Evidence map›Paper›PMID 29340642›Full record

ArticleInvestigative ophthalmology & visual science2018

Identifying Corneal Infections in Formalin-Fixed Specimens Using Next Generation Sequencing.

Zhigang Li, Florian P Breitwieser, Jennifer Lu, Albert S Jun, Laura Asnaghi, Steven L Salzberg, Charles G Eberhart

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 70 citations in OpenAlex.

  1. Article
  2. HPD-Kit: a comprehensive toolkit for pathogen detection and analysis.Frontiers in cellular and infection microbiology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Novel metagenomics analysis of stony coral tissue loss disease.bioRxiv : the preprint server for biology · 2024
    Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Diagnosis ofDiagnostics (Basel, Switzerland) · 2023
    Review
  13. Major data analysis errors invalidate cancer microbiome findings.bioRxiv : the preprint server for biology · 2023
    Article
  14. Article
  15. Review
  16. Metagenomic Sequencing for the Diagnosis ofInternational journal of molecular sciences · 2022
    Article
  17. Review
  18. Review
  19. Review
  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

7 authors at 3 institutions in 2 countries.

Zhigang LiDepartment of Ophthalmology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
Florian P BreitwieserCenter for Computational Biology, McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
Jennifer LuCenter for Computational Biology, McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
Albert S JunDepartment of Ophthalmology, Johns Hopkins University, Baltimore, Maryland, United States.
Laura AsnaghiDepartment of Pathology, Johns Hopkins University, Baltimore, Maryland, United States.
Steven L SalzbergCenter for Computational Biology, McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
Charles G EberhartDepartment of Pathology, Johns Hopkins University, Baltimore, Maryland, United States.
Johns Hopkins University · USFirst Affiliated Hospital of Zhengzhou University · CNJohns Hopkins Medicine · US

Funding

Computational Methods for Genome Assembly, Transcript Assembly, and Variant DiscoveryR01HG006677 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI SALZBERG, STEVEN L. · 2011 to 2025
$10.7M
Bioinformatics Software for Analyzing Microbial GenomesR01GM083873 · NIGMS · UNIV OF MARYLAND, COLLEGE PARK · PI SALZBERG, STEVEN L. · 2008 to 2017
$2.1M
A Software Framework for Exploring 1,000 Genomes of African DescentR01HL129239 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BARNES, KATHLEEN C, SALZBERG, STEVEN L. · 2015 to 2017
$1.4M
NHGRI NIH HHS R01 HG006677NHLBI NIH HHS R01 HL129239NIGMS NIH HHS R01 GM083873
6 · The paper itself

Abstract

Purpose: We test the ability of next-generation sequencing, combined with computational analysis, to identify a range of organisms causing infectious keratitis. Methods: This retrospective study evaluated 16 cases of infectious keratitis and four control corneas in formalin-fixed tissues from the pathology laboratory. Infectious cases also were analyzed in the microbiology laboratory using culture, polymerase chain reaction, and direct staining. Classified sequence reads were analyzed with two different metagenomics classification engines, Kraken and Centrifuge, and visualized using the Pavian software tool. Results: Sequencing generated 20 to 46 million reads per sample. On average, 96% of the reads were classified as human, 0.3% corresponded to known vectors or contaminant sequences, 1.7% represented microbial sequences, and 2.4% could not be classified. The two computational strategies successfully identified the fungal, bacterial, and amoebal pathogens in most patients, including all four bacterial and mycobacterial cases, five of six fungal cases, three of three Acanthamoeba cases, and one of three herpetic keratitis cases. In several cases, additional potential pathogens also were identified. In one case with cytomegalovirus identified by Kraken and Centrifuge, the virus was confirmed by direct testing, while two where Staphylococcus aureus or cytomegalovirus were identified by Centrifuge but not Kraken could not be confirmed. Confirmation was not attempted for an additional three potential pathogens identified by Kraken and 11 identified by Centrifuge. Conclusions: Next generation sequencing combined with computational analysis can identify a wide range of pathogens in formalin-fixed corneal specimens, with potential applications in clinical diagnostics and research.

Indexed as

Corneal UlcerHigh-Throughput Nucleotide SequencingAdultAgedAged, 80 and overEye InfectionsEye Infections, BacterialEye Infections, FungalEye Infections, ParasiticEye Infections, ViralFemaleFixativesFormaldehydeHumansMaleMiddle AgedFixativesFormaldehyde

Identifiers

PMID29340642
PMCPMC5770184
OpenAlexW2752966384

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.