Evidence map›Paper›PMID 30476200›Full record

ArticleThe Journal of infectious diseases2019

A Novel Role for the Klebsiella pneumoniae Sap (Sensitivity to Antimicrobial Peptides) Transporter in Intestinal Cell Interactions, Innate Immune Responses, Liver Abscess, and Virulence.

Chun-Ru Hsu, I-Wei Chang, Pei-Fang Hsieh, Tzu-Lung Lin, Pei-Yin Liu, Chen-Hsiu Huang, Kun-Tzu Li, Jin-Town Wang

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

26 citing papers in PubMed, 41 citations in OpenAlex.

  1. HypervirulentMicrobiology spectrum · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Hypervirulent and Drug-ResistantInternational journal of general medicine · 2026
    Review
  7. Antibiotics accumulate inProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. A novelVirulence · 2025
    Article
  9. Article
  10. Modulation of virulence and metabolic profiles inFrontiers in cellular and infection microbiology · 2025
    Article
  11. Article
  12. Metabolic Reprogramming ofJournal of proteome research · 2024
    Article
  13. Deciphering the gastrointestinal carriage ofInfection and immunity · 2024
    Review
  14. Review
  15. Article
  16. The Characteristic of Biofilm Formation in ESBL-ProducingThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2024
    Article
  17. Animal models ofFrontiers in microbiology · 2024
    Review
  18. Article
  19. Article
  20. FromMicroorganisms · 2021
    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

8 authors at 4 institutions in 1 country.

Chun-Ru HsuDepartment of Medical Research, I-Shou University, Kaohsiung, Taiwan.
I-Wei ChangDepartment of Pathology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.
Pei-Fang HsiehDepartment of Microbiology, National Taiwan University College of Medicine.
Tzu-Lung LinDepartment of Microbiology, National Taiwan University College of Medicine.
Pei-Yin LiuDepartment of Microbiology, National Taiwan University College of Medicine.
Chen-Hsiu HuangSchool of Medicine for International Students, I-Shou University, Kaohsiung, Taiwan.
Kun-Tzu LiDepartment of Medical Research, I-Shou University, Kaohsiung, Taiwan.
Jin-Town WangDepartment of Microbiology, National Taiwan University College of Medicine.
I-Shou University · TWNational Taiwan University · TWE-Da Hospital · TWNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klebsiella pneumoniae is an important human pathogen causing hospital-acquired and community-acquired infections. Systemic K. pneumoniae infections may be preceded by gastrointestinal colonization, but the basis of this bacterium's interaction with the intestinal epithelium remains unclear. Here, we report that the K. pneumoniae Sap (sensitivity to antimicrobial peptides) transporter contributes to bacterial-host cell interactions and in vivo virulence. Gene deletion showed that sapA is required for the adherence of a K. pneumoniae blood isolate to intestinal epithelial, lung epithelial, urinary bladder epithelial, and liver cells. The ΔsapA mutant was deficient for translocation across intestinal epithelial monolayers, macrophage interactions, and induction of proinflammatory cytokines. In a mouse gastrointestinal infection model, ΔsapA yielded significantly decreased bacterial loads in liver, spleen and intestine, reduced liver abscess generation, and decreased mortality. These findings offer new insights into the pathogenic interaction of K. pneumoniae with the host gastrointestinal tract to cause systemic infection.

Indexed as

Klebsiella pneumoniaeAnimalsFemaleHumansImmunity, InnateIntestinesKlebsiella InfectionsLiver AbscessMiceMice, Inbred BALB CVirulence FactorsVirulence Factorsintestinal cellKlebsiella pneumoniaeliver abscessSap transportervirulence

Identifiers

PMID30476200
PMCPMC6452313
OpenAlexW2904258281

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.