Evidence map›Paper›PMID 27411776›Full record

ArticleScientific reports2016

Intra-amniotic Candida albicans infection induces mucosal injury and inflammation in the ovine fetal intestine.

Maria Nikiforou, Esmee M R Jacobs, Matthew W Kemp, Mathias W Hornef, Matthew S Payne, Masatoshi Saito, John P Newnham, Leon E W Janssen, Alan H Jobe, Suhas G Kallapur 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Treatment ofAJOG global reports · 2026
    Article
  2. Review
  3. Article
  4. Effects of multiple pro-inflammatory stimuliFrontiers in immunology · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Immunobiology of Acute Chorioamnionitis.Frontiers in immunology · 2020
    Review
  9. Article
  10. The diagnostic performance of the beta-glucan assay in the detection of intra-amniotic infection with Candida species.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2019
    Article
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 5 institutions in 5 countries.

Maria NikiforouSchool for Mental Health and Neuroscience, Maastricht University, Maastricht, the Netherlands.
Esmee M R JacobsDepartment of Pediatrics, Maastricht University Medical Center, Maastricht, the Netherlands.
Matthew W KempSchool of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia.
Mathias W HornefInstitute of Medical Microbiology, RWTH University Hospital, Aachen, Germany.
Matthew S PayneSchool of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia.
Masatoshi SaitoSchool of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia.
John P NewnhamSchool of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia.
Leon E W JanssenSchool for Mental Health and Neuroscience, Maastricht University, Maastricht, the Netherlands.
Alan H JobeSchool of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia.
Suhas G KallapurSchool of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia.
Boris W KramerSchool for Mental Health and Neuroscience, Maastricht University, Maastricht, the Netherlands.
Tim G A M WolfsDepartment of Pediatrics, Maastricht University Medical Center, Maastricht, the Netherlands.
Maastricht University · NLUniversity of Western Australia · AUCincinnati Children's Hospital Medical Center · USTohoku University Hospital · JPUniversitätsklinikum Aachen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chorioamnionitis is caused by intrauterine infection with microorganisms including Candida albicans (C.albicans). Chorioamnionitis is associated with postnatal intestinal pathologies including necrotizing enterocolitis. The underlying mechanisms by which intra-amniotic C.albicans infection adversely affects the fetal gut remain unknown. Therefore, we assessed whether intra-amniotic C.albicans infection would cause intestinal inflammation and mucosal injury in an ovine model. Additionally, we tested whether treatment with the fungistatic fluconazole ameliorated the adverse intestinal outcome of intra-amniotic C.albicans infection. Pregnant sheep received intra-amniotic injections with 10(7) colony-forming units C.albicans or saline at 3 or 5 days before preterm delivery at 122 days of gestation. Fetuses were given intra-amniotic and intra-peritoneal fluconazole treatments 2 days after intra-amniotic administration of C.albicans. Intra-amniotic C.albicans caused intestinal colonization and invasive growth within the fetal gut with mucosal injury and intestinal inflammation, characterized by increased CD3(+) lymphocytes, MPO(+) cells and elevated TNF-α and IL-17 mRNA levels. Fluconazole treatment in utero decreased intestinal C.albicans colonization, mucosal injury but failed to attenuate intestinal inflammation. Intra-amniotic C.albicans caused intestinal infection, injury and inflammation. Fluconazole treatment decreased mucosal injury but failed to ameliorate C.albicans-mediated mucosal inflammation emphasizing the need to optimize the applied antifungal therapeutic strategy.

Indexed as

AnimalsAntifungal AgentsCandida albicansCandidiasisChorioamnionitisCytokinesFemaleFetusFluconazoleHost-Pathogen InteractionsInflammationIntestinal MucosaPregnancySheepSheep DiseasesAntifungal AgentsCytokinesFluconazole

Identifiers

PMID27411776
PMCPMC4944185
OpenAlexW2462825219

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.