Evidence map›Paper›PMID 30114220›Full record

ArticlePLoS neglected tropical diseases2018

Human plague associated with Tibetan sheep originates in marmots.

Ruixia Dai, Baiqing Wei, Haoming Xiong, Xiaoyan Yang, Yao Peng, Jian He, Juan Jin, Yumeng Wang, Xi Zha, Zhikai Zhang and 5 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Emergence, global dispersal, and local adaptations ofApplied and environmental microbiology · 2026
    Review
  2. One health (Amsterdam, Netherlands) · 2025
    Article
  3. The complex genomic diversity ofEcology and evolution · 2023
    Article
  4. Article
  5. Article
  6. PlagueKD: a knowledge graph-based plague knowledge database.Database : the journal of biological databases and curation · 2022
    Article
  7. Stone AgeProceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  8. RemodelingProceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  9. Review
  10. Article
  11. Yersinia pestis: the Natural History of Plague.Clinical microbiology reviews · 2020
    Review
  12. Article
  13. Past pandemics and climate variability across the Mediterranean.Euro-Mediterranean journal for environmental integration · 2020
    Article
  14. Article
  15. Review
  16. Marmots andFrontiers in veterinary science · 2019
    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

15 authors at 3 institutions in 1 country.

Ruixia DaiQinghai Institute for Endemic Disease Control and Prevention, Xining, China.
Baiqing WeiQinghai Institute for Endemic Disease Control and Prevention, Xining, China.
Haoming XiongQinghai Institute for Endemic Disease Control and Prevention, Xining, China.
Xiaoyan YangQinghai Institute for Endemic Disease Control and Prevention, Xining, China.
Yao PengNational Institute for Communicable Disease Control and Prevention, China CDC, Changping, Beijing, China.
Jian HeQinghai Institute for Endemic Disease Control and Prevention, Xining, China.
Juan JinQinghai Institute for Endemic Disease Control and Prevention, Xining, China.
Yumeng WangNational Institute for Communicable Disease Control and Prevention, China CDC, Changping, Beijing, China.
Xi ZhaCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, China.
Zhikai ZhangNational Institute for Communicable Disease Control and Prevention, China CDC, Changping, Beijing, China.
Ying LiangNational Institute for Communicable Disease Control and Prevention, China CDC, Changping, Beijing, China.
Qingwen ZhangQinghai Institute for Endemic Disease Control and Prevention, Xining, China.
Jianguo XuNational Institute for Communicable Disease Control and Prevention, China CDC, Changping, Beijing, China.
Zuyun WangQinghai Institute for Endemic Disease Control and Prevention, Xining, China.
Wei LiNational Institute for Communicable Disease Control and Prevention, China CDC, Changping, Beijing, China.ORCID 0000-0003-0968-400X
Qinghai Institute for Endemic Diease Prevention and Control · CNChinese Center For Disease Control and Prevention · CNTibet Autonomous Region People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Qinghai-Tibet plateau is a natural plague focus and is the largest such focus in China. In this area, while Marmota himalayana is the primary host, a total of 18 human plague outbreaks associated with Tibetan sheep (78 cases with 47 deaths) have been reported on the Qinghai-Tibet plateau since 1956. All of the index infectious cases had an exposure history of slaughtering or skinning diseased or dead Tibetan sheep. In this study, we sequenced and compared 38 strains of Yersinia pestis isolated from different hosts, including humans, Tibetan sheep, and M. himalayana. Phylogenetic relationships were reconstructed based on genome-wide single-nucleotide polymorphisms identified from our isolates and reference strains. The phylogenetic relationships illustrated in our study, together with the finding that the Tibetan sheep plague clearly lagged behind the M. himalayana plague, and a previous study that identified the Tibetan sheep as a plague reservoir with high susceptibility and moderate sensitivity, indicated that the human plague was transmitted from Tibetan sheep, while the Tibetan sheep plague originated from marmots. Tibetan sheep may encounter this infection by contact with dead rodents or through being bitten by fleas originating from M. himalayana during local epizootics.

Indexed as

AnimalsDisease ReservoirsDNA, BacterialGenome, BacterialHumansMarmotaPhylogenyPlaguePolymorphism, Single NucleotideSheepSheep DiseasesYersinia pestisZoonosesDNA, Bacterial

Identifiers

PMID30114220
PMCPMC6095483
OpenAlexW2887983829

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.