Evidence map›Paper›PMID 28887442›Full record

ArticleScientific reports2017

Targeting Deficiencies in the TLR5 Mediated Vaginal Response to Treat Female Recurrent Urinary Tract Infection.

Ased S M Ali, Catherine Mowbray, Marcelo Lanz, Anna Stanton, Samantha Bowen, Claire L Varley, Paul Hilton, Karen Brown, Wendy Robson, Jennifer Southgate and 5 more

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Estrogen and bacterial infection.Frontiers in immunology · 2025
    Review
  2. Article
  3. Article
  4. Evasion of toll-like receptor recognition byFrontiers in microbiology · 2023
    Article
  5. Article
  6. Multidrug-resistant Uro-associatedEuropean urology open science · 2022
    Article
  7. Estrogen Suppresses Cytokines Release in cc4821Frontiers in microbiology · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

15 authors at 4 institutions in 2 countries.

Ased S M AliInstitutes of Cell & Molecular Biosciences and Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Catherine MowbrayInstitutes of Cell & Molecular Biosciences and Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Marcelo LanzInstitutes of Cell & Molecular Biosciences and Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Anna StantonInstitutes of Cell & Molecular Biosciences and Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Samantha BowenDuke University, Durham, NC, USA.
Claire L VarleyJack Birch Unit, University of York, York, UK.
Paul HiltonNewcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-2541-5195
Karen BrownNewcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, United Kingdom.
Wendy RobsonNewcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, United Kingdom.
Jennifer SouthgateJack Birch Unit, University of York, York, UK.
Phillip D AldridgeInstitutes of Cell & Molecular Biosciences and Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0001-6488-7593
Alison Tyson-CapperInstitutes of Cell & Molecular Biosciences and Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Soman AbrahamDuke University, Durham, NC, USA.
Robert S PickardInstitutes of Cell & Molecular Biosciences and Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Judith HallInstitutes of Cell & Molecular Biosciences and Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK. Judith.Hall@ncl.ac.uk.
Newcastle University · GBNewcastle upon Tyne Hospital · GBDuke University · USUniversity of York · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

The identification of the host defence peptides as target effectors in the innate defence of the uro-genital tract creates new translational possibilities for immunomodulatory therapies, specifically vaginal therapies to treat women suffering from rUTI, particularly those carrying the TLR5_C1174T SNP. Urinary tract infections (UTIs) are a microbial disease reported worldwide. Women are particularly susceptible with many suffering debilitating recurrent (r) infections. Treatment is by antibiotics, but such therapy is linked to antibiotic resistance and re-infection. This study explored the innate protective mechanisms of the urogenital tract with the aim of boosting such defences therapeutically. Modelling UTIs in vitro, human vaginal and bladder epithelial cells were challenged with uropathogenic Escherichia coli (CFT073) and microbial PAMPs including flagellin, LPS and peptidoglycan. Flagellin functioning via the TLR5/NFκB pathway was identified as the key UPEC virulence factor causing a significant increase (P < 0.05) in the production of the host-defence peptide (HDP), BD2. BD2-depleted urine samples from bladder infected mice supported increased UPEC growth, strengthening the significance of the HDPs in protecting the urogenital tissues from infection. Clinically, vaginal-douche BD2 concentrations were reduced (p < 0.05) in women suffering rUTIs, compared to age-matched healthy controls with concentrations further decreased (p < 0.05) in a TLR5

Indexed as

Immunity, InnateAdultAgedAnimalsbeta-DefensinsDisease Models, AnimalEpithelial CellsEscherichia coli InfectionsFemaleHumansMiceMiddle AgedModels, BiologicalRecurrenceToll-Like Receptor 5Urinary Tract Infectionsbeta-DefensinsDEFB4A protein, humanTLR5 protein, humanToll-Like Receptor 5

Identifiers

PMID28887442
PMCPMC5591273
OpenAlexW2736278985

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.