Evidence map›Paper›PMID 28436493›Full record

ArticleScientific reports2017

An attenuated Mycobacterium tuberculosis clinical strain with a defect in ESX-1 secretion induces minimal host immune responses and pathology.

Helena Strand Clemmensen, Niels Peter Hell Knudsen, Erik Michael Rasmussen, Jessica Winkler, Ida Rosenkrands, Ahmad Ahmad, Troels Lillebaek, David R Sherman, Peter Lawætz Andersen, Claus Aagaard

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

26 citing papers in PubMed, 38 citations in OpenAlex.

  1. HowVaccines · 2026
    Review
  2. Article
  3. Control of antigen presentation on MHC-I by a bacterial secretion system.bioRxiv : the preprint server for biology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Polyphosphate kinase-1 regulates bacterial and host metabolic pathways involved in pathogenesis ofProceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  10. Phase variation as a major mechanism of adaptation inProceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  11. Article
  12. Evaluation of the Immunogenicity of Recombinant Espb, Espc Proteins fromReports of biochemistry & molecular biology · 2023
    Article
  13. Article
  14. Article
  15. Review
  16. Pathogenomic analyses ofMicrobial genomics · 2021
    Article
  17. Article
  18. Review
  19. VapBC22 toxin-antitoxin system fromScience advances · 2020
    Article
  20. 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

10 authors at 2 institutions in 2 countries.

Helena Strand ClemmensenDepartment of Infectious Disease Immunology, Statens Serum Institut, DK-2300, Copenhagen, Denmark.
Niels Peter Hell KnudsenDepartment of Infectious Disease Immunology, Statens Serum Institut, DK-2300, Copenhagen, Denmark.
Erik Michael RasmussenInternational Reference Laboratory of Mycobacteriology, Statens Serum Institut, DK-2300, Copenhagen, Denmark.
Jessica WinklerCenter for Infectious Disease Research, Seattle, Washington, 98109, USA.
Ida RosenkrandsDepartment of Infectious Disease Immunology, Statens Serum Institut, DK-2300, Copenhagen, Denmark.
Ahmad AhmadDepartment of Infectious Disease Immunology, Statens Serum Institut, DK-2300, Copenhagen, Denmark.
Troels LillebaekInternational Reference Laboratory of Mycobacteriology, Statens Serum Institut, DK-2300, Copenhagen, Denmark.
David R ShermanCenter for Infectious Disease Research, Seattle, Washington, 98109, USA.
Peter Lawætz AndersenDepartment of Infectious Disease Immunology, Statens Serum Institut, DK-2300, Copenhagen, Denmark.
Claus AagaardDepartment of Infectious Disease Immunology, Statens Serum Institut, DK-2300, Copenhagen, Denmark.
Statens Serum Institut · DKCenter for Infectious Disease Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although Mycobacterium tuberculosis (M.tb) DK9897 is an attenuated strain, it was isolated from a patient with extrapulmonary tuberculosis and vaccination with a subunit vaccine (H56) induced poor protection against it. Both attenuation and lack of protection are because M.tb DK9897 cannot secrete the EsxA virulence factor nor induce a host response against it. Genome sequencing identified a frameshift mutation in the eccCa1 gene. Since the encoded EccCa1 protein provides energy for ESX-1 secretion, it suggested a defect in the ESX-1 type VII secretion system. Genetic complementation with a plasmid carrying the M.tb H37Rv sequence of eccCa1-eccCb1-pe35 re-established EsxA secretion, host specific EsxA T-cell responses, and increased strain virulence. The ESX-1 secretion defect prevents several virulence factors from being functional during infection and therefore attenuates M.tb. It precludes specific T-cell responses against strong antigens and we found very little in vivo cytokine production, gross pathology or granuloma formation in lungs from M.tb DK9897 infected animals. This coincides with M.tb DK9897 being unable to disrupt the phagosome membrane and make contact to the cytosol.

Indexed as

AnimalsAntigens, BacterialBacterial ProteinsCytokinesFemaleHost-Pathogen InteractionsHumansMiceMutationMycobacterium tuberculosisPhylogenySpecies SpecificityTHP-1 CellsT-LymphocytesTuberculosisVaccinationAntigens, BacterialBacterial ProteinsCytokinesESAT-6 protein, Mycobacterium tuberculosisVirulence Factors

Identifiers

PMID28436493
PMCPMC5402389
OpenAlexW2608522697

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.