Evidence map›Paper›PMID 29425317›Full record

ArticleThe Journal of infectious diseases2018

Human Cervical Mucus Plugs Exhibit Insufficiencies in Antimicrobial Activity Towards Group B Streptococcus.

Jay Vornhagen, Phoenicia Quach, Verónica Santana-Ufret, Varchita Alishetti, Alyssa Brokaw, Blair Armistead, Hai Qing Tang, James W MacDonald, Theo K Bammler, Kristina M Adams Waldorf and 2 more

Open access · bronzeAbstract 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. UnveilingiScience · 2025
    Article
  2. Review
  3. Article
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  7. Review
  8. The Cervicovaginal Mucus Barrier.International journal of molecular sciences · 2020
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
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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

12 authors at 3 institutions in 3 countries.

Jay VornhagenCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Washington.
Phoenicia QuachCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Washington.
Verónica Santana-UfretCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Washington.
Varchita AlishettiCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Washington.
Alyssa BrokawDepartment of Global Health, University of Washington, Seattle.
Blair ArmisteadCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Washington.
Hai Qing TangDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Skejby, Denmark.
James W MacDonaldEnvironmental and Occupational Health Sciences, University of Washington, Seattle.
Theo K BammlerEnvironmental and Occupational Health Sciences, University of Washington, Seattle.
Kristina M Adams WaldorfCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Washington.
Niels UldbjergDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Skejby, Denmark.
Lakshmi RajagopalCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Washington.
University of Washington · USInfectious Disease Research Institute · USAarhus University Hospital · DK

Funding

Intellectual and Developmental Disabilities Research CenterU54HD083091 · NICHD · UNIVERSITY OF WASHINGTON · PI DOHERTY, DANIEL · 2014 to 2019
$7.9M
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
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 AI125907NIAID NIH HHS T32 AI007509NICHD NIH HHS U54 HD083091
6 · The paper itself

Abstract

Preterm birth is a leading cause of neonatal mortality and lacks an effective therapy. Ascending microbial infections from the lower genital tract lead to infection of the placenta, amniotic fluid, and fetus causing preterm birth or stillbirth. Directly in the path of an ascending infection is the cervical mucus plug (CMP), a dense mucoid structure in the cervical canal with potential antimicrobial properties. In this study, we aimed to define the components of CMP responsible for antimicrobial activity against a common lower genital tract organism associated with preterm birth and stillbirths, namely, group B streptococcus (GBS). Using a quantitative proteomic approach, we identified antimicrobial factors in CMPs that were collected from healthy human pregnancies. However, we noted that the concentration of antimicrobial peptides present in the human CMPs were insufficient to directly kill GBS, and antimicrobial activity, when observed, was due to antibiotics retained in the CMPs. Despite this insufficiency, CMP proteins were able to activate leukocytes in whole blood resulting in increased rates of bacterial killing, suggesting a role for the CMP in enhancing complement-mediated killing or leukocyte activation. This study provides new insight into how the human CMP may limit ascending bacterial infection.

Indexed as

Amniotic FluidAnti-Bacterial AgentsCervix MucusCervix UteriFemaleGestational AgeHumansPlacentaPregnancyPremature BirthProteomicsStreptococcal InfectionsStreptococcusAnti-Bacterial Agents

Identifiers

PMID29425317
PMCPMC5913629
OpenAlexW2790941683

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.