Evidence map›Paper›PMID 34154656›Full record

ArticleGut pathogens2021

Virulence among different types of hypervirulent Klebsiella pneumoniae with multi-locus sequence type (MLST)-11, Serotype K1 or K2 strains.

Tsui-Chin Wang, Jung-Chung Lin, Jen-Chang Chang, Ya-Wen Hiaso, Ching-Hsun Wang, Sheng-Kung Chiu, Chang-Phone Fung, Feng-Yee Chang, L Kristopher Siu

Open access · goldAbstract read
In one paragraph

Article in Gut pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

25 citing papers in PubMed, 31 citations in OpenAlex.

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  14. HypervirulentPathogens & immunity · 2024
    Review
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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

9 authors at 3 institutions in 1 country.

Tsui-Chin Wang *National Institute of Infectious Disease and Vaccinology, National Health Research Institute, Zhunan, Miaoli, Taiwan.
Jung-Chung Lin *Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Jen-Chang ChangNational Institute of Infectious Disease and Vaccinology, National Health Research Institute, Zhunan, Miaoli, Taiwan.
Ya-Wen HiasoDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Ching-Hsun WangDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Sheng-Kung ChiuDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Chang-Phone FungCathay General Hospital, Shijhih, New Taipei City, Taiwan.
Feng-Yee ChangDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. fychang@ndmctsgh.edu.tw.
L Kristopher SiuNational Institute of Infectious Disease and Vaccinology, National Health Research Institute, Zhunan, Miaoli, Taiwan. lksiu@nhri.edu.tw.ORCID http://orcid.org/0000-0002-9840-3638
Tri-Service General Hospital · TWNational Health Research Institutes · TWCathay General Hospital · TW

Funding

Ministry of Science and Technology, Taiwan MOST 107-2314-B-400-035-MY3National Defense Medical Center, Taiwan MAB-105-076Tri-Service General Hospital TSGH-C105-115Tri-Service General Hospital TSGH-C106-095Tri-Service General Hospital TSGH-C108-139
6 · The paper itself

Abstract

backgroundTwo different types of hypervirulent K. pneumoniae (HvKp), the MLST-11 and serotype K1/K2 strains, have been frequently described in recent studies. Although these two types of strains were described to be HvKp, their virulence was not compared. In this study, in vitro and in vivo approaches were used to assess differences in virulence. MATERIALS AND

methodsA total of twenty-nine isolates, including 6 strains of each of serotype K1 and K2 isolates and 17 strains of ST11 isolates, were selected for this study. Phenotypic tests of virulence were performed by the string test and analysis of the virulent associated genes was detected by PCR. In vitro models of serum resistance and phagocytosis were used as the parameters to assess the virulence. In-frame deletion of virulence-associated genes was performed to study their contributions to virulence. The median lethal dose, i.e., the LD

resultsAlthough serotype K1 and K2 strains and ST11 isolates had similar virulence gene profiles, the ST11 isolates showed less serum and phagocytic resistance than the serotype K1/K2 isolates. The mouse lethality test revealed that all ST11 isolates were unable to cause lethality, even at > 10

conclusionSince there was a significant difference in virulence levels between the two types of HvKp when assessed in in vitro and in vivo models, it may be better to use the designation "HvKp" for some strains based on animal studies to avoid confusion. Virulence and non-virulence could be analysed in a relative manner, especially in comparison studies.

Indexed as

HypervirulenceKlebsiella pneumoniaMLSTSerotype

Identifiers

PMID34154656
PMCPMC8218402
OpenAlexW3176465620

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.