Evidence map›Paper›PMID 29396496›Full record

ArticleScientific reports2018

Metals Enhance the Killing of Bacteria by Bacteriophage in Human Blood.

Li Ma, Sabrina I Green, Barbara W Trautner, Robert F Ramig, Anthony W Maresso

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Bacteriophage-mediated reduction of uropathogenicbioRxiv : the preprint server for biology · 2025
    Article
  6. Phage-induced protection against lethal bacterial reinfection.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Viruses · 2022
    Article
  13. Article
  14. Article
  15. Development of Phage Cocktails to TreatFrontiers in microbiology · 2022
    Article
  16. Article
  17. ComprehensiveMicrobial genomics · 2021
    Article
  18. Article
  19. Review
  20. Characterization ofViruses · 2021
    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

5 authors at 2 institutions in 1 country.

Li MaMolecular Virology and Microbiology Department, Baylor College of Medicine, Houston, TX, USA.
Sabrina I GreenMolecular Virology and Microbiology Department, Baylor College of Medicine, Houston, TX, USA.
Barbara W TrautnerMichael E. Debakey Veterans Affairs Medical Center, Houston, TX, USA.
Robert F RamigMolecular Virology and Microbiology Department, Baylor College of Medicine, Houston, TX, USA.
Anthony W MaressoMolecular Virology and Microbiology Department, Baylor College of Medicine, Houston, TX, USA. maresso@bcm.edu.
Baylor College of Medicine · USMichael E. DeBakey VA Medical Center · US

Funding

Initiative for Maximizing Student Development (IMSD) ProgramR25GM056929 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI PEREIRA, FRED A · 1998 to 2023
$12.4M
Branched Chain Amino Acid Metabolism During AnthraxR21AI146481 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI MARESSO, ANTHONY W · 2019 to 2020
$440k
Bacteriophage to treat UTI caused by multidrug-resistant P. aeruginosaR21AI121545 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI RAMIG, ROBERT FRANKLIN · 2016 to 2017
$436k
NIAID NIH HHS R21 AI121545NIAID NIH HHS R21 AI146481NIGMS NIH HHS R25 GM056929
6 · The paper itself

Abstract

Multidrug-resistant bacterial pathogens are a major medical concern. E. coli, particularly the pathotype extraintestinal pathogenic E. coli (ExPEC), is a leading cause of bloodstream infections. As natural parasites of bacteria, bacteriophages are considered a possible solution to treat patients infected with antibiotic resistant strains of bacteria. However, the development of phage as an anti-infective therapeutic is hampered by limited knowledge of the physiologic factors that influence their properties in complex mammalian environments such as blood. To address this barrier, we tested the ability of phage to kill ExPEC in human blood. Phages are effective at killing ExPEC in conventional media but are substantially restricted in this ability in blood. This phage killing effect is dependent on the levels of free metals and is inhibited by the anticoagulant EDTA. The EDTA-dependent inhibition of ExPEC killing is overcome by exogenous iron, magnesium, and calcium. Metal-enhanced killing of ExPEC by phage was observed for several strains of ExPEC, suggesting a common mechanism. The addition of metals to a murine host infected with ExPEC stimulated a phage-dependent reduction in ExPEC levels. This work defines a role for circulating metals as a major factor that is essential for the phage-based killing of bacteria in blood.

Indexed as

AnimalsBacterial LoadBacteriolysisBloodColiphagesDisease Models, AnimalEscherichia coli InfectionsExtraintestinal Pathogenic Escherichia coliMetalsMiceMicrobial ViabilityMetals

Identifiers

PMID29396496
PMCPMC5797145
OpenAlexW2806687768

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.