Evidence map›Paper›PMID 27245413›Full record

ArticleInfection and immunity2016

Fecal Indole as a Biomarker of Susceptibility to Cryptosporidium Infection.

Cynthia L Chappell, Charles Darkoh, Lawrence Shimmin, Naveed Farhana, Do-Kyun Kim, Pablo C Okhuysen, James Hixson

Open access · bronzeAbstract read
In one paragraph

Article in Infection and immunity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
3.7field-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.

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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 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

7 authors at 2 institutions in 1 country.

Cynthia L ChappellCenter for Infectious Diseases, The University of Texas School of Public Health, Houston, Texas, USA The University of Texas School of Public Health, Houston, Texas, USA Cynthia.L.Chappell@uth.tmc.edu.
Charles DarkohCenter for Infectious Diseases, The University of Texas School of Public Health, Houston, Texas, USA The University of Texas School of Public Health, Houston, Texas, USA University of Texas Graduate School of Biomedical Sciences, Houston, Texas, USA.ORCID 0000-0003-0063-7856
Lawrence ShimminHuman Genetics Center, The University of Texas School of Public Health, Houston, Texas, USA The University of Texas School of Public Health, Houston, Texas, USA.
Naveed FarhanaHuman Genetics Center, The University of Texas School of Public Health, Houston, Texas, USA The University of Texas School of Public Health, Houston, Texas, USA.
Do-Kyun KimHuman Genetics Center, The University of Texas School of Public Health, Houston, Texas, USA The University of Texas School of Public Health, Houston, Texas, USA.
Pablo C OkhuysenM. D. Anderson Cancer Center, Houston, Texas, USA.
James HixsonHuman Genetics Center, The University of Texas School of Public Health, Houston, Texas, USA The University of Texas School of Public Health, Houston, Texas, USA.
The University of Texas Health Science Center at Houston · USThe University of Texas MD Anderson Cancer Center · US

Funding

Zolmitriptan challenge and human performance testingM01RR002558 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SCHULTZ, STANLEY G · 1985 to 2006
$10.3M
Targeting the Toxins: A Novel Non-Antimicrobial Approach to Combat Clostridium difficile infectionsR01AI116914 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI DARKOH, CHARLES · 2015 to 2019
$1.9M
INTESTINAL CYTOKINES IN CRYPTOSPORIDIOSISR01AI041735 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI WHITE, ARTHUR CLINTON · 1997 to 2005
$1.9M
Genetics of Cryptosporidium parvumR01AI052781 · NIAID · TUFTS UNIVERSITY BOSTON · PI WIDMER, GIOVANNI · 2002 to 2010
$1.8M
Genetics of Cryptosporidium parvumR56AI052781 · NIAID · TUFTS UNIVERSITY BOSTON · PI WIDMER, GIOVANNI · 2008 to 2008
$293k
NCRR NIH HHS M01 RR002558NIAID NIH HHS L30 AI126518NIAID NIH HHS N01 AI025466NIAID NIH HHS R01 AI041735NIAID NIH HHS R01 AI052781NIAID NIH HHS R01 AI116914NIAID NIH HHS R56 AI052781
6 · The paper itself

Abstract

Cryptosporidium causes significant diarrhea worldwide, especially among children and immunocompromised individuals, and no effective drug treatment is currently available for those who need it most. In this report, previous volunteer infectivity studies have been extended to examine the association between fecal indole and indole-producing (IP) gut microbiota on the outcome of a Cryptosporidium infection. Fecal indole concentrations (FICs) of 50 subjects and 19 taxa of common gut microbiota, including six IP taxa (11 subjects) were determined in stool samples collected before and after a challenge with Cryptosporidium oocysts. At the baseline, the mean FIC (± the standard deviation) was 1.66 ± 0.80 mM in those who became infected after a challenge versus 3.20 ± 1.23 mM in those who remained uninfected (P = 0.0001). Only 11.1% of the subjects with a FIC of >2.5 mM became infected after a challenge versus 65.2% of the subjects with a FIC of <2.5 mM. In contrast, the FICs of infected subjects at the baseline or during diarrhea were not correlated with infection intensity or disease severity. The relative abundances (percent) of Escherichia coli, Bacillus spp., and Clostridium spp. were greater ≥2.5-fold in volunteers with a baseline FIC of >2.5 mM, while those of Bacteroides pyogenes, B. fragilis, and Akkermansia muciniphila were greater in those with a baseline FIC of <2.5 mM. These data indicate that some IP bacteria, or perhaps indole alone, can influence the ability of Cryptosporidium to establish an infection. Thus, preexisting indole levels in the gut join the oocyst dose and immune status as important factors that determine the outcome of Cryptosporidium exposure.

Indexed as

CryptosporidiumDisease SusceptibilityIndolesAdolescentAdultBiomarkersCryptosporidiosisDiarrheaFecesFemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedYoung AdultBiomarkersindoleIndoles

Identifiers

PMID27245413
PMCPMC4962629
OpenAlexW2418657042

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.