Evidence map›Paper›PMID 29190804›Full record

ArticlePloS one2017

Virulence genes and subclone status as markers of experimental virulence in a murine sepsis model among Escherichia coli sequence type 131 clinical isolates from Spain.

Irene Merino, Stephen B Porter, Brian D Johnston, Connie Clabots, Evelyn Shaw, Juan Pablo Horcajada, Rafael Cantón, Patricia Ruiz-Garbajosa, James R Johnson, ITUBRAS-GEIH group

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In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Irene MerinoServicio de Microbiología, Hospital Universitario Ramón y Cajal-Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
Stephen B PorterMinneapolis Veterans Health Care System, Minneapolis, MN, United States of America.
Brian D JohnstonUniversity of Minnesota, Minneapolis, MN, United States of America.
Connie ClabotsMinneapolis Veterans Health Care System, Minneapolis, MN, United States of America.
Evelyn ShawSpanish Network for Research in Infectious Diseases (REIPI), Madrid, Spain.
Juan Pablo HorcajadaHospital del Mar-Medical Research Institute of Hospital del Mar (IMIM)-CEXS Universitat Pompeu Fabra, Barcelona, Spain.
Rafael CantónServicio de Microbiología, Hospital Universitario Ramón y Cajal-Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
Patricia Ruiz-GarbajosaServicio de Microbiología, Hospital Universitario Ramón y Cajal-Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.ORCID http://orcid.org/0000-0003-4795-0217
James R JohnsonMinneapolis Veterans Health Care System, Minneapolis, MN, United States of America.
ITUBRAS-GEIH group

Funding

Gut reservoir of E. coli ST131I01CX000920 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI JOHNSON, JAMES R · 2014 to 2021
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CSRD VA I01 CX000192CSRD VA I01 CX000920
6 · The paper itself

Abstract

objectiveTo assess experimental virulence among sequence type 131 (ST131) Escherichia coli bloodstream isolates in relation to virulence genotype and subclone.

methodsWe analysed 48 Spanish ST131 bloodstream isolates (2010) by PCR for ST131 subclone status (H30Rx, H30 non-Rx, or non-H30), virulence genes (VGs), and O-type. Then we compared these traits with virulence in a murine sepsis model, as measured by illness severity score (ISS) and rapid lethality (mean ISS ≥ 4).

resultsOf the 48 study isolates, 65% were H30Rx, 21% H30 non-Rx, and 15% non-H30; 44% produced ESBLs, 98% were O25b, and 83% qualified as extraintestinal pathogenic E. coli (ExPEC). Of 49 VGs, ibeA and iss were associated significantly with non-H30 isolates, and sat, iha and malX with H30 isolates. Median VG scores differed by subclone, i.e., 12 (H30Rx), 10 (H30 non-Rx), and 11 (non-H30) (p < 0.01). Nearly 80% of isolates represented a described virotype. In mice, H30Rx and non-H30 isolates were more virulent than H30 non-Rx isolates (according to ISS [p = 0.03] and rapid lethality [p = 0.03]), as were ExPEC isolates compared with non-ExPEC isolates (median ISS, 4.3 vs. 2.7: p = 0.03). In contrast, most individual VGs, VG scores, VG profiles, and virotypes were not associated with mouse virulence.

conclusionsST131 subclone and ExPEC status, but not individual VGs, VG scores or profiles, or virotypes, predicted mouse virulence. Given the lower virulence of non-Rx H30 isolates, hypervirulence probably cannot explain the ST131-H30 clade's epidemic emergence.

Indexed as

Disease Models, AnimalAnimalsEscherichia coliEscherichia coli InfectionsFemaleGenes, BacterialMicePolymerase Chain ReactionSepsisSpainVirulence

Identifiers

PMID29190804
PMCPMC5708792

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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.