Evidence map›Paper›PMID 33335199›Full record

ArticleScientific reports2020

Phylogenomic analysis of Clostridioides difficile ribotype 106 strains reveals novel genetic islands and emergent phenotypes.

Bryan Angelo P Roxas, Jennifer Lising Roxas, Rachel Claus-Walker, Anusha Harishankar, Asad Mansoor, Farhan Anwar, Shobitha Jillella, Alison Williams, Jason Lindsey, Sean P Elliott and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
0.4field-weighted citation impact, top 24% 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

24 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Antibiotics (Basel, Switzerland) · 2026
    Article
  3. Variety ofGerms · 2026
    Article
  4. Comparative genomics of 'Microbial genomics · 2025
    Article
  5. Article
  6. Community-AcquiredInternational journal of molecular sciences · 2025
    Review
  7. The Global Burden ofInfectious disease reports · 2025
    Review
  8. Article
  9. Article
  10. Distribution ofEmerging microbes & infections · 2024
    Article
  11. Article
  12. Article
  13. Antibiotic Resistances of Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Article
  14. Article
  15. International journal of molecular sciences · 2023
    Review
  16. Article
  17. Article
  18. Prevalence of diagnostically-discrepantFrontiers in medicine · 2023
    Article
  19. 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

13 authors at 1 institution in 1 country.

Bryan Angelo P Roxas *School of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Jennifer Lising Roxas *School of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Rachel Claus-WalkerSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Anusha HarishankarSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Asad MansoorSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Farhan AnwarSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Shobitha JillellaSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Alison WilliamsSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Jason LindseySchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Sean P ElliottDepartment of Pediatrics, The University of Arizona College of Medicine, Tucson, AZ, USA.
Kareem W ShehabDepartment of Pediatrics, The University of Arizona College of Medicine, Tucson, AZ, USA.
V K ViswanathanSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA.
Gayatri VedantamSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, AZ, USA. gayatri@arizona.edu.
University of Arizona · US

Funding

A safe, targeted, designer probiotic to prevent or treat C. difficile infectionR33AI121590 · NIAID · UNIVERSITY OF ARIZONA · PI VEDANTAM, GAYATRI · 2018 to 2020
$1.1M
BLRD VA I01 BX001183BLRD VA IK6 BX003789NIAID NIH HHS R33 AI121590NIH HHS R33AI121590531VA IK6BX003789
6 · The paper itself

Abstract

Clostridioides difficile infection (CDI) is a major healthcare-associated diarrheal disease. Consistent with trends across the United States, C. difficile RT106 was the second-most prevalent molecular type in our surveillance in Arizona from 2015 to 2018. A representative RT106 strain displayed robust virulence and 100% lethality in the hamster model of acute CDI. We identified a unique 46 KB genomic island (GI1) in all RT106 strains sequenced to date, including those in public databases. GI1 was not found in its entirety in any other C. difficile clade, or indeed, in any other microbial genome; however, smaller segments were detected in Enterococcus faecium strains. Molecular clock analyses suggested that GI1 was horizontally acquired and sequentially assembled over time. GI1 encodes homologs of VanZ and a SrtB-anchored collagen-binding adhesin, and correspondingly, all tested RT106 strains had increased teicoplanin resistance, and a majority displayed collagen-dependent biofilm formation. Two additional genomic islands (GI2 and GI3) were also present in a subset of RT106 strains. All three islands are predicted to encode mobile genetic elements as well as virulence factors. Emergent phenotypes associated with these genetic islands may have contributed to the relatively rapid expansion of RT106 in US healthcare and community settings.

Indexed as

Genome, BacterialGenomic IslandsGenomicsPhenotypePhylogenyRibotypingAnimalsAnti-Bacterial AgentsArizonaClostridioides difficileClostridium InfectionsCricetinaeCross InfectionDrug Resistance, BacterialGenetic VariationGenotypeAnti-Bacterial Agents

Identifiers

PMID33335199
PMCPMC7747571
OpenAlexW3112909476

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.