Evidence map›Paper›PMID 26917573›Full record

ArticleThe Journal of infectious diseases2016

Vancomycin Treatment Alters Humoral Immunity and Intestinal Microbiota in an Aged Mouse Model of Clostridium difficile Infection.

Edward van Opstal, Glynis L Kolling, John H Moore, Christine M Coquery, Nekeithia S Wade, William M Loo, David T Bolick, Jae Hyun Shin, Loren D Erickson, Cirle A Warren

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 45 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Edward van OpstalDepartment of Biology, Vanderbilt University, Nashville, Tennessee.
Glynis L KollingDepartment of Medicine.
John H MooreDepartment of Medicine.
Christine M CoqueryDepartment of Microbiology, Immunology, and Cancer Biology Beirne B. Carter Center for Immunology Research, University of Virginia, Charlottesville.
Nekeithia S WadeDepartment of Microbiology, Immunology, and Cancer Biology Beirne B. Carter Center for Immunology Research, University of Virginia, Charlottesville.
William M LooDepartment of Microbiology, Immunology, and Cancer Biology Beirne B. Carter Center for Immunology Research, University of Virginia, Charlottesville.
David T BolickDepartment of Medicine.
Jae Hyun ShinDepartment of Medicine.
Loren D EricksonDepartment of Microbiology, Immunology, and Cancer Biology Beirne B. Carter Center for Immunology Research, University of Virginia, Charlottesville.
Cirle A WarrenDepartment of Medicine.
Carter Center · USUniversity of Virginia · USVanderbilt University · US

Funding

INFECTIOUS DISEASES TRAINING PROGRAMT32AI007046 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Alison K Criss, William A Petri · 1985 to 2026
$15.3M
INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007496 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Michael G. Brown, Coleen A McNamara · 1995 to 2026
$10.2M
Development of a New Diamine (SQ109) for the Treatment of C. difficile InfectionR01AI094458 · NIAID · SEQUELLA, INC. · PI EINCK, LEO · 2011 to 2015
$3.7M
Tailoring Novel Therapeutics for Emerging Drug-Resistant C. Difficile ColitisU01AI075526 · NIAID · UNIVERSITY OF VIRGINIA · PI GUERRANT, RICHARD L · 2007 to 2011
$3.6M
NIAID NIH HHS R01 AI094458NIAID NIH HHS T32 AI007046NIAID NIH HHS T32 AI007496NIAID NIH HHS U01 AI075526
6 · The paper itself

Abstract

backgroundThe elderly host is highly susceptible to severe disease and treatment failure in Clostridium difficile infection (CDI). We investigated how treatment with vancomycin in the aged host influences systemic and intestinal humoral responses and select intestinal microbiota.

methodsYoung (age, 2 months) and aged (age, 18 months) C57BL/6 mice were infected with VPI 10463 after exposure to broad-spectrum antibiotics. Vancomycin was given 24 hours after infection, and treatment was continued for 5 days. At select time points, specimens of serum and intestinal tissue and contents were collected for histopathologic analysis, to measure antibody levels and the pathogen burden, and to determine the presence and levels of select intestinal microbiota and C. difficile toxin.

resultsLevels of disease severity, relapse, and mortality were increased, and recovery from infection was slower in aged mice compared to young mice. Serum levels of immunoglobulin M, immunoglobulin A, and immunoglobulin G against C. difficile toxin A were depressed in aged mice, and vancomycin treatment reduced antibody responses in both age groups. While baseline levels of total bacterial load, Bacteroidetes, Firmicutes, and Enterobacteriaceae were mostly similar, aged mice had a significant change in the Firmicutes to Bacteroidetes ratio with vancomycin treatment.

conclusionsVancomycin treatment decreases the systemic humoral response to CDI. Increased mortality from and recurrence of CDI in the aged host are associated with an impaired humoral response and a greater susceptibility to vancomycin-induced alteration of intestinal microbiota.

Indexed as

Age FactorsAnimalsAnti-Bacterial AgentsClostridioides difficileClostridium InfectionsGastrointestinal MicrobiomeHumansImmunity, HumoralMice, Inbred C57BLModels, AnimalVancomycinAnti-Bacterial AgentsVancomycinantibiotic-associated colitisClostridium difficile infectiondiarrheaelderly

Identifiers

PMID26917573
PMCPMC4907406
OpenAlexW2287745926

What OpenQuestion holds

Textmetadata
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.