Evidence map›Paper›PMID 28785103›Full record

ArticleNature microbiology2017

Clonal differences in Staphylococcus aureus bacteraemia-associated mortality.

Mario Recker, Maisem Laabei, Michelle S Toleman, Sandra Reuter, Rebecca B Saunderson, Beth Blane, M Estee Török, Khadija Ouadi, Emily Stevens, Maho Yokoyama and 7 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Nature microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 1 pooled it
10.4field-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

90 citing papers in PubMed, 1 synthesis or guideline pooled it, 158 citations in OpenAlex.

  1. International journal of molecular sciences · 2023
    Pooled it
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  6. Metabolic reprogramming promotesMicrobiology (Reading, England) · 2026
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  11. Methicillin-sensitiveMicrobial genomics · 2025
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  16. Genomic analysis ofiScience · 2024
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  17. Whole genome sequencing and molecular epidemiology of methicillin-resistant Staphylococcus aureus isolated from patients with bacteraemia in Slovenia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  18. Demographic fluctuations in bloodstreamnpj antimicrobials and resistance · 2024
    Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 1 country.

Mario ReckerCentre for Mathematics & the Environment, University of Exeter, Penryn, TR10 9EZ, UK.ORCID http://orcid.org/0000-0001-9489-1315
Maisem LaabeiDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.
Michelle S TolemanDepartment of Medicine, University of Cambridge, Cambridge, CB2 0QQ, UK.
Sandra ReuterDepartment of Medicine, University of Cambridge, Cambridge, CB2 0QQ, UK.
Rebecca B SaundersonDepartment of Medicine, University of Cambridge, Cambridge, CB2 0QQ, UK.
Beth BlaneDepartment of Medicine, University of Cambridge, Cambridge, CB2 0QQ, UK.ORCID http://orcid.org/0000-0002-0996-9091
M Estee TörökDepartment of Medicine, University of Cambridge, Cambridge, CB2 0QQ, UK.
Khadija OuadiDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.
Emily StevensDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.
Maho YokoyamaDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.
Joseph SteventonDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.
Luke ThompsonDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.
Gregory MilneDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.
Sion BaylissDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.ORCID http://orcid.org/0000-0002-5997-2002
Leann BaconDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK.
Sharon J PeacockDepartment of Medicine, University of Cambridge, Cambridge, CB2 0QQ, UK.
Ruth C MasseyDepartment of Biology and Biochemistry and the Milner Centre for Evolution, University of Bath, Bath, BA2 7AY, UK. ruth.massey@bristol.ac.uk.ORCID http://orcid.org/0000-0002-8154-4039
University of Bath · GBUniversity of Cambridge · GBUniversity of Bristol · GBUniversity of Exeter · GBUniversity of London · GB

Funding

Medical Research Council MR/N029399/1
6 · The paper itself

Abstract

The bacterium Staphylococcus aureus is a major human pathogen for which the emergence of antibiotic resistance is a global public health concern. Infection severity, and in particular bacteraemia-associated mortality, has been attributed to several host-related factors, such as age and the presence of comorbidities. The role of the bacterium in infection severity is less well understood, as it is complicated by the multifaceted nature of bacterial virulence, which has so far prevented a robust mapping between genotype, phenotype and infection outcome. To investigate the role of bacterial factors in contributing to bacteraemia-associated mortality, we phenotyped a collection of sequenced clinical S. aureus isolates from patients with bloodstream infections, representing two globally important clonal types, CC22 and CC30. By adopting a genome-wide association study approach we identified and functionally verified several genetic loci that affect the expression of cytolytic toxicity and biofilm formation. By analysing the pooled data comprising bacterial genotype and phenotype together with clinical metadata within a machine-learning framework, we found significant clonal differences in the determinants most predictive of poor infection outcome. Whereas elevated cytolytic toxicity in combination with low levels of biofilm formation was predictive of an increased risk of mortality in infections by strains of a CC22 background, these virulence-specific factors had little influence on mortality rates associated with CC30 infections. Our results therefore suggest that different clones may have adopted different strategies to overcome host responses and cause severe pathology. Our study further demonstrates the use of a combined genomics and data analytic approach to enhance our understanding of bacterial pathogenesis at the individual level, which will be an important step towards personalized medicine and infectious disease management.

Indexed as

Genetic VariationBacteremiaBacterial CapsulesBacterial ToxinsBase SequenceBiofilmsDNA, BacterialGenes, BacterialGenome-Wide Association StudyGenotypeHost-Pathogen InteractionsHumansInfection ControlMethicillin-Resistant Staphylococcus aureusPhenotypeRisk FactorsBacterial ToxinsDNA, BacterialVirulence Factors

Identifiers

PMID28785103
OpenAlexW2743358303

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.