Evidence map›Paper›PMID 28951239›Full record

ArticleThe Journal of investigative dermatology2018

The Microevolution and Epidemiology of Staphylococcus aureus Colonization during Atopic Eczema Disease Flare.

Catriona P Harkins, Kerry A Pettigrew, Katarina Oravcová, June Gardner, R M Ross Hearn, Debbie Rice, Alison E Mather, Julian Parkhill, Sara J Brown, Charlotte M Proby and 1 more

Abstract read
In one paragraph

Article in The Journal of investigative dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
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

35 citing papers in PubMed.

  1. Cryptotanshinone inhibitsVirulence · 2026
    Article
  2. Article
  3. Article
  4. Regulation of airway fumarate by host and pathogen promotesbioRxiv : the preprint server for biology · 2025
    Article
  5. Article
  6. Article
  7. Biofilm · 2024
    Article
  8. Genomic and functional divergence ofMicrobiology spectrum · 2024
    Article
  9. Adding Fuel to the Fire? The Skin Microbiome in Atopic Dermatitis.The Journal of investigative dermatology · 2024
    Review
  10. Understanding the role ofFrontiers in medicine · 2024
    Review
  11. Skin microbiota: pathogenic roles and implications in atopic dermatitis.Frontiers in cellular and infection microbiology · 2024
    Review
  12. Investigating genomic diversity ofFrontiers in microbiology · 2024
    Article
  13. Antibiotics (Basel, Switzerland) · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

11 authors.

Catriona P HarkinsSchool of Medicine, University of St Andrews, St Andrews, UK; Department of Dermatology, Ninewells Hospital, Dundee, UK; School of Medicine, University of Dundee, Dundee, UK. Electronic address: ch246@st-andrews.ac.uk.
Kerry A PettigrewSchool of Medicine, University of St Andrews, St Andrews, UK.
Katarina OravcováSchool of Medicine, University of St Andrews, St Andrews, UK; Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
June GardnerDepartment of Dermatology, Ninewells Hospital, Dundee, UK.
R M Ross HearnDepartment of Dermatology, Ninewells Hospital, Dundee, UK.
Debbie RiceScottish Children's Research Network, MACH 2 Building, Level 5, Ninewells Hospital, Dundee, UK.
Alison E MatherDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Julian ParkhillThe Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, UK.
Sara J BrownDepartment of Dermatology, Ninewells Hospital, Dundee, UK; Skin Research Group, Division of Cancer Research, School of Medicine, University of Dundee, UK.
Charlotte M ProbyDepartment of Dermatology, Ninewells Hospital, Dundee, UK; School of Medicine, University of Dundee, Dundee, UK.
Matthew T G HoldenSchool of Medicine, University of St Andrews, St Andrews, UK.

Funding

Biotechnology and Biological Sciences Research Council BB/M014088/1Wellcome Trust
6 · The paper itself

Abstract

Staphylococcus aureus is an opportunistic pathogen and variable component of the human microbiota. A characteristic of atopic eczema (AE) is colonization by S. aureus, with exacerbations associated with an increased bacterial burden of the organism. Despite this, the origins and genetic diversity of S. aureus colonizing individual patients during AE disease flares is poorly understood. To examine the microevolution of S. aureus colonization, we deep sequenced S. aureus populations from nine children with moderate to severe AE and 18 non-atopic children asymptomatically carrying S. aureus nasally. Colonization by clonal S. aureus populations was observed in both AE patients and control participants, with all but one of the individuals carrying colonies belonging to a single sequence type. Phylogenetic analysis showed that disease flares were associated with the clonal expansion of the S. aureus population, occurring over a period of weeks to months. There was a significant difference in the genetic backgrounds of S. aureus colonizing AE cases versus controls (Fisher exact test, P = 0.03). Examination of intra-host genetic heterogeneity of the colonizing S. aureus populations identified evidence of within-host selection in the AE patients, with AE variants being potentially selectively advantageous for intracellular persistence and treatment resistance.

Indexed as

Anti-Bacterial AgentsCase-Control StudiesChildChild, PreschoolClonal EvolutionDermatitis, AtopicDrug Resistance, BacterialFemaleHost Microbial InteractionsHumansInfantMalePhylogenyStaphylococcal InfectionsStaphylococcus aureusSymptom Flare UpAnti-Bacterial Agents

Identifiers

PMID28951239
PMCPMC5780352

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.