Evidence map›Paper›PMID 30379866›Full record

ArticlePloS one2018

Toxoplasma gondii infection triggers chronic cachexia and sustained commensal dysbiosis in mice.

Jessica A Hatter, Yue Moi Kouche, Stephanie J Melchor, Katherine Ng, Donna M Bouley, John C Boothroyd, Sarah E Ewald

Open access · goldAbstract 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 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Understanding the gut microbiota and sarcopenia: a systematic review.Journal of cachexia, sarcopenia and muscle · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Parasitology · 2025
    Article
  8. Article
  9. Article
  10. Effects of diet and ovariectomy onBrain communications · 2025
    Article
  11. Review
  12. The intersection of hostMicrobiology and molecular biology reviews : MMBR · 2024
    Review
  13. Article
  14. Toxoplasma-induced behavior changes - is microbial dysbiosis the missing link?Frontiers in cellular and infection microbiology · 2024
    Review
  15. Therapeutic potential ofBrain communications · 2024
    Article
  16. Effects ofFood and waterborne parasitology · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. A novel enemy of cancer: recent investigations into protozoan anti-tumor properties.Frontiers in cellular and infection microbiology · 2023
    Review
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 2 institutions in 1 country.

Jessica A HatterDepartment of Microbiology, Immunology and Cancer Biology and the Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United States of America.
Yue Moi KoucheDepartment of Comparative Medicine, Stanford University, Stanford CA, United States of America.
Stephanie J MelchorDepartment of Microbiology, Immunology and Cancer Biology and the Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United States of America.
Katherine NgDepartment of Microbiology and Immunology, Stanford University, Stanford CA, United States of America.
Donna M BouleyDepartment of Comparative Medicine, Stanford University, Stanford CA, United States of America.
John C BoothroydDepartment of Microbiology and Immunology, Stanford University, Stanford CA, United States of America.
Sarah E EwaldDepartment of Microbiology, Immunology and Cancer Biology and the Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United States of America.ORCID 0000-0002-5327-7578
Stanford University · USUniversity of Virginia · US

Funding

INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007496 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Michael G. Brown, Coleen A McNamara · 1995 to 2026
$10.2M
Strain-specific Host-Pathogen Interactions in ToxoplasmosisR01AI073756 · NIAID · STANFORD UNIVERSITY · PI BOOTHROYD, JOHN C · 2007 to 2016
$4.2M
Research Opportunities in Comparative MedicineT35OD010989 · OD · STANFORD UNIVERSITY · PI BUCKMASTER, PAUL S. · 2012 to 2022
$565k
Identification of the non-proteolytic mechanism of NLRP1 activationK22AI116727 · NIAID · UNIVERSITY OF VIRGINIA · PI EWALD, SARAH E. · 2016 to 2017
$269k
NIAID NIH HHS K22 AI116727NIAID NIH HHS R01 AI073756NIAID NIH HHS T32 AI007496NIH HHS T35 OD010989
6 · The paper itself

Abstract

Toxoplasma gondii is a protozoan parasite with a predation-mediated transmission cycle between rodents and felines. Intermediate hosts acquire Toxoplasma by eating parasite cysts which invade the small intestine, disseminate systemically and finally establish host life-long chronic infection in brain and muscles. Here we show that Toxoplasma infection can trigger a severe form of sustained cachexia: a disease of progressive lean weight loss that is a causal predictor of mortality in cancer, chronic disease and many infections. Toxoplasma cachexia is characterized by acute anorexia, systemic inflammation and loss of 20% body mass. Although mice recover from symptoms of peak sickness, they fail to regain muscle mass or visceral adipose depots. We asked whether the damage to the intestinal microenvironment observed at acute time points was sustained in chronic infection and could thereby play a role in sustaining cachexia. We found that parasites replicate in the same region of the distal jejunum/proximal ileum throughout acute infection, inducing the development of secondary lymphoid structures and severe, regional inflammation. Small intestine pathology was resolved by 5 weeks post-infection. However, changes in the commensal populations, notably an outgrowth of Clostridia spp., were sustained in chronic infection. Importantly, uninfected animals co-housed with infected mice display similar changes in commensal microflora but never display symptoms of cachexia, indicating that altered commensals are not sufficient to explain the cachexia phenotype alone. These studies indicate that Toxoplasma infection is a novel and robust model to study the immune-metabolic interactions that contribute to chronic cachexia development, pathology and potential reversal.

Indexed as

AnimalsBacteriaCachexiaCell LineCytokinesDysbiosisFemaleGastrointestinal MicrobiomeMaleMicePhenotypeToxoplasmaToxoplasmosis, AnimalCytokines

Identifiers

PMID30379866
PMCPMC6209157
OpenAlexW2952566600

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.