Evidence map›Paper›PMID 29467474›Full record

ArticleScientific reports2018

An in vitro proof-of-principle study of sonobactericide.

Kirby R Lattwein, Himanshu Shekhar, Willem J B van Wamel, Tammy Gonzalez, Andrew B Herr, Christy K Holland, Klazina Kooiman

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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Biofilm · 2025
    Article
  2. Enhancing Passive Cavitation Imaging Using pIEEE transactions on bio-medical engineering · 2025
    Article
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  12. Ultrasonic technologies in imaging and drug delivery.Cellular and molecular life sciences : CMLS · 2021
    Review
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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

7 authors at 3 institutions in 2 countries.

Kirby R LattweinDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC, Room Ee2302, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands. k.lattwein@erasmusmc.nl.
Himanshu ShekharDepartment of Internal Medicine, Division of Cardiovascular Health and Disease, University of Cincinnati, Cincinnati, Ohio, USA.ORCID 0000-0003-1226-4196
Willem J B van WamelDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC, Rotterdam, The Netherlands.
Tammy GonzalezCincinnati Children's Hospital Medical Center, Division of Immunobiology, Center for Systems Immunology, and Division of Infectious Diseases, Cincinnati, Ohio, USA.
Andrew B HerrCincinnati Children's Hospital Medical Center, Division of Immunobiology, Center for Systems Immunology, and Division of Infectious Diseases, Cincinnati, Ohio, USA.ORCID 0000-0002-3598-3399
Christy K HollandDepartment of Internal Medicine, Division of Cardiovascular Health and Disease, University of Cincinnati, Cincinnati, Ohio, USA.ORCID 0000-0003-3382-7170
Klazina KooimanDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC, Room Ee2302, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.ORCID 0000-0002-0607-4989
Erasmus MC · NLCincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · US

Funding

Ultrasound-Assisted Thrombolysis for Stroke TherapyR01NS047603 · NINDS · UNIVERSITY OF CINCINNATI · PI HOLLAND, CHRISTY K. · 2004 to 2018
$7.5M
STUDIES OF METAL-DEPENDENT INTERCELLULAR ADHESION IN STAPHYLOCOCCAL BIOFILMSR01GM094363 · NIGMS · UNIVERSITY OF CINCINNATI · PI HERR, ANDREW B · 2011 to 2021
$2.5M
NIGMS NIH HHS R01 GM094363NINDS NIH HHS R01 NS047603
6 · The paper itself

Abstract

Infective endocarditis (IE) is associated with high morbidity and mortality rates. The predominant bacteria causing IE is Staphylococcus aureus (S. aureus), which can bind to existing thrombi on heart valves and generate vegetations (biofilms). In this in vitro flow study, we evaluated sonobactericide as a novel strategy to treat IE, using ultrasound and an ultrasound contrast agent with or without other therapeutics. We developed a model of IE biofilm using human whole-blood clots infected with patient-derived S. aureus (infected clots). Histology and live-cell imaging revealed a biofilm layer of fibrin-embedded living Staphylococci around a dense erythrocyte core. Infected clots were treated under flow for 30 minutes and degradation was assessed by time-lapse microscopy imaging. Treatments consisted of either continuous plasma flow alone or with different combinations of therapeutics: oxacillin (antibiotic), recombinant tissue plasminogen activator (rt-PA; thrombolytic), intermittent continuous-wave low-frequency ultrasound (120-kHz, 0.44 MPa peak-to-peak pressure), and an ultrasound contrast agent (Definity). Infected clots exposed to the combination of oxacillin, rt-PA, ultrasound, and Definity achieved 99.3 ± 1.7% loss, which was greater than the other treatment arms. Effluent size measurements suggested low likelihood of emboli formation. These results support the continued investigation of sonobactericide as a therapeutic strategy for IE.

Indexed as

BiofilmsContrast MediaEndocarditisHumansOxacillinStaphylococcus aureusThrombosisTissue Plasminogen ActivatorUltrasonographyContrast MediaOxacillinTissue Plasminogen Activator

Identifiers

PMID29467474
PMCPMC5821825
OpenAlexW2806192300

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.