Evidence map›Paper›PMID 30514915›Full record

ArticleEmerging microbes & infections2018

Novel type of pilus associated with a Shiga-toxigenic E. coli hybrid pathovar conveys aggregative adherence and bacterial virulence.

Christina Lang, Angelika Fruth, Gudrun Holland, Michael Laue, Sabrina Mühlen, Petra Dersch, Antje Flieger

Open access · goldAbstract read
In one paragraph

Article in Emerging microbes & infections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. EnteroaggregativeEcoSal Plus · 2025
    Review
  2. Importance ofMicrobiology spectrum · 2025
    Article
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  6. Characterization of clumpy adhesion ofMicrobiology spectrum · 2024
    Article
  7. Article
  8. Article
  9. Transposon mutagenesis of atypical enteroaggregativeFrontiers in cellular and infection microbiology · 2023
    Article
  10. Article
  11. Adhesin related genes as potential markers for the enteroaggregativeFrontiers in cellular and infection microbiology · 2022
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Diversity of Hybrid- and Hetero-PathogenicFrontiers in cellular and infection microbiology · 2020
    Review
  18. 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

7 authors at 2 institutions in 1 country.

Christina LangDivision of Enteropathogenic Bacteria and Legionella, Robert Koch Institut, Wernigerode, Saxony-Anhalt, 38855, Germany.
Angelika FruthDivision of Enteropathogenic Bacteria and Legionella, Robert Koch Institut, Wernigerode, Saxony-Anhalt, 38855, Germany.
Gudrun HollandDivision of Advanced Light and Electron Microscopy, Robert Koch Institut, Berlin, 13353, Germany.
Michael LaueDivision of Advanced Light and Electron Microscopy, Robert Koch Institut, Berlin, 13353, Germany.
Sabrina MühlenDepartment of Molecular Infection Biology, Helmholtz Centre for Infection Research, Braunschweig, Lower Saxony, 38124, Germany.
Petra DerschDepartment of Molecular Infection Biology, Helmholtz Centre for Infection Research, Braunschweig, Lower Saxony, 38124, Germany.
Antje FliegerDivision of Enteropathogenic Bacteria and Legionella, Robert Koch Institut, Wernigerode, Saxony-Anhalt, 38855, Germany. fliegera@rki.de.
Robert Koch Institute · DEHelmholtz Centre for Infection Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A large German outbreak in 2011 was caused by a locus of enterocyte effacement (LEE)-negative enterohemorrhagic E. coli (EHEC) strain of the serotype O104:H4. This strain harbors markers that are characteristic of both EHEC and enteroaggregative E. coli (EAEC), including aggregative adhesion fimbriae (AAF) genes. Such rare EHEC/EAEC hybrids are highly pathogenic due to their possession of a combination of genes promoting severe toxicity and aggregative adhesion. We previously identified novel EHEC/EAEC hybrids and observed that one strain exhibited aggregative adherence but had no AAF genes. In this study, a genome sequence analysis showed that this strain belongs to the genoserotype O23:H8, MLST ST26, and harbors a 5.2 Mb chromosome and three plasmids. One plasmid carries some EAEC marker genes, such as aatA and genes with limited protein homology (11-61%) to those encoding the bundle-forming pilus (BFP) of enteropathogenic E. coli. Due to significant protein homology distance to known pili, we designated these as aggregate-forming pili (AFP)-encoding genes and the respective plasmid as pAFP. The afp operon was arranged similarly to the operon of BFP genes but contained an additional gene, afpA2, which is homologous to afpA. The deletion of the afp operon, afpA, or a nearby gene (afpR) encoding an AraC-like regulator, but not afpA2, led to a loss of pilin production, piliation, bacterial autoaggregation, and importantly, a >80% reduction in adhesion and cytotoxicity toward epithelial cells. Gene sets similar to the afp operon were identified in a variety of aatA-positive but AAF-negative intestinal pathogenic E. coli. In summary, we characterized widely distributed and novel fimbriae that are essential for aggregative adherence and cytotoxicity in a LEE-negative Shiga-toxigenic hybrid.

Indexed as

Bacterial AdhesionBacterial Typing TechniquesEnterohemorrhagic Escherichia coliEpithelial CellsEscherichia coli InfectionsEscherichia coli ProteinsFimbriae, BacterialGenome, BacterialHumansMultilocus Sequence TypingSequence Analysis, DNASerogroupShiga ToxinVirulenceEscherichia coli ProteinsShiga Toxin

Identifiers

PMID30514915
PMCPMC6279748
OpenAlexW2902153911

What OpenQuestion holds

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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.