Evidence map›Paper›PMID 31006638›Full record

ArticleCell host & microbe2019

Strain- and Species-Level Variation in the Microbiome of Diabetic Wounds Is Associated with Clinical Outcomes and Therapeutic Efficacy.

Lindsay R Kalan, Jacquelyn S Meisel, Michael A Loesche, Joseph Horwinski, Ioana Soaita, Xiaoxuan Chen, Aayushi Uberoi, Sue E Gardner, Elizabeth A Grice

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05770856 (Clinical Metagenomic Next-Generation Sequencing for Microbial Infections in Trauma), which is not on this map. Cited by 220 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
220citing papers in PubMed, 4 pooled it
20.9field-weighted citation impact, top 1% 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.

NCT05770856 completednot on this mapstarted 2023, after this paper: background citation

Clinical Metagenomic Next-Generation Sequencing for Microbial Infections in Trauma

TypeobservationalSponsorCentre Hospitalier Intercommunal de Toulon La Seyne sur MerRan2023 to 2023Enrolled25ConditionsFractures, Bone, InfectionsArmsMetagenomic sequencing
3 · Its place in the literature

Who cites it

220 citing papers in PubMed, 4 syntheses or guidelines pooled it, 355 citations in OpenAlex.

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  18. The dual role of the microbiome in chronic wound management.Cell communication and signaling : CCS · 2026
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160 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Lindsay R KalanUniversity of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA 19014, USA; University of Wisconsin, Department of Medical Microbiology and Immunology, School of Medicine and Public Health, Madison, WI, USA.
Jacquelyn S MeiselUniversity of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA 19014, USA; University of Maryland College Park, Center for Bioinformatics and Computational Biology, College Park, MD, USA.
Michael A LoescheUniversity of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA 19014, USA.
Joseph HorwinskiUniversity of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA 19014, USA.
Ioana SoaitaUniversity of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA 19014, USA.
Xiaoxuan ChenUniversity of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA 19014, USA.
Aayushi UberoiUniversity of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA 19014, USA.
Sue E GardnerUniversity of Iowa, College of Nursing, Iowa City, IA 52242, USA.
Elizabeth A GriceUniversity of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA 19014, USA. Electronic address: egrice@pennmedicine.upenn.edu.
University of Pennsylvania · USUniversity of Iowa · USUniversity of Maryland, Baltimore · USUniversity of Wisconsin–Madison · US

Funding

TRAINING PROGRAM IN CELL AND MOLECULAR BIOLOGYT32GM007229 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI BARTOLOMEI, MARISA S. · 1985 to 2023
$14.0M
Penn Dermatology Research Training ProgramT32AR007465 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice, David Joel Margolis · 1986 to 2026
$9.0M
Study Design and Data AnalysisP30AR069589 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice · 2016 to 2026
$8.6M
Decoding the microbial burden in diabetic foot ulcersR01NR015639 · NINR · UNIVERSITY OF PENNSYLVANIA · PI GRICE, ELIZABETH ANNE · 2015 to 2023
$4.1M
Bioburden Predictors of Diabetic Ulcer ComplicationsR01NR009448 · NINR · UNIVERSITY OF IOWA · PI GARDNER, SUE E · 2007 to 2011
$2.9M
Exploratory Center of Excellence for Advancing Multimorbidity Science (CAMS)P20NR018081 · NINR · UNIVERSITY OF IOWA · PI GARDNER, SUE E, RAKEL, BARBARA · 2018 to 2022
$2.2M
Skin microbiome interactions with complementR01AR066663 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI GRICE, ELIZABETH ANNE · 2015 to 2019
$1.8M
The Microbiome of Impaired Wound HealingR00AR060873 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI GRICE, ELIZABETH ANNE · 2012 to 2014
$730k
NIAMS NIH HHS P30 AR069589NIAMS NIH HHS R00 AR060873NIAMS NIH HHS R01 AR066663NIAMS NIH HHS T32 AR007465NIGMS NIH HHS T32 GM007229NINR NIH HHS P20 NR018081NINR NIH HHS R01 NR009448NINR NIH HHS R01 NR015639
6 · The paper itself

Abstract

Chronic wounds are a major complication of diabetes associated with high morbidity and health care expenditures. To investigate the role of colonizing microbiota in diabetic wound healing, clinical outcomes, and response to interventions, we conducted a longitudinal, prospective study of patients with neuropathic diabetic foot ulcers (DFU). Metagenomic shotgun sequencing revealed that strain-level variation of Staphylococcus aureus and genetic signatures of biofilm formation were associated with poor outcomes. Cultured wound isolates of S. aureus elicited differential phenotypes in mouse models that corresponded with patient outcomes, while wound "bystanders" such as Corynebacterium striatum and Alcaligenes faecalis, typically considered commensals or contaminants, also significantly impacted wound severity and healing. Antibiotic resistance genes were widespread, and debridement, rather than antibiotic treatment, significantly shifted the DFU microbiota in patients with more favorable outcomes. These findings suggest that the DFU microbiota may be a marker for clinical outcomes and response to therapeutic interventions.

Indexed as

DebridementMicrobiotaAnimalsAnti-Infective AgentsCoinfectionDiabetic FootDisease Models, AnimalLongitudinal StudiesMiceProspective StudiesTreatment OutcomeWound HealingWound InfectionAnti-Infective Agentsantibiotic resistancechronic woundsdiabetesmetagenomicsmicrobiomewound healing

Identifiers

PMID31006638
PMCPMC6526540
OpenAlexW2939275762

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.