Evidence map›Paper›PMID 27406977›Full record

ArticleScientific reports2016

Differential host susceptibility and bacterial virulence factors driving Klebsiella liver abscess in an ethnically diverse population.

I Russel Lee, James S Molton, Kelly L Wyres, Claire Gorrie, Jocelyn Wong, Chu Han Hoh, Jeanette Teo, Shirin Kalimuddin, David C Lye, Sophia Archuleta and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

98 citing papers in PubMed, 141 citations in OpenAlex.

  1. Article
  2. Molecular Epidemiology ofMicroorganisms · 2026
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  4. Decoding Host-Pathogen Dynamics inAntibiotics (Basel, Switzerland) · 2026
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  5. Connections betweenInfection and immunity · 2026
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  6. The acquisition ofmBio · 2026
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  7. Hypervirulent and Drug-ResistantInternational journal of general medicine · 2026
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  8. Overcoming phagocytosis resistance of hypervirulentMicrobial cell (Graz, Austria) · 2026
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  9. Glycoconjugate Vaccines Against Nosocomial Klebsiella pneumoniae Infections.Advances in experimental medicine and biology · 2026
    Article
  10. Co-evolution of resistance and virulence inFrontiers in cellular and infection microbiology · 2026
    Review
  11. Modulation of macrophage survival duringFrontiers in cellular and infection microbiology · 2026
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  12. Review
  13. Antibiotics accumulate inProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. Article
  15. Anti-plasmid defense in hypervirulentEmerging microbes & infections · 2025
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  16. Article
  17. Genomic Characterization of a Rare K30-ST198 HypervirulentInternational journal of molecular sciences · 2025
    Article
  18. The acquisition ofbioRxiv : the preprint server for biology · 2025
    Article
  19. Article
  20. Review

38 more citing papers are in PubMed but not listed here.

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

12 authors at 6 institutions in 2 countries.

I Russel LeeDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore.
James S MoltonDivision of Infectious Diseases, University Medicine Cluster, National University Health System, Singapore.
Kelly L WyresCentre for Systems Genomics, University of Melbourne, Parkville, Victoria 3010, Australia.
Claire GorrieCentre for Systems Genomics, University of Melbourne, Parkville, Victoria 3010, Australia.
Jocelyn WongDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore.
Chu Han HohDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore.
Jeanette TeoDepartment of Laboratory Medicine, Microbiology Unit, National University Hospital, Singapore.
Shirin KalimuddinDepartment of Infectious Diseases, Singapore General Hospital, Singapore.
David C LyeDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore.
Sophia ArchuletaDivision of Infectious Diseases, University Medicine Cluster, National University Health System, Singapore.
Kathryn E HoltCentre for Systems Genomics, University of Melbourne, Parkville, Victoria 3010, Australia.
Yunn-Hwen GanDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore.
National University of Singapore · SGUniversity of Melbourne · AUNational University Health System · SGNational University Hospital · SGSingapore General Hospital · SGTan Tock Seng Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypervirulent Klebsiella pneumoniae is an emerging cause of community-acquired pyogenic liver abscess. First described in Asia, it is now increasingly recognized in Western countries, commonly afflicting those with Asian descent. This raises the question of genetic predisposition versus geospecific strain acquisition. We leveraged on the Antibiotics for Klebsiella Liver Abscess Syndrome Study (A-KLASS) clinical trial ongoing in ethnically diverse Singapore, to prospectively examine the profiles of 70 patients together with their isolates' genotypic and phenotypic characteristics. The majority of isolates belonged to capsule type K1, a genetically homogenous group corresponding to sequence-type 23. The remaining K2, K5, K16, K28, K57 and K63 isolates as well as two novel cps isolates were genetically heterogeneous. K1 isolates carried higher frequencies of virulence-associated genes including rmpA (regulator of mucoid phenotype A), kfu (Klebsiella ferric uptake transporter), iuc (aerobactin), iro (salmochelin) and irp (yersiniabactin) than non-K1 isolates. The Chinese in our patient cohort, mostly non-diabetic, had higher prevalence of K1 infection than the predominantly diabetic non-Chinese (Malays, Indian and Caucasian). This differential susceptibility to different capsule types among the various ethnic groups suggests patterns of transmission (e.g. environmental source, familial transmission) and/or genetic predisposition unique to each race despite being in the same geographical location.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsEthnicityFemaleGenotypeHumansHydroxamic AcidsKlebsiella InfectionsKlebsiella pneumoniaeLiverMalePhenolsSerotypingSingaporeThiazolesVirulence FactorsaerobactinAnti-Bacterial AgentsBacterial ProteinsHydroxamic AcidsPhenolsRmpA protein, Klebsiella pneumoniaeThiazolesVirulence Factorsyersiniabactin

Identifiers

PMID27406977
PMCPMC4942785
OpenAlexW2475160309

What OpenQuestion holds

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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.