Evidence map›Paper›PMID 30568178›Full record

ArticleScientific reports2018

Streptococcus mitis Expressing Pneumococcal Serotype 1 Capsule.

Fernanda C Lessa, Jennifer Milucky, Nadine G Rouphael, Nancy M Bennett, H Keipp Talbot, Lee H Harrison, Monica M Farley, Jeremy Walston, Fabiana Pimenta, Robert E Gertz and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
5.2field-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

35 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. The Clinical Significance ofOpen forum infectious diseases · 2026
    Article
  3. mBio · 2026
    Article
  4. Digital PCR linkage analysis resolvesMicrobiology spectrum · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Frontiers in microbiology · 2023
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

14 authors at 7 institutions in 1 country.

Fernanda C LessaCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases, Atlanta, Georgia, USA. flessa@cdc.gov.
Jennifer MiluckyCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases, Atlanta, Georgia, USA.
Nadine G RouphaelEmory University School of Medicine, Department of Medicine, Atlanta, Georgia, USA.
Nancy M BennettUniversity of Rochester School of Medicine and Dentistry, Department of Medicine, Rochester, New York, USA.
H Keipp TalbotVanderbilt University Medical Center, Nashville, Tennessee, USA.
Lee H HarrisonJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Monica M FarleyEmory University School of Medicine, Department of Medicine, Atlanta, Georgia, USA.
Jeremy WalstonDivision of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Fabiana PimentaCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases, Atlanta, Georgia, USA.
Robert E GertzCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases, Atlanta, Georgia, USA.
Gowrisankar RajamCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases, Atlanta, Georgia, USA.
Maria da Gloria CarvalhoCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases, Atlanta, Georgia, USA.
Bernard BeallCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases, Atlanta, Georgia, USA. bbeall@cdc.gov.
Cynthia G WhitneyCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases, Atlanta, Georgia, USA.
National Center for Immunization and Respiratory Diseases · USCenters for Disease Control and Prevention · USJohns Hopkins University · USEmory University · USUniversity of Rochester · USVanderbilt University Medical Center · USVeterans Health Administration · US

Funding

The University of Rochester's Clinical and Translational Science InstituteUL1TR000042 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$14.4M
U.S. Department of Health & Human Services | Centers for Disease Control and Prevention (CDC) CDC-RFA-CK17-1701
6 · The paper itself

Abstract

Streptococcus pneumoniae's polysaccharide capsule is an important virulence factor; vaccine-induced immunity to specific capsular polysaccharide effectively prevents disease. Serotype 1 S. pneumoniae is rarely found in healthy persons, but is highly invasive and a common cause of meningitis outbreaks and invasive disease outside of the United States. Here we show that genes for polysaccharide capsule similar to those expressed by pneumococci were commonly detected by polymerase chain reaction among upper respiratory tract samples from older US adults not carrying pneumococci. Serotype 1-specific genes were predominantly detected. In five oropharyngeal samples tested, serotype 1 gene belonging to S. mitis expressed capsules immunologically indistinct from pneumococcal capsules. Whole genome sequencing revealed three distinct S. mitis clones, each representing a cps1 operon highly similar to the pneumococcal cps1 reference operon. These findings raise important questions about the contribution of commensal streptococci to natural immunity against pneumococci, a leading cause of mortality worldwide.

Indexed as

Gene ExpressionBacterial CapsulesCross ReactionsCross-Sectional StudiesGene OrderGenes, BacterialHumansPhylogenyPneumococcal InfectionsSerogroupStreptococcus mitisStreptococcus pneumoniaeVirulence FactorsVirulence Factors

Identifiers

PMID30568178
PMCPMC6299277
OpenAlexW2904424812

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.