Evidence map›Paper›PMID 31316085›Full record

ArticleScientific reports2019

Insights into the Microbiome of Breast Implants and Periprosthetic Tissue in Breast Implant-Associated Anaplastic Large Cell Lymphoma.

Jennifer N Walker, Blake M Hanson, Chloe L Pinkner, Shelby R Simar, Jerome S Pinkner, Rajiv Parikh, Mark W Clemens, Scott J Hultgren, Terence M Myckatyn

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
12.1field-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.

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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Breast-implant associated unicentric castleman disease: a case report.Current problems in cancer. Case reports · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Mammary Gland Microbiota in Benign Breast Diseases.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. An Update on Implant-Associated Malignancies and Their Biocompatibility.International journal of molecular sciences · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

9 authors at 5 institutions in 1 country.

Jennifer N WalkerDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Blake M HansonCenter for Infectious Diseases, School of Public Health, University of Texas Health Sciences Center, Houston, USA.
Chloe L PinknerDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Shelby R SimarCenter for Infectious Diseases, School of Public Health, University of Texas Health Sciences Center, Houston, USA.
Jerome S PinknerDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Rajiv ParikhDivision of Plastic & Reconstructive Surgery, Washington University School of Medicine, Alvin J. Siteman Cancer Center, Saint Louis, Missouri, USA.
Mark W ClemensDepartment of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Scott J HultgrenDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID http://orcid.org/0000-0001-8785-564X
Terence M MyckatynDivision of Plastic & Reconstructive Surgery, Washington University School of Medicine, Alvin J. Siteman Cancer Center, Saint Louis, Missouri, USA. myckatyn@wustl.edu.
Washington University in St. Louis · USThe University of Texas Health Science Center · USAlvin J. Siteman Cancer Center · USJewish Hospital · USThe University of Texas MD Anderson Cancer Center · US

Funding

Plastic Surgery Foundation (PSF) 509789
6 · The paper itself

Abstract

Though rare, breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a CD30+ T-cell lymphoma associated with textured breast implants, has adversely impacted our perception of the safety of breast implants. Its etiology unknown, one hypothesis suggests an initiating inflammatory stimulus, possibly infectious, triggers BIA-ALCL. We analyzed microbiota of breast, skin, implant and capsule in BIA-ALCL patients (n = 7), and controls via culturing methods, 16S rRNA microbiome sequencing, and immunohistochemistry. Alpha and beta diversity metrics and relative abundance of Gram-negative bacteria were calculated, and phylogenetic trees constructed. Staphylococcus spp., the most commonly cultured microbes, were identified in both the BIA-ALCL and contralateral control breast. The diversity of bacterial microbiota did not differ significantly between BIA-ALCL and controls for any material analyzed. Further, there were no significant differences in the relative abundance of Gram-negative bacteria between BIA-ALCL and control specimens. Heat maps suggested substantial diversity in the composition of the bacterial microbiota of the skin, breast, implant and capsule between patients with no clear trend to distinguish BIA-ALCL from controls. While we identified no consistent differences between patients with BIA-ALCL-affected and contralateral control breasts, this study provides insights into the composition of the breast microbiota in this population.

Indexed as

AdultBacteriaBreast ImplantationBreast ImplantsBreast NeoplasmsFemaleHumansLymphoma, Large-Cell, AnaplasticMicrobiotaMiddle AgedPhylogenyPostoperative ComplicationsRNA, Ribosomal, 16SRNA, Ribosomal, 16S

Identifiers

PMID31316085
PMCPMC6637124
OpenAlexW2959098174

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.