Evidence map›Paper›PMID 31451691›Full record

ArticleNature communications2019

Molecular profiling of tissue biopsies reveals unique signatures associated with streptococcal necrotizing soft tissue infections.

Robert Thänert, Andreas Itzek, Jörn Hoßmann, Domenica Hamisch, Martin Bruun Madsen, Ole Hyldegaard, Steinar Skrede, Trond Bruun, Anna Norrby-Teglund, INFECT study group and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Necrotizing Myositis Caused byInfection and drug resistance · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Antibiotics in Necrotizing Soft Tissue Infections.Antibiotics (Basel, Switzerland) · 2021
    Review
  15. Pathogens (Basel, Switzerland) · 2021
    Review
  16. Review
  17. Article
  18. 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

12 authors.

Robert ThänertMicrobial Interactions and Processes Research Group, Helmholtz Center for Infection Research, Braunschweig, Germany.ORCID http://orcid.org/0000-0002-6400-3433
Andreas ItzekMicrobial Interactions and Processes Research Group, Helmholtz Center for Infection Research, Braunschweig, Germany.
Jörn HoßmannMicrobial Interactions and Processes Research Group, Helmholtz Center for Infection Research, Braunschweig, Germany.
Domenica HamischMicrobial Interactions and Processes Research Group, Helmholtz Center for Infection Research, Braunschweig, Germany.
Martin Bruun MadsenDepartment of Intensive Care, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Ole HyldegaardDepartment of Anaesthesia, Centre of Head and Orthopaedics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Steinar SkredeDepartment of Medicine, Haukeland University Hospital, Bergen, Norway.
Trond BruunDepartment of Medicine, Haukeland University Hospital, Bergen, Norway.ORCID http://orcid.org/0000-0002-7441-8413
Anna Norrby-TeglundCenter for Infectious Medicine, Karolinska Institutet, Karolinska University Hospital, Huddinge, Sweden.
INFECT study group
Eva MedinaInfection Immunity Research Group, Helmholtz Center for Infection Research, Braunschweig, Germany.
Dietmar H PieperMicrobial Interactions and Processes Research Group, Helmholtz Center for Infection Research, Braunschweig, Germany. dpi@helmholtz-hzi.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Necrotizing soft tissue infections (NSTIs) are devastating infections caused by either a single pathogen, predominantly Streptococcus pyogenes, or by multiple bacterial species. A better understanding of the pathogenic mechanisms underlying these different NSTI types could facilitate faster diagnostic and more effective therapeutic strategies. Here, we integrate microbial community profiling with host and pathogen(s) transcriptional analysis in patient biopsies to dissect the pathophysiology of streptococcal and polymicrobial NSTIs. We observe that the pathogenicity of polymicrobial communities is mediated by synergistic interactions between community members, fueling a cycle of bacterial colonization and inflammatory tissue destruction. In S. pyogenes NSTIs, expression of specialized virulence factors underlies infection pathophysiology. Furthermore, we identify a strong interferon-related response specific to S. pyogenes NSTIs that could be exploited as a potential diagnostic biomarker. Our study provides insights into the pathophysiology of mono- and polymicrobial NSTIs and highlights the potential of host-derived signatures for microbial diagnosis of NSTIs.

Indexed as

AdultAgedBacterial Typing TechniquesBacteroidesBiopsyCoinfectionDNA, BacterialEscherichiaFemaleHumansMaleMicrobiotaMiddle AgedNecrosisRNA, Ribosomal, 16SRNA-SeqDNA, BacterialRNA, Ribosomal, 16SVirulence Factors

Identifiers

PMID31451691
PMCPMC6710258

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.