Evidence map›Paper›PMID 32163580›Full record

ArticleThe Journal of infectious diseases2020

Neisseria gonorrhoeae Population Genomics: Use of the Gonococcal Core Genome to Improve Surveillance of Antimicrobial Resistance.

Odile B Harrison, Ana Cehovin, Jessica Skett, Keith A Jolley, Paola Massari, Caroline Attardo Genco, Christoph M Tang, Martin C J Maiden

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

46 citing papers in PubMed.

  1. Article
  2. An antibody-drug conjugate active against antibiotic-resistantProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Plasmids inClinical microbiology reviews · 2026
    Review
  4. Article
  5. Observational
  6. Review
  7. Review
  8. eLife · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Molecular epidemiology ofFrontiers in cellular and infection microbiology · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Odile B HarrisonDepartment of Zoology, The Peter Medawar Building for Pathogen Research, South Parks Road, University of Oxford, Oxford, United Kingdom.
Ana CehovinThe Sir William Dunn School of Pathology, University of Oxford, South Parks Road, Oxford, United Kingdom.
Jessica SkettDepartment of Zoology, The Peter Medawar Building for Pathogen Research, South Parks Road, University of Oxford, Oxford, United Kingdom.
Keith A JolleyDepartment of Zoology, The Peter Medawar Building for Pathogen Research, South Parks Road, University of Oxford, Oxford, United Kingdom.
Paola MassariDepartment of Immunology, Tufts University School of Medicine, Boston, Massachusetts, USA.
Caroline Attardo GencoDepartment of Immunology, Tufts University School of Medicine, Boston, Massachusetts, USA.
Christoph M TangThe Sir William Dunn School of Pathology, University of Oxford, South Parks Road, Oxford, United Kingdom.
Martin C J MaidenDepartment of Zoology, The Peter Medawar Building for Pathogen Research, South Parks Road, University of Oxford, Oxford, United Kingdom.

Funding

Global Transcriptome Analysis of Mucosal Gonoccal InfectionR01AI116969 · NIAID · TUFTS UNIVERSITY BOSTON · PI GENCO, CAROLINE A · 2016 to 2019
$2.7M
The Gonococcal Fur Regulon Link to PathogenesisR01AI130946 · NIAID · TUFTS UNIVERSITY BOSTON · PI GENCO, CAROLINE A · 2017 to 2020
$2.0M
Gonococcal In-vivo Expressed Factors (IVEFs) as novel vaccine antigens against N. gonorrhoeae infectionR21AI131004 · NIAID · TUFTS UNIVERSITY BOSTON · PI MASSARI, PAOLA · 2018 to 2019
$454k
NIAID NIH HHS R01 AI116969NIAID NIH HHS R01 AI130946NIAID NIH HHS R21 AI131004Wellcome Trust 102908/Z/13/ZWellcome Trust 104992/Z/14/ZWellcome Trust 214374/Z/18/ZWellcome Trust 218205/Z/19/Z
6 · The paper itself

Abstract

backgroundGonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a globally prevalent sexually transmitted infection. The dynamics of gonococcal population biology have been poorly defined due to a lack of resolution in strain typing methods.

methodsIn this study, we assess how the core genome can be used to improve our understanding of gonococcal population structure compared with current typing schemes.

resultsA total of 1668 loci were identified as core to the gonococcal genome. These were organized into a core genome multilocus sequence typing scheme (N gonorrhoeae cgMLST v1.0). A clustering algorithm using a threshold of 400 allelic differences between isolates resolved gonococci into discrete and stable core genome groups, some of which persisted for multiple decades. These groups were associated with antimicrobial genotypes and non-overlapping NG-STAR and NG-MAST sequence types. The MLST-STs were more widely distributed among core genome groups.

conclusionsClustering with cgMLST identified globally distributed, persistent, gonococcal lineages improving understanding of the population biology of gonococci and revealing its population structure. These findings have implications for the emergence of antimicrobial resistance in gonococci and how this is associated with lineages, some of which are more predisposed to developing antimicrobial resistance than others.

Indexed as

Anti-Bacterial AgentsBacterial Typing TechniquesDNA, BacterialDrug Resistance, BacterialGenome, BacterialGenotypeGonorrheaHumansMetagenomicsMolecular EpidemiologyMultilocus Sequence TypingNeisseria gonorrhoeaePhylogenyWhole Genome SequencingAnti-Bacterial AgentsDNA, Bacterialantimicrobial resistancecgMLSTgenomegonorrhea

Identifiers

PMID32163580
PMCPMC7653085

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LicenceCC BY
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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.