Evidence map›Paper›PMID 29738579›Full record

ArticlePloS one2018

BaiCD gene cluster abundance is negatively correlated with Clostridium difficile infection.

Philipp Solbach, Patrick Chhatwal, Sabrina Woltemate, Evelina Tacconelli, Michael Buhl, Markus Gerhard, Christoph K Thoeringer, Maria J G T Vehreschild, Nathalie Jazmati, Jan Rupp and 3 more

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. The Potential of Bile Acids as Biomarkers for Metabolic Disorders.International journal of molecular sciences · 2023
    Review
  6. Frontiers in microbiology · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Evaluation of the Risk ofMetabolites · 2022
    Article
  13. Article
  14. Article
  15. Application of Microbiome Management in Therapy forPathogens (Basel, Switzerland) · 2021
    Review
  16. Review
  17. Review
  18. Treatment issues in recurrentFEMS microbes · 2020
    Review
  19. Ridinilazole, a narrow spectrum antibiotic for treatment ofAmerican journal of physiology. Gastrointestinal and liver physiology · 2020
    Article
  20. 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

13 authors.

Philipp SolbachHannover Medical School, Institute of Medical Microbiology and Hospital Epidemiology, Hannover, Germany.ORCID 0000-0003-2708-3611
Patrick ChhatwalHannover Medical School, Institute of Medical Microbiology and Hospital Epidemiology, Hannover, Germany.
Sabrina WoltemateHannover Medical School, Institute of Medical Microbiology and Hospital Epidemiology, Hannover, Germany.
Evelina TacconelliTübingen University Hospital, Division of Infectious Diseases, Department of Internal Medicine 1, Tübingen, Germany.
Michael BuhlGerman Center for Infection Research (DZIF), partner site Tübingen, Tübingen, Germany.
Markus GerhardTechnische Universität München, Institute for Medical Microbiology, Immunology and Hygiene, Munich, Germany.
Christoph K ThoeringerGerman Center for Infection Research (DZIF), partner site Munich, Munich, Germany.
Maria J G T VehreschildUniversity Hospital of Cologne, 1st Department of Internal Medicine, Cologne, Germany.
Nathalie JazmatiGerman Center for Infection Research (DZIF), partner site Bonn-Cologne, Bonn-Cologne, Germany.
Jan RuppUniversity Hospital Schleswig-Holstein, Department of Infectious Diseases and Microbiology, Lübeck, Germany.
Michael P MannsHannover Medical School, Department of Gastroenterology, Hepatology and Endocrinology, Hannover, Germany.
Oliver BachmannHannover Medical School, Department of Gastroenterology, Hepatology and Endocrinology, Hannover, Germany.
Sebastian SuerbaumHannover Medical School, Institute of Medical Microbiology and Hospital Epidemiology, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClostridium difficile infection (CDI) is a major cause of hospital-acquired diarrhea. Secondary bile acids were shown to confer resistance to colonization by C. difficile. 7α-dehydroxylation is a key step in transformation of primary to secondary bile acids and required genes have been located in a single bile acid-inducible (bai) operon in C. scindens as well as in C. hiranonis, two Clostridium sp. recently reported to protect against C. difficile colonization.

aimTo analyze baiCD gene abundance in C. difficile positive and negative fecal samples. MATERIAL &

methodsA species-specific qPCR for detecting baiCD genes was established. Fecal samples of patients with CDI, asymptomatic toxigenic C. difficile colonization (TCD), non-toxigenic C. difficile colonization (NTCD), of C. difficile negative (NC) patients, and of two patients before and after fecal microbiota transplantation (FMT) for recurrent CDI (rCDI) were tested for the presence of the baiCD genes.

resultsThe prevalence of the baiCD gene cluster was significantly higher in C. difficile negative fecal samples than in samples of patients diagnosed with CDI (72.5% (100/138) vs. 35.9% (23/64; p<0.0001). No differences in baiCD gene cluster prevalence were seen between NC and NTCD or NC and TCD samples. Both rCDI patients were baiCD-negative at baseline, but one of the two patients turned positive after successful FMT from a baiCD-positive donor.

conclusionFecal samples of CDI patients are less frequently baiCD-positive than samples from asymptomatic carriers or C. difficile-negative individuals. Furthermore, we present a case of baiCD positivity observed after successful FMT for rCDI.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsBacterial ToxinsBileBile Acids and SaltsClostridioides difficileClostridium InfectionsDiarrheaFecal Microbiota TransplantationFecesFemaleHumansMaleMicrobiotaAnti-Bacterial AgentsBacterial ProteinsBacterial ToxinsBile Acids and Salts

Identifiers

PMID29738579
PMCPMC5940204

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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.