Evidence map›Paper›PMID 31844297›Full record

ArticleNature microbiology2020

Rapid MinION profiling of preterm microbiota and antimicrobial-resistant pathogens.

Richard M Leggett, Cristina Alcon-Giner, Darren Heavens, Shabhonam Caim, Thomas C Brook, Magdalena Kujawska, Samuel Martin, Ned Peel, Holly Acford-Palmer, Lesley Hoyles and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Nature microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 2 pooled it
21.1field-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

105 citing papers in PubMed, 2 syntheses or guidelines pooled it, 186 citations in OpenAlex.

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45 more citing papers are in PubMed but not listed here.

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

13 authors at 5 institutions in 1 country.

Richard M Leggett *Earlham Institute, Norwich Research Park, Norwich, UK. Richard.Leggett@earlham.ac.uk.ORCID http://orcid.org/0000-0003-3044-4297
Cristina Alcon-Giner *Quadram Institute Bioscience, Norwich Research Park, Norwich, UK.
Darren HeavensEarlham Institute, Norwich Research Park, Norwich, UK.ORCID http://orcid.org/0000-0001-5418-7868
Shabhonam CaimQuadram Institute Bioscience, Norwich Research Park, Norwich, UK.
Thomas C BrookUniversity of Westminster, London, UK.
Magdalena KujawskaQuadram Institute Bioscience, Norwich Research Park, Norwich, UK.ORCID http://orcid.org/0000-0002-8842-3512
Samuel MartinEarlham Institute, Norwich Research Park, Norwich, UK.ORCID http://orcid.org/0000-0002-6298-1014
Ned PeelEarlham Institute, Norwich Research Park, Norwich, UK.ORCID http://orcid.org/0000-0002-7429-7009
Holly Acford-PalmerQuadram Institute Bioscience, Norwich Research Park, Norwich, UK.ORCID http://orcid.org/0000-0002-1994-5042
Lesley HoylesNottingham Trent University, Nottingham, UK.ORCID http://orcid.org/0000-0002-6418-342X
Paul ClarkeNorfolk and Norwich University Hospital, Norwich, UK.ORCID http://orcid.org/0000-0001-6203-7632
Lindsay J HallQuadram Institute Bioscience, Norwich Research Park, Norwich, UK. lindsay.hall@quadram.ac.uk.ORCID http://orcid.org/0000-0001-8938-5709
Matthew D ClarkEarlham Institute, Norwich Research Park, Norwich, UK. matt.clark@nhm.ac.uk.ORCID http://orcid.org/0000-0002-8049-5423
Norwich Research Park · GBNatural History Museum · GBNottingham Trent University · GBUniversity of East Anglia · GBUniversity of Westminster · GB

Funding

Biotechnology and Biological Sciences Research Council BBS/E/F/00044409Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10353Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10356Biotechnology and Biological Sciences Research Council BBS/E/T/000PR9817Medical Research Council MR/L01632X/1Wellcome Trust
6 · The paper itself

Abstract

The MinION sequencing platform offers near real-time analysis of DNA sequence; this makes the tool attractive for deployment in fieldwork or clinical settings. We used the MinION platform coupled to the NanoOK RT software package to perform shotgun metagenomic sequencing and profile mock communities and faecal samples from healthy and ill preterm infants. Using Nanopore data, we reliably classified a 20-species mock community and captured the diversity of the immature gut microbiota over time and in response to interventions such as probiotic supplementation, antibiotic treatment or episodes of suspected sepsis. We also performed rapid real-time runs to assess gut-associated microbial communities in critically ill and healthy infants, facilitated by NanoOK RT software package, which analysed sequences as they were generated. Our pipeline reliably identified pathogenic bacteria (that is, Klebsiella pneumoniae and Enterobacter cloacae) and their corresponding antimicrobial resistance gene profiles within as little as 1 h of sequencing. Results were confirmed using pathogen isolation, whole-genome sequencing and antibiotic susceptibility testing, as well as mock communities and clinical samples with known antimicrobial resistance genes. Our results demonstrate that MinION (including cost-effective Flongle flow cells) with NanoOK RT can process metagenomic samples to a rich dataset in < 5 h, which creates a platform for future studies aimed at developing these tools and approaches in clinical settings with a focus on providing tailored patient antimicrobial treatment options.

Indexed as

Drug Resistance, BacterialInfant, PrematureMicrobiotaAnti-Bacterial AgentsBacteriaComputational BiologyDNA, BacterialEnterobacter cloacaeGastrointestinal MicrobiomeHumansInfant, NewbornKlebsiella pneumoniaeMetagenomeMicrobial Sensitivity TestsNanoporesSequence Analysis, DNAAnti-Bacterial AgentsDNA, Bacterial

Identifiers

PMID31844297
PMCPMC7044117
OpenAlexW2994952713

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.