Evidence map›Paper›PMID 31415623›Full record

ArticlePloS one2019

Equine or porcine synovial fluid as a novel ex vivo model for the study of bacterial free-floating biofilms that form in human joint infections.

Jessica M Gilbertie, Lauren V Schnabel, Noreen J Hickok, Megan E Jacob, Brian P Conlon, Irving M Shapiro, Javad Parvizi, Thomas P Schaer

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
  2. Adjuvant intra-articular vancomycin for recalcitrant Staphylococcal prosthetic joint infections of the knee.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Observational
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Journal of bacteriology · 2023
    Article
  10. Article
  11. How to study biofilms: technological advancements in clinical biofilm research.Frontiers in cellular and infection microbiology · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Host Environment ShapesMicroorganisms · 2022
    Article
  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

8 authors at 4 institutions in 1 country.

Jessica M GilbertieDepartment of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States of America.ORCID 0000-0002-4953-6717
Lauren V SchnabelDepartment of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States of America.
Noreen J HickokDepartment of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA, United States of America.
Megan E JacobComparative Medicine Institute, North Carolina State University, Raleigh, NC, United States of America.
Brian P ConlonDepartment of Microbiology and Immunology, University of North Carolina-Chapel Hill, Chapel Hill, NC, United States of America.
Irving M ShapiroDepartment of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA, United States of America.
Javad ParviziDepartment of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA, United States of America.
Thomas P SchaerDepartment of Clinical Studies New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA, United States of America.ORCID 0000-0002-4340-8212
North Carolina State University · USThomas Jefferson University · USUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · US

Funding

Synovial Fluid and Joint SepsisR01AR072513 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI HICKOK, NOREEN J · 2017 to 2021
$2.5M
Antibiotic activities against S. aureus during P. aeruginosa co-infectionR01AI137273 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CONLON, BRIAN PATRICK · 2018 to 2022
$2.0M
NIAID NIH HHS R01 AI137273NIAMS NIH HHS R01 AR072513
6 · The paper itself

Abstract

Bacterial invasion of synovial joints, as in infectious or septic arthritis, can be difficult to treat in both veterinary and human clinical practice. Biofilms, in the form of free-floating clumps or aggregates, are involved with the pathogenesis of infectious arthritis and periprosthetic joint infection (PJI). Infection of a joint containing an orthopedic implant can additionally complicate these infections due to the presence of adherent biofilms. Because of these biofilm phenotypes, bacteria within these infected joints show increased antimicrobial tolerance even at high antibiotic concentrations. To date, animal models of PJI or infectious arthritis have been limited to small animals such as rodents or rabbits. Small animal models, however, yield limited quantities of synovial fluid making them impractical for in vitro research. Herein, we describe the use of ex vivo equine and porcine models for the study of synovial fluid induced biofilm aggregate formation and antimicrobial tolerance. We observed Staphylococcus aureus and other bacterial pathogens adapt the same biofilm aggregate phenotype with significant antimicrobial tolerance in both equine and porcine synovial fluid, analogous to human synovial fluid. We also demonstrate that enzymatic dispersal of synovial fluid aggregates restores the activity of antimicrobials. Future studies investigating the interaction of bacterial cell surface proteins with host synovial fluid proteins can be readily carried out in equine or porcine ex vivo models to identify novel drug targets for treatment of prevention of these difficult to treat infectious diseases.

Indexed as

AnimalsArthritisBiofilmsDisease Models, AnimalHorsesHumansStaphylococcal InfectionsStaphylococcus aureusSwineSynovial Fluid

Identifiers

PMID31415623
PMCPMC6695105
OpenAlexW2968709012

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.