers and Pathogens, Paris, France CNRS UMR 8104, Paris, France Université Paris Descartes, Sorbonne Paris, Paris, France DHU Risques et Grossesse, Assistance Publique Hôpitaux de Paris, Paris, France Centre National de Référence des Streptocoques, Paris, France.
Camille CaplainINSERM U 1016, Institut Cochin, Team Barriers and Pathogens, Paris, France CNRS UMR 8104, Paris, France Université Paris Descartes, Sorbonne Paris, Paris, France DHU Risques et Grossesse, Assistance Publique Hôpitaux de Paris, Paris, France.
Abdelouhab Bouaboud
Gérald TouakCentre National de Référence des Streptocoques, Paris, France.
Nicolas DmytrukCentre National de Référence des Streptocoques, Paris, France.
Magalie LongoINSERM U 1016, Institut Cochin, Team Barriers and Pathogens, Paris, France CNRS UMR 8104, Paris, France Université Paris Descartes, Sorbonne Paris, Paris, France DHU Risques et Grossesse, Assistance Publique Hôpitaux de Paris, Paris, France.
Franck LetourneurINSERM U 1016, Institut Cochin, Team Barriers and Pathogens, Paris, France CNRS UMR 8104, Paris, France Université Paris Descartes, Sorbonne Paris, Paris, France.
Agnès FouetINSERM U 1016, Institut Cochin, Team Barriers and Pathogens, Paris, France CNRS UMR 8104, Paris, France Université Paris Descartes, Sorbonne Paris, Paris, France DHU Risques et Grossesse, Assistance Publique Hôpitaux de Paris, Paris, France Centre National de Référence des Streptocoques, Paris, France.
Patrick Trieu-CuotInstitut Pasteur, Unité Biologie des Bactéries Pathogènes à Gram Positif, Paris, France CNRS ERL3526, Paris, France.
Claire PoyartINSERM U 1016, Institut Cochin, Team Barriers and Pathogens, Paris, France CNRS UMR 8104, Paris, France Université Paris Descartes, Sorbonne Paris, Paris, France DHU Risques et Grossesse, Assistance Publique Hôpitaux de Paris, Paris, France Institut Pasteur, Unité Biologie des Bactéries Pathogènes à Gram Positif, Paris, France CNRS ERL3526, Paris, France Centre National de Référence des Streptocoques, Paris, France Hôpitaux Universitaires Paris Centre Cochin-Hôtel Dieu-Broca, Assistance Publique Hôpitaux de Paris, Paris, France claire.poyart@aphp.fr.
Centre National de la Recherche Scientifique · FRDélégation Paris 5 · FRInserm · FRAssistance Publique – Hôpitaux de Paris · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Group B Streptococcus (GBS) is a common commensal bacterium in adults, but is also the leading cause of invasive bacterial infections in neonates in developed countries. The β-hemolysin/cytolysin (β-h/c), which is always associated with the production of an orange-to-red pigment, is a major virulence factor that is also used for GBS diagnosis. A collection of 1,776 independent clinical GBS strains isolated in France between 2006 and 2013 was evaluated on specific medium for β-h/c activity and pigment production. The genomic sequences of nonhemolytic and nonpigmented (NH/NP) strains were analyzed to identify the molecular basis of this phenotype. Gene deletions or complementations were carried out to confirm the genotype-phenotype association. Sixty-three GBS strains (3.5%) were NH/NP, and 47 of these (74.6%) originated from invasive infections, including bacteremia and meningitis, in neonates or adults. The mutations are localized predominantly in the cyl operon, encoding the β-h/c pigment biosynthetic pathway and, in the abx1 gene, encoding a CovSR regulator partner. In conclusion, although usually associated with GBS virulence, β-h/c pigment production is not absolutely required to cause human invasive infections. Caution should therefore be taken in the use of hemolysis and pigmentation as criteria for GBS diagnosis in routine clinical laboratory settings.

Indexed as

AdultBacteriological TechniquesCulture MediaFranceGene DeletionGenetic Association StudiesGenetic Complementation TestGenome, BacterialHemolysin ProteinsHumansInfant, NewbornPigments, BiologicalSequence Analysis, DNAStreptococcal InfectionsStreptococcus agalactiaeCulture MediaHemolysin ProteinsPigments, Biological

Identifiers

PMID26491182
PMCPMC4702713
OpenAlexW2268715122

What OpenQuestion holds

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Registered trials

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.