Evidence map›Paper›PMID 34031577›Full record

ArticleNature microbiology2021

Staphylococcus epidermidis clones express Staphylococcus aureus-type wall teichoic acid to shift from a commensal to pathogen lifestyle.

Xin Du, Jesper Larsen, Min Li, Axel Walter, Christoph Slavetinsky, Anna Both, Patricia M Sanchez Carballo, Marc Stegger, Esther Lehmann, Yao Liu and 10 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.9field-weighted citation impact, top 7% 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

35 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Article
  3. The Evolution of Symbiosis inBiomolecules · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. [The role ofLin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Review
  9. Article
  10. Article
  11. Clinical microbiology reviews · 2024
    Review
  12. Article
  13. Cryo-EM analysis ofScience advances · 2024
    Article
  14. Review
  15. The impact of oxygen content onFrontiers in microbiology · 2024
    Article
  16. Article
  17. InvasiveScience advances · 2023
    Article
  18. Article
  19. Characterisation of neonatalMicrobial genomics · 2023
    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

20 authors at 6 institutions in 4 countries.

Xin DuInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.
Jesper LarsenStatens Serum Institut, København, Denmark.ORCID http://orcid.org/0000-0003-0582-0457
Min LiRenji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Axel WalterInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.
Christoph SlavetinskyInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.
Anna BothInstitute of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0001-7113-8734
Patricia M Sanchez CarballoDivision of Clinical Infectious Diseases, Research Center Borstel, Leibniz Lung Center, Borstel, Germany.
Marc SteggerStatens Serum Institut, København, Denmark.ORCID http://orcid.org/0000-0003-0321-1180
Esther LehmannInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.
Yao LiuRenji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Junlan LiuRenji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Jessica SlavetinskyInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.
Katarzyna A DudaJunior Research Group of Allergobiochemistry, Research Center Borstel, Leibniz Lung Center, Airway Research Center North (ARCN), German Center for Lung Research (DZL), Borstel, Germany.
Bernhard KrismerInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0002-9505-8285
Simon HeilbronnerInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.
Christopher WeidenmaierInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.
Christoph MayerInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0003-4731-4851
Holger RohdeInstitute of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Volker WinstelInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany.
Andreas PeschelInterfaculty Institute of Microbiology and Infection Medicine, University of Tübingen, Tübingen, Germany. andreas.peschel@uni-tuebingen.de.ORCID http://orcid.org/0000-0002-3209-8626
German Center for Infection Research · DERenji Hospital · CNStatens Serum Institut · DKUniversität Hamburg · DEMedizinische Hochschule Hannover · DEResearch Center Borstel - Leibniz Lung Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most clonal lineages of Staphylococcus epidermidis are commensals present on human skin and in the nose. However, some globally spreading healthcare-associated and methicillin-resistant S. epidermidis (HA-MRSE) clones are major causes of difficult-to-treat implant or bloodstream infections. The molecular determinants that alter the lifestyle of S. epidermidis have remained elusive, and their identification might provide therapeutic targets. We reasoned that changes in surface-exposed wall teichoic acid (WTA) polymers of S. epidermidis, which potentially shape host interactions, may be linked to differences between colonization and infection abilities of different clones. We used a combined epidemiological and functional approach to show that while commensal clones express poly-glycerolphosphate WTA, S. epidermidis multilocus sequence type 23, which emerged in the past 15 years and is one of the main infection-causing HA-MRSE clones, contains an accessory genetic element, tarIJLM, that leads to the production of a second, Staphylococcus aureus-type WTA (poly-ribitolphosphate (RboP)). Production of RboP-WTA by S. epidermidis impaired in vivo colonization but augmented endothelial attachment and host mortality in a mouse sepsis model. tarIJLM was absent from commensal human sequence types but was found in several other HA-MRSE clones. Moreover, RboP-WTA enabled S. epidermidis to exchange DNA with S. aureus via siphovirus bacteriophages, thereby creating a possible route for the inter-species exchange of methicillin resistance, virulence and colonization factors. We conclude that tarIJLM alters the lifestyle of S. epidermidis from commensal to pathogenic and propose that RboP-WTA might be a robust target for preventive and therapeutic interventions against MRSE infections.

Indexed as

AnimalsCell WallFemaleHumansMiceMice, Inbred BALB CStaphylococcal InfectionsStaphylococcus aureusStaphylococcus epidermidisTeichoic AcidsTeichoic Acids

Identifiers

PMID34031577
OpenAlexW3164385871

What OpenQuestion holds

Textmetadata
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.