Evidence map›Paper›PMID 33402537›Full record

ArticlemBio2021

Hyaluronidase Impairs Neutrophil Function and Promotes Group B

Michelle Coleman, Blair Armistead, Austyn Orvis, Phoenicia Quach, Alyssa Brokaw, Claire Gendrin, Kavita Sharma, Jason Ogle, Sean Merillat, Matthew Dacanay and 8 more

Open access · goldAbstract read
In one paragraph

Article in mBio, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Adaptive microevolution in CC17Frontiers in cellular and infection microbiology · 2026
    Article
  5. Article
  6. Neutrophils at the Maternal-Fetal Interface: Agents of Protection or Destruction?American journal of reproductive immunology (New York, N.Y. : 1989) · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Genomic Diversity, Virulome, and Resistome ofPathogens (Basel, Switzerland) · 2025
    Article
  11. Review
  12. Review
  13. Article
  14. Function and contribution of two putativeInfection and immunity · 2024
    Article
  15. Review
  16. Article
  17. Article
  18. 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

18 authors at 2 institutions in 2 countries.

Michelle Coleman *Center for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Blair Armistead *Center for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.ORCID 0000-0001-9902-3955
Austyn OrvisCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Phoenicia QuachCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Alyssa BrokawCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Claire GendrinCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Kavita SharmaCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Jason OgleWashington National Primate Research Center, Seattle, Washington, USA.
Sean MerillatCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Matthew DacanayDepartment of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington, USA.
Tsung-Yen WuDepartment of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington, USA.
Jeff MunsonDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Audrey BaldessariWashington National Primate Research Center, Seattle, Washington, USA.
Jay VornhagenCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Anna FurutaCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Shayla NguyenCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.
Kristina M Adams WaldorfDepartment of Global Health, University of Washington, Seattle, Washington, USA adamsk@uw.edu lakshmi.rajagopal@seattlechildrens.org.ORCID 0000-0002-6939-7224
Lakshmi RajagopalCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA adamsk@uw.edu lakshmi.rajagopal@seattlechildrens.org.ORCID 0000-0003-3373-2323
Infectious Disease Research Institute · USUniversity of Washington · US

Funding

Washington National Primate Research CenterP51OD010425 · OD · UNIVERSITY OF WASHINGTON · PI Mari Ostendorf · 2012 to 2026
$201.8M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
WaNPRC Macaca nemestrina SPF Breeding ColonyU42OD011123 · OD · UNIVERSITY OF WASHINGTON · PI CHARLOTTE HOTCHKISS · 2012 to 2026
$34.4M
Diseases of Public Health Importance Training GrantT32AI007509 · NIAID · UNIVERSITY OF WASHINGTON · PI LUND, JENNIFER M · 1997 to 2024
$6.3M
Role of the hyaluronidase in GBS VirulenceR01AI133976 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2017 to 2021
$4.5M
Immune Control of Group B Streptococcal PlacentalR01AI145890 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2019 to 2023
$4.4M
GBS mediated in utero fetal injuryR01AI100989 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2012 to 2016
$3.9M
INTERDISCIPLINARY PROGRAM IN BACTERIAL PATHOGENESIST32AI055396 · NIAID · UNIVERSITY OF WASHINGTON · PI FANG, FERRIC C · 2003 to 2019
$2.8M
Role of an ornithine rhamnolipid pigment in GBS virulenceR01AI112619 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI RAJAGOPAL, LAKSHMI · 2014 to 2018
$2.4M
NIAID NIH HHS R01 AI100989NIAID NIH HHS R01 AI112619NIAID NIH HHS R01 AI133976NIAID NIH HHS R01 AI145890NIAID NIH HHS T32 AI007509NIAID NIH HHS T32 AI055396NIDDK NIH HHS P30 DK017047NIH HHS P51 OD010425NIH HHS U42 OD011123
6 · The paper itself

Abstract

Invasive bacterial infections during pregnancy are a major risk factor for preterm birth, stillbirth, and fetal injury. Group B streptococci (GBS) are Gram-positive bacteria that asymptomatically colonize the lower genital tract but infect the amniotic fluid and induce preterm birth or stillbirth. Experimental models that closely emulate human pregnancy are pivotal for the development of successful strategies to prevent these adverse pregnancy outcomes. Using a unique nonhuman primate model that mimics human pregnancy and informs temporal events surrounding amniotic cavity invasion and preterm labor, we show that the animals inoculated with hyaluronidase (HylB)-expressing GBS consistently exhibited microbial invasion into the amniotic cavity, fetal bacteremia, and preterm labor. Although delayed cytokine responses were observed at the maternal-fetal interface, increased prostaglandin and matrix metalloproteinase levels in these animals likely mediated preterm labor. HylB-proficient GBS dampened reactive oxygen species production and exhibited increased resistance to neutrophils compared to an isogenic mutant. Together, these findings demonstrate how a bacterial enzyme promotes GBS amniotic cavity invasion and preterm labor in a model that closely resembles human pregnancy.

Indexed as

Amniotic FluidAnimalsCytokinesDisease Models, AnimalFemaleHumansHyaluronoglucosaminidaseInflammationLungMacaca nemestrinaNeutrophilsObstetric Labor, PrematurePregnancyPremature BirthPrimatesStreptococcal InfectionsCytokinesHyaluronoglucosaminidasegroup B streptococcushyaluronidaseimmune evasionneutrophilspregnancypreterm labor

Identifiers

PMID33402537
PMCPMC8545101
OpenAlexW3119897943

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.