Evidence map›Paper›PMID 30578712›Full record

ArticleCellular microbiology2019

The structure of the Shiga toxin 2a A-subunit dictates the interactions of the toxin with blood components.

Maurizio Brigotti, Dorothea Orth-Höller, Domenica Carnicelli, Elisa Porcellini, Elisabetta Galassi, Pier Luigi Tazzari, Francesca Ricci, Francesco Manoli, Ilse Manet, Heribert Talasz and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Cellular microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

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  11. Article
  12. Molecular Biology ofToxins · 2020
    Review
  13. Verotoxin Receptor-Based Pathology and Therapies.Frontiers in cellular and infection microbiology · 2020
    Review
  14. 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

17 authors at 4 institutions in 2 countries.

Maurizio BrigottiDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Sede di Patologia Generale, Università di Bologna, Bologna, Italy.ORCID 0000-0001-7429-744X
Dorothea Orth-HöllerDivision of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.
Domenica CarnicelliDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Sede di Patologia Generale, Università di Bologna, Bologna, Italy.
Elisa PorcelliniDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Sede di Patologia Generale, Università di Bologna, Bologna, Italy.
Elisabetta GalassiDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Sede di Patologia Generale, Università di Bologna, Bologna, Italy.
Pier Luigi TazzariServizio di Immunoematologia e Trasfusionale, Ospedale S. Orsola-Malpighi, Bologna, Italy.
Francesca RicciServizio di Immunoematologia e Trasfusionale, Ospedale S. Orsola-Malpighi, Bologna, Italy.
Francesco ManoliIstituto per la Sintesi Organica e la Fotoreattività, Consiglio Nazionale delle Ricerche, Bologna, Italy.
Ilse ManetIstituto per la Sintesi Organica e la Fotoreattività, Consiglio Nazionale delle Ricerche, Bologna, Italy.
Heribert TalaszDivision of Clinical Biochemistry, Biocentre, Medical University of Innsbruck, Innsbruck, Austria.
Herbert H LindnerDivision of Clinical Biochemistry, Biocentre, Medical University of Innsbruck, Innsbruck, Austria.
Cornelia SpethDivision of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.
Thomas ErbeznikDivision of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.
Stefan FuchsDivision of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.
Wilfried PoschDivision of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.
Sneha ChatterjeeDivision of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.
Reinhard WürznerDivision of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.
Innsbruck Medical University · ATUniversity of Bologna · ITInstitute of Organic Synthesis and Photoreactivity · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · IT

Funding

Austrian Science Fund FWF W 1253
6 · The paper itself

Abstract

Hemolytic uremic syndrome (eHUS) is a severe complication of human infections with Shiga toxins (Stxs)-producing Escherichia coli. A key step in the pathogenesis of eHUS is the interaction of Stxs with blood components before the targeting of renal endothelial cells. Here, we show that a single proteolytic cleavage in the Stx2a A-subunit, resulting into two fragments (A1 and A2) linked by a disulfide bridge (cleaved Stx2a), dictates different binding abilities. Uncleaved Stx2a was confirmed to bind to human neutrophils and to trigger leukocyte/platelet aggregate formation, whereas cleaved Stx2a was ineffective. Conversely, binding of complement factor H was confirmed for cleaved Stx2a and not for uncleaved Stx2a. It is worth noting that uncleaved and cleaved Stx2a showed no differences in cytotoxicity for Vero cells or Raji cells, structural conformation, and contaminating endotoxin. These results have been obtained by comparing two Stx2a batches, purified in different laboratories by using different protocols, termed Stx2a(cl; cleaved toxin, Innsbruck) and Stx2a(uncl; uncleaved toxin, Bologna). Stx2a(uncl) behaved as Stx2a(cl) after mild trypsin treatment. In this light, previous controversial results obtained with purified Stx2a has to be critically re-evaluated; furthermore, characterisation of the structure of circulating Stx2a is mandatory to understand eHUS-pathogenesis and to develop therapeutic approaches.

Indexed as

AnimalsBlood PlateletsChlorocebus aethiopsCircular DichroismComplement Factor HEscherichia coliFluorescenceHumansLeukocytesNeutrophilsProtein BindingProtein ConformationShiga Toxin 2TrihexosylceramidesTrypsinVero CellsComplement Factor HglobotriaosylceramideShiga Toxin 2TrihexosylceramidesTrypsin

Identifiers

PMID30578712
PMCPMC6492301
OpenAlexW2905867229

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.