Evidence map›Paper›PMID 32407350›Full record

ArticlePloS one2020

Radioimmunotherapy of methicillin-resistant Staphylococcus aureus in planktonic state and biofilms.

B van Dijk, K J H Allen, M Helal, H C Vogely, M G E H Lam, J M H de Klerk, H Weinans, B C H van der Wal, E Dadachova

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. The Effects of Radioimmunotherapy and Antibiotics on Biofilm-Associated Implant Infections in a Preclinical Rat Model.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Evaluating the Targeting of aInternational journal of molecular sciences · 2023
    Article
  8. Article
  9. Article
  10. Review
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 4 institutions in 2 countries.

B van DijkDepartment of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands.
K J H AllenCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada.
M HelalCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada.
H C VogelyDepartment of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands.
M G E H LamDepartment of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
J M H de KlerkDepartment of Nuclear Medicine, Meander Medical Center Amersfoort, Amersfoort, The Netherlands.
H WeinansDepartment of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands.
B C H van der WalDepartment of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands.
E DadachovaCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada.
University Medical Center Utrecht · NLUniversity of Saskatchewan · CADelft University of Technology · NLMeander Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImplant associated infections such as periprosthetic joint infections are difficult to treat as the bacteria form a biofilm on the prosthetic material. This biofilm complicates surgical and antibiotic treatment. With rising antibiotic resistance, alternative treatment options are needed to treat these infections in the future. The aim of this article is to provide proof-of-principle data required for further development of radioimmunotherapy for non-invasive treatment of implant associated infections.

methodsPlanktonic cells and biofilms of Methicillin-resistant staphylococcus aureus are grown and treated with radioimmunotherapy. The monoclonal antibodies used, target wall teichoic acids that are cell and biofilm specific. Three different radionuclides in different doses were used. Viability and metabolic activity of the bacterial cells and biofilms were measured by CFU dilution and XTT reduction.

resultsAlpha-RIT with Bismuth-213 showed significant and dose dependent killing in both planktonic MRSA and biofilm. When planktonic bacteria were treated with 370 kBq of 213Bi-RIT 99% of the bacteria were killed. Complete killing of the bacteria in the biofilm was seen at 185 kBq. Beta-RIT with Lutetium-177 and Actinium-225 showed little to no significant killing.

conclusionOur results demonstrate the ability of specific antibodies loaded with an alpha-emitter Bismuth-213 to selectively kill staphylococcus aureus cells in vitro in both planktonic and biofilm state. RIT could therefore be a potentially alternative treatment modality against planktonic and biofilm-related microbial infections.

Indexed as

Methicillin-Resistant Staphylococcus aureusRadioimmunotherapyActiniumAntibodies, MonoclonalBiofilmsBismuthHumansIn Vitro TechniquesLutetiumPlanktonProof of Concept StudyProsthesis-Related InfectionsRadioisotopesStaphylococcal InfectionsTeichoic AcidsActiniumActinium-225Antibodies, MonoclonalBismuthBismuth-213LutetiumLutetium-177RadioisotopesTeichoic Acids

Identifiers

PMID32407350
PMCPMC7224548
OpenAlexW3025644110

What OpenQuestion holds

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LicenceCC BY
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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.