Evidence map›Paper›PMID 27009189›Full record

ArticleOpen biology2016

Streptococcus pneumoniae capsule determines disease severity in experimental pneumococcal meningitis.

Lucy J Hathaway, Denis Grandgirard, Luca G Valente, Martin G Täuber, Stephen L Leib

Abstract read
In one paragraph

Article in Open biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Investigation of the essential role of capsular polysaccharide in serotype 1Frontiers in cellular and infection microbiology · 2026
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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

5 authors.

Lucy J HathawayInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern 3001, Switzerland lucy.hathaway@ifik.unibe.ch.ORCID http://orcid.org/0000-0002-5361-5397
Denis GrandgirardInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern 3001, Switzerland.
Luca G ValenteInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern 3001, Switzerland.
Martin G TäuberInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern 3001, Switzerland.
Stephen L LeibInstitute for Infectious Diseases, Faculty of Medicine, University of Bern, Bern 3001, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Streptococcus pneumoniaebacteria can be characterized into over 90 serotypes according to the composition of their polysaccharide capsules. Some serotypes are common in nasopharyngeal carriage whereas others are associated with invasive disease, but when carriage serotypes do invade disease is often particularly severe. It is unknown whether disease severity is due directly to the capsule type or to other virulence factors. Here, we used a clinical pneumococcal isolate and its capsule-switch mutants to determine the effect of capsule, in isolation from the genetic background, on severity of meningitis in an infant rat model. We found that possession of a capsule was essential for causing meningitis. Serotype 6B caused significantly more mortality than 7F and this correlated with increased capsule thickness in the cerebrospinal fluid (CSF), a stronger inflammatory cytokine response in the CSF and ultimately more cortical brain damage. We conclude that capsule type has a direct effect on meningitis severity. This is an important consideration in the current era of vaccination targeting a subset of capsule types that causes serotype replacement.

Indexed as

AnimalsAnimals, NewbornBacterial CapsulesBrainCytokinesDisease Models, AnimalMeningitis, PneumococcalNasopharynxRatsSerogroupSeverity of Illness IndexStreptococcus pneumoniaeCytokinescapsulemeningitisserotypeStreptococcus pneumoniae

Identifiers

PMID27009189
PMCPMC4821241

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.