Evidence map›Paper›PMID 33753735›Full record

ArticleNPJ biofilms and microbiomes2021

A multiomics approach to identify host-microbe alterations associated with infection severity in diabetic foot infections: a pilot study.

Michael Radzieta, Fatemah Sadeghpour-Heravi, Timothy J Peters, Honghua Hu, Karen Vickery, Thomas Jeffries, Hugh G Dickson, Saskia Schwarzer, Slade O Jensen, Matthew Malone

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in NPJ biofilms and microbiomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07391995 (Evaluation of a New Diagnostic Tool), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.1field-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.

NCT07391995 recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of a New Diagnostic Tool (MinION) for Identifying Microorganisms in the Foot Wounds of Patients Living With Diabetic Foot Osteomyelitis (DFOM)

TypeobservationalSponsorCentre Hospitalier Universitaire de NīmesRan2026 to 2026Enrolled43ConditionsDiabetes Mellitus, Diabetes Complications, Diabetic Peripheral Neuropathy
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 43 citations in OpenAlex.

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  14. Direct metagenomics investigation of non-surgical hard-to-heal wounds: a review.Annals of clinical microbiology and antimicrobials · 2024
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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

10 authors at 7 institutions in 1 country.

Michael RadzietaSouth Western Sydney Limb Preservation and Wound Research, South Western Sydney LHD, Sydney, Australia. M.Radzieta@westernsydney.edu.au.
Fatemah Sadeghpour-HeraviSurgical Infection Research Group, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.
Timothy J PetersImmunogenomics Laboratory, Immunology Division, Garvan Institute of Medical Research, Sydney, Australia.
Honghua HuSurgical Infection Research Group, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.ORCID 0000-0002-3749-4089
Karen VickerySurgical Infection Research Group, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.
Thomas JeffriesSchool of Science and Health, Western Sydney University, Sydney, Australia.
Hugh G DicksonSouth Western Sydney Limb Preservation and Wound Research, South Western Sydney LHD, Sydney, Australia.
Saskia SchwarzerSouth Western Sydney Limb Preservation and Wound Research, South Western Sydney LHD, Sydney, Australia.ORCID 0000-0003-3854-8031
Slade O JensenInfectious Diseases and Microbiology, School of Medicine, Western Sydney University, Sydney, Australia.
Matthew MaloneSouth Western Sydney Limb Preservation and Wound Research, South Western Sydney LHD, Sydney, Australia. Matthew.Malone@westernsydney.edu.au.
Macquarie University · AUIngham Institute · AUGarvan Institute of Medical Research · AUSouth Western Sydney Local Health District · AUThe University of Western Australia · AUUNSW Sydney · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic foot infections (DFIs) are a major cause of hospitalization and can lead to lower extremity amputation. In this pilot study, we used a multiomics approach to explore the host-microbe complex within DFIs. We observed minimal differences in the overall microbial composition between PEDIS infection severities, however Staphylococcus aureus and Streptococcus genera were abundant and highly active in most mild to moderate DFIs. Further, we identified the significant enrichment of several virulence factors associated with infection pathogenicity belonging to both Staphylococcus aureus and Streptococcus. In severe DFIs, patients demonstrated a greater microbial diversity and differential gene expression demonstrated the enrichment of multispecies virulence genes suggestive of a complex polymicrobial infection. The host response in patients with severe DFIs was also significantly different as compared to mild to moderate DFIs. This was attributed to the enrichment of host genes associated with inflammation, acute phase response, cell stress and broad immune-related responses, while those associated with wound healing and myogenesis were significantly depleted.

Indexed as

BacteriaCoinfectionDiabetic FootFemaleGene Expression ProfilingGene Expression Regulation, BacterialHost-Pathogen InteractionsHumansMaleMetagenomicsMuscle DevelopmentPhylogenyPilot ProjectsProspective StudiesSequence Analysis, RNASeverity of Illness IndexVirulence Factors

Identifiers

PMID33753735
PMCPMC7985513
OpenAlexW3136314822

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.