Evidence map›Paper›PMID 29588538›Full record

ArticleNature microbiology2018

Campylobacter jejuni transcriptional and genetic adaptation during human infection.

Alexander A Crofts, Frédéric M Poly, Cheryl P Ewing, Janelle M Kuroiwa, Joanna E Rimmer, Clayton Harro, David Sack, Kawsar R Talaat, Chad K Porter, Ramiro L Gutierrez and 13 more

Open access · greenAbstract read
In one paragraph

Article in Nature microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
12.4field-weighted citation impact, top 1% 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

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. EnterotoxigenicProceedings of the National Academy of Sciences of the United States of America · 2018
    Trial
  5. Enhancing surveillance of foodborne bacteria and antimicrobial resistance using a large centralized laboratory database: Case study of Campylobacter and nontyphoidal Salmonella in Peru.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Article
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  7. Serine protease HtrA promotesScience advances · 2026
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  8. Broad-spectrum phage cocktail targetingFrontiers in microbiology · 2026
    Article
  9. AProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Article
  11. ThemBio · 2025
    Article
  12. Article
  13. Small worms big discoveries:Frontiers in cellular and infection microbiology · 2025
    Review
  14. Review
  15. Article
  16. Increased Motility inInternational journal of molecular sciences · 2024
    Article
  17. Article
  18. Dissecting components of theMicrobiology spectrum · 2024
    Article
  19. Shigella-Controlled Human Infection Models: Current and Future Perspectives.Current topics in microbiology and immunology · 2024
    Review
  20. The Controlled Human Infection Model for Enterotoxigenic Escherichia coli.Current topics in microbiology and immunology · 2024
    Review

9 more citing papers are in PubMed but not listed here.

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

23 authors at 6 institutions in 3 countries.

Alexander A CroftsDepartment of Molecular Biosciences, University of Texas at Austin, Austin, TX, USA.
Frédéric M PolyEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Cheryl P EwingEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Janelle M KuroiwaEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Joanna E RimmerEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Clayton HarroDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
David SackDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Kawsar R TalaatDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Chad K PorterEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Ramiro L GutierrezEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Barbara DeNearingDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jessica BrubakerDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Renée M LairdEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Alexander C MaueEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Kayla JaepEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Ashley AlcalaEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
David R TribbleInfectious Disease Clinical Research Program, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Mark S RiddleEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Amritha RamakrishnanNaval Medical Research Unit-6, Lima, Peru.
Andrea J McCoyNaval Medical Research Unit-6, Lima, Peru.
Bryan W DaviesDepartment of Molecular Biosciences, University of Texas at Austin, Austin, TX, USA.
Patricia GuerryEnteric Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA. patricia.guerry-kopecko.civ@mail.mil.ORCID 0000-0001-8463-4091
M Stephen TrentDepartment of Infectious Diseases, University of Georgia at Athens, College of Veterinary Medicine, Athens, GA, USA. strent@uga.edu.ORCID 0000-0001-6134-1800
Naval Medical Research Command · USJohns Hopkins University · USThe University of Texas at Austin · USUnited States Naval Medical Research Unit SOUTH · PEUniformed Services University of the Health Sciences · USUniversity of Georgia · US

Funding

MODIFICATION OF HELICOBACTER PYLORI LIPOPOLYSACCHARIDESR01AI064184 · NIAID · UNIVERSITY OF TEXAS AT AUSTIN · PI TRENT, MICHAEL STEPHEN · 2006 to 2015
$3.4M
Development of a novel vaccine platform: Surface Antigen/Adjuvant Vaccine Engineering (SAAVE)R01AI129940 · NIAID · UNIVERSITY OF GEORGIA · PI TRENT, MICHAEL STEPHEN · 2017 to 2021
$3.3M
The Outer Surface of Vibrio CholeraeR01AI076322 · NIAID · UNIVERSITY OF TEXAS AT AUSTIN · PI TRENT, MICHAEL STEPHEN · 2008 to 2017
$3.2M
NIAID NIH HHS R01 AI064184NIAID NIH HHS R01 AI076322NIAID NIH HHS R01 AI129940
6 · The paper itself

Abstract

Campylobacter jejuni infections are a leading cause of bacterial food-borne diarrhoeal illness worldwide, and Campylobacter infections in children are associated with stunted growth and therefore long-term deficits into adulthood. Despite this global impact on health and human capital, how zoonotic C. jejuni responds to the human host remains unclear. Unlike other intestinal pathogens, C. jejuni does not harbour pathogen-defining toxins that explicitly contribute to disease in humans. This makes understanding Campylobacter pathogenesis challenging and supports a broad examination of bacterial factors that contribute to C. jejuni infection. Here, we use a controlled human infection model to characterize C. jejuni transcriptional and genetic adaptations in vivo, along with a non-human primate infection model to validate our approach. We found that variation in 11 genes is associated with either acute or persistent human infections and includes products involved in host cell invasion, bile sensing and flagella modification, plus additional potential therapeutic targets. In particular, a functional version of the cell invasion protein A (cipA) gene product is strongly associated with persistently infecting bacteria and we identified its biochemical role in flagella modification. These data characterize the adaptive C. jejuni response to primate infections and suggest therapy design should consider the intrinsic differences between acute and persistently infecting bacteria. In addition, RNA sequencing revealed conserved responses during natural host commensalism and human infections. Thirty-nine genes were differentially regulated in vivo across hosts, lifestyles and C. jejuni strains. This conserved in vivo response highlights important C. jejuni survival mechanisms such as iron acquisition and evasion of the host mucosal immune response. These advances highlight pathogen adaptability across host species and demonstrate the utility of multidisciplinary collaborations in future clinical trials to study pathogens in vivo.

Indexed as

AnimalsAzithromycinBacterial ProteinsCampylobacter InfectionsCampylobacter jejuniChickensCiprofloxacinFlagellaFoodborne DiseasesGene Expression Regulation, BacterialGenetic VariationHumansIntestinesMembrane ProteinsRifaximinAzithromycinBacterial ProteinsCiprofloxacinMembrane ProteinsRifaximin

Identifiers

PMID29588538
PMCPMC5876760
OpenAlexW2795318775

What OpenQuestion holds

Textmetadata
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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.