Evidence map›Paper›PMID 29301010›Full record

ArticleThe Journal of infectious diseases2018

Diminished Capsule Exacerbates Virulence, Blood-Brain Barrier Penetration, Intracellular Persistence, and Antibiotic Evasion of Hyperhemolytic Group B Streptococci.

Claire Gendrin, Sean Merillat, Jay Vornhagen, Michelle Coleman, Blair Armistead, Lisa Ngo, Anjali Aggarwal, Phoenicia Quach, Jacob Berrigan, Lakshmi Rajagopal

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Microbiology (Reading, England) · 2026
    Article
  2. Article
  3. Review
  4. Macrophage polarization duringFrontiers in microbiology · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Group BACS infectious diseases · 2021
    Article
  9. The S Protein of Group BFrontiers in microbiology · 2021
    Article
  10. Article
  11. Review
  12. Article
  13. Review
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.

Claire GendrinDepartment of Pediatrics, University of Washington.
Sean MerillatCenter for Global Infections Disease Research, Seattle Children's Research Institute.
Jay VornhagenDepartment of Pediatrics, University of Washington.
Michelle ColemanDepartment of Pediatrics, University of Washington.
Blair ArmisteadDepartment of Pediatrics, University of Washington.
Lisa NgoCenter for Global Infections Disease Research, Seattle Children's Research Institute.
Anjali AggarwalCenter for Global Infections Disease Research, Seattle Children's Research Institute.
Phoenicia QuachCenter for Global Infections Disease Research, Seattle Children's Research Institute.
Jacob BerriganCenter for Global Infections Disease Research, Seattle Children's Research Institute.
Lakshmi RajagopalDepartment of Pediatrics, University of Washington.

Funding

Diseases of Public Health Importance Training GrantT32AI007509 · NIAID · UNIVERSITY OF WASHINGTON · PI LUND, JENNIFER M · 1997 to 2024
$6.3M
Role of the hyaluronidase in GBS VirulenceR01AI133976 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2017 to 2021
$4.5M
GBS mediated in utero fetal injuryR01AI100989 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2012 to 2016
$3.9M
Role of an ornithine rhamnolipid pigment in GBS virulenceR01AI112619 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI RAJAGOPAL, LAKSHMI · 2014 to 2018
$2.4M
Environmental Signals that regulate GBS virulenceR21AI109222 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI RAJAGOPAL, LAKSHMI · 2014 to 2015
$553k
Role of human cervical mucus plugs in ascending GBS infectionR21AI125907 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI RAJAGOPAL, LAKSHMI · 2016 to 2017
$538k
NIAID NIH HHS R01 AI100989NIAID NIH HHS R01 AI112619NIAID NIH HHS R01 AI133976NIAID NIH HHS R21 AI109222NIAID NIH HHS R21 AI125907NIAID NIH HHS T32 AI007509
6 · The paper itself

Abstract

Group B streptococci (GBS) are encapsulated, β-hemolytic bacteria that are a common cause of infections in human newborns and certain adults. Two factors important for GBS virulence are the sialic acid capsular polysaccharide that promotes immune evasion and the hemolytic pigment that induces host cell cytotoxcity. These virulence factors are often oppositely regulated by the CovR/CovS two-component system. Clinical GBS strains exhibiting hyperhemolysis and low capsule due to pathoadaptive covR/S mutations have been isolated from patients. Given the importance of capsule to GBS virulence, we predicted that a decrease or loss of capsule would attenuate the virulence of covR/S mutants. Surprisingly, hyperhemolytic GBS with low or no capsule exhibit increased virulence, intracellular persistence, and blood-brain barrier penetration, which was independent of a Trojan horse mechanism of barrier penetration. Additionally, intracellular persistence enabled both hemolytic and hyperhemolytic GBS to evade antibiotics routinely used to treat these infections. The finding that diminished capsule expression promotes GBS virulence, intracellular persistence, and antibiotic evasion has important implications for sustained antibiotic therapy and efficacy of capsule-based vaccines.

Indexed as

AnimalsAnti-Bacterial AgentsBacterial CapsulesBlood-Brain BarrierDrug Resistance, BacterialHumansMacrophagesMiceMice, Inbred C57BLMutationStreptococcus agalactiaeVirulenceAnti-Bacterial Agents

Identifiers

PMID29301010
PMCPMC5939829

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.