Evidence map›Paper›PMID 28700642›Full record

Trial reportPloS one2017

Bacterial communities found in placental tissues are associated with severe chorioamnionitis and adverse birth outcomes.

Ronan M Doyle, Kathryn Harris, Steve Kamiza, Ulla Harjunmaa, Ulla Ashorn, Minyanga Nkhoma, Kathryn G Dewey, Kenneth Maleta, Per Ashorn, Nigel Klein

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
9.1field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. [Pathways and Mechanisms of Periodontitis Contributing to Adverse Pregnancy Outcomes].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
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  12. The Role ofPathogens (Basel, Switzerland) · 2024
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2 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

10 authors at 6 institutions in 4 countries.

Ronan M DoyleUCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0001-5001-1945
Kathryn HarrisDepartment of Microbiology, Virology and Infection Control, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.
Steve KamizaDepartment of Pathology, University of Malawi College of Medicine, Blantyre, Malawi.
Ulla HarjunmaaCenter for Child Health Research, University of Tampere Faculty of Medicine and Life Sciences, and Tampere University Hospital, Tampere, Finland.
Ulla AshornDepartment for International Health, University of Tampere School of Medicine, Tampere, Finland.
Minyanga NkhomaDepartment for International Health, University of Tampere School of Medicine, Tampere, Finland.
Kathryn G DeweyDepartment of Nutrition, University of California Davis, Davis, California, United States of America.
Kenneth MaletaDepartment of Community Health, University of Malawi College of Medicine, Blantyre, Malawi.
Per AshornDepartment for International Health, University of Tampere School of Medicine, Tampere, Finland.
Nigel KleinUCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Tampere University · FIGreat Ormond Street Hospital for Children NHS Foundation Trust · GBUniversity of Malawi · MWTampere University Hospital · FIUniversity College London · GBUniversity of California, Davis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preterm birth is a major cause of neonatal mortality and morbidity worldwide. Bacterial infection and the subsequent inflammatory response are recognised as an important cause of preterm birth. It is hypothesised that these organisms ascend the cervical canal, colonise placental tissues, cause chorioamnionitis and in severe cases infect amniotic fluid and the foetus. However, the presence of bacteria within the intrauterine cavity does not always precede chorioamnionitis or preterm birth. Whereas previous studies observing the types of bacteria present have been limited in size and the specificity of a few predetermined organisms, in this study we characterised bacteria found in placental tissues from a cohort of 1391 women in rural Malawi using 16S ribosomal RNA gene sequencing. We found that specific bacteria found concurrently on placental tissues associate with chorioamnionitis and delivery of a smaller newborn. Severe chorioamnionitis was associated with a distinct difference in community members, a higher bacterial load and lower species richness. Furthermore, Sneathia sanguinengens and Peptostreptococcus anaerobius found in both matched participant vaginal and placental samples were associated with a lower newborn length-for-age Z-score. This is the largest study to date to examine the placental microbiome and its impact of birth outcomes. Our results provide data on the role of the vaginal microbiome as a source of placental infection as well as the possibility of therapeutic interventions against targeted organisms during pregnancy.

Indexed as

MicrobiotaAdultChorioamnionitisFemaleHumansPeptostreptococcusPlacentaPregnancyPremature BirthRNA, Ribosomal, 16SRNA, Ribosomal, 16S

Identifiers

PMID28700642
PMCPMC5507499
OpenAlexW2735951541

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.