Evidence map›Paper›PMID 29463289›Full record

ArticleJournal of neuroinflammation2018

Strain-dependent effects of clinical echovirus 30 outbreak isolates at the blood-CSF barrier.

Tobias Dahm, Ortwin Adams, Sindy Boettcher, Sabine Diedrich, Vasily Morozov, Grant Hansman, Petra Fallier-Becker, Sebastian Schädler, Claus J Burkhardt, Christel Weiss and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 28 citations in OpenAlex.

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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

16 authors at 8 institutions in 2 countries.

Tobias DahmPediatric Infectious Diseases, University Children's Hospital Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Ortwin AdamsInstitute of Virology, University Hospital, Heinrich-Heine-University, Düsseldorf, Germany.
Sindy BoettcherNational Reference Centre for Poliomyelitis and Enteroviruses, Robert Koch-Institute, Berlin, Germany.
Sabine DiedrichNational Reference Centre for Poliomyelitis and Enteroviruses, Robert Koch-Institute, Berlin, Germany.
Vasily MorozovSchaller Research Group, University of Heidelberg and the DKFZ, Heidelberg, Germany.
Grant HansmanSchaller Research Group, University of Heidelberg and the DKFZ, Heidelberg, Germany.
Petra Fallier-BeckerInstitute of Pathology and Neuropathology, University Hospital of Tübingen, Tübingen, Germany.
Sebastian SchädlerCarl Zeiss Microscopy GmbH, ZEISS Group, Oberkochen, Germany.
Claus J BurkhardtNMI Natural and Medical Sciences Institute, University of Tübingen, Reutlingen, Germany.
Christel WeissInstitute of Medical Statistics and Biomathematics, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Carolin Stump-GuthierPediatric Infectious Diseases, University Children's Hospital Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Hiroshi IshikawaDepartment of NDU Life Sciences, School of life Dentistry, The Nippon Dental University, Tokyo, Japan.
Horst SchrotenPediatric Infectious Diseases, University Children's Hospital Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Christian SchwerkPediatric Infectious Diseases, University Children's Hospital Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Tobias TenenbaumPediatric Infectious Diseases, University Children's Hospital Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Henriette RudolphPediatric Infectious Diseases, University Children's Hospital Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. Henriette.rudolph@medma.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-3809-4861
Heidelberg University · DERobert Koch Institute · DECarl Zeiss (Germany) · DEDüsseldorf University Hospital · DENatural and Medical Sciences Institute · DENippon Dental University · JPUniversity Children's Hospital Tübingen · DEUniversity of Mannheim · DE

Funding

Deutsche Forschungsgemeinschaft and Ruprecht-Karls-Universität Heidelberg within the funding programme Open Access Publishing IN-1150438Universität Heidelberg Olympia Morata
6 · The paper itself

Abstract

backgroundEchovirus (E) 30 (E-30) meningitis is characterized by neuroinflammation involving immune cell pleocytosis at the protective barriers of the central nervous system (CNS). In this context, infection of the blood-cerebrospinal fluid barrier (BCSFB), which has been demonstrated to be involved in enteroviral CNS pathogenesis, may affect the tight junction (TJ) and adherens junction (AJ) function and morphology.

methodsWe used an in vitro human choroid plexus epithelial (HIBCPP) cell model to investigate the effect of three clinical outbreak strains (13-311, 13-759, and 14-397) isolated in Germany in 2013, and compared them to E-30 Bastianni. Conducting transepithelial electrical resistance (TEER), paracellular dextran flux measurement, quantitative real-time polymerase chain reaction (qPCR), western blot, and immunofluorescence analysis, we investigated TJ and AJ function and morphology as well as strain-specific E-30 infection patterns. Additionally, transmission electron and focused ion beam microscopy electron microscopy (FIB-SEM) was used to evaluate the mode of leukocyte transmigration. Genome sequencing and phylogenetic analyses were performed to discriminate potential genetic differences among the outbreak strains.

resultsWe observed a significant strain-dependent decrease in TEER with strains E-30 Bastianni and 13-311, whereas paracellular dextran flux was only affected by E-30 Bastianni. Despite strong similarities among the outbreak strains in replication characteristics and particle distribution, strain 13-311 was the only outbreak isolate revealing comparable disruptive effects on TJ (Zonula Occludens (ZO) 1 and occludin) and AJ (E-cadherin) morphology to E-30 Bastianni. Notwithstanding significant junctional alterations upon E-30 infection, we observed both para- and transcellular leukocyte migration across HIBCPP cells. Complete genome sequencing revealed differences between the strains analyzed, but no explicit correlation with the observed strain-dependent effects on HIBCPP cells was possible.

conclusionThe findings revealed distinct E-30 strain-specific effects on barrier integrity and junctional morphology. Despite E-30-induced barrier alterations leukocyte trafficking did not exclusively occur via the paracellular route.

Indexed as

Disease OutbreaksBlood-Brain BarrierCell Line, TumorCells, CulturedCell SurvivalCerebrospinal FluidChoroid PlexusEnterovirus B, HumanHumansPhylogenySpecies SpecificityBlood-cerebrospinal fluid barrierCNSEchovirus (E-30)EnterovirusGenomic sequencingMeningitisOutbreak strainsParacellular transmigrationTight junctionTranscellular transmigration

Identifiers

PMID29463289
PMCPMC5819246
OpenAlexW2795281349

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.