Evidence map›Paper›PMID 34219414›Full record

ArticlePediatric pulmonology2021

MRSA strains with distinct accessory genes predominate at different ages in cystic fibrosis.

Harry S Porterfield, Lucas J Maakestad, Mason M LaMarche, Andrew L Thurman, Zoe E Kienenberger, Nicholas J Pitcher, Alexis R Hansen, Christian F Zirbes, Linda Boyken, Bethany L Muyskens and 7 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric pulmonology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Parallel evolution of linezolid-resistantMicrobiology spectrum · 2023
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  4. Parallel Evolution of Linezolid ResistantbioRxiv : the preprint server for biology · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Pathogens (Basel, Switzerland) · 2021
    Review
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

17 authors at 1 institution in 1 country.

Harry S PorterfieldDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.ORCID 0000-0002-6588-6872
Lucas J MaakestadStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Mason M LaMarcheStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Andrew L ThurmanDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Zoe E KienenbergerStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Nicholas J PitcherStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Alexis R HansenStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Christian F ZirbesStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Linda BoykenDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Bethany L MuyskensStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Alejandro A PezzuloDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Sachinkumar B SinghStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Erik TwaitState Hygienic Laboratory at the University of Iowa, Iowa City, Iowa, USA.
Bradley FordDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Daniel J DiekemaDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Valérie ReebState Hygienic Laboratory at the University of Iowa, Iowa City, Iowa, USA.
Anthony J FischerStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.ORCID 0000-0002-7179-6400
University of Iowa · US

Funding

Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Amy Leanne Ryan · 1998 to 2026
$30.5M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
RESEARCH TRAINING IN INFECTIOUS DISEASEST32AI007343 · NIAID · UNIVERSITY OF IOWA · PI STAPLETON, JACK T. · 1988 to 2024
$5.0M
Initial Attachment of Bacteria to Mucus Strands in Cystic FibrosisK08HL136927 · NHLBI · UNIVERSITY OF IOWA · PI FISCHER, ANTHONY JOHN · 2017 to 2020
$639k
BLRD VA I01 BX000207Intramural NIH HHS Z99 CL999999NCATS NIH HHS UL1 TR002537NHLBI NIH HHS K08 HL136927NIAID NIH HHS T32 AI007343NIDDK NIH HHS P30 DK054759
6 · The paper itself

Abstract

rationaleMethicillin resistant Staphylococcus aureus (MRSA) is prevalent and consequential in cystic fibrosis (CF). Whole genome sequencing (WGS) could reveal genomic differences in MRSA associated with poorer outcomes or detect MRSA transmission.

objectivesTo identify MRSA genes associated with low lung function and potential MRSA transmission in CF.

methodsWe collected 97 MRSA isolates from 74 individuals with CF from 2017 and performed short-read WGS. We determined sequence type (ST) and the phylogenetic relationship between isolates. We aligned accessory genes from 25 reference genomes to genome assemblies, classified isolates by accessory gene content, and correlated the accessory genome to clinical outcomes.

resultsThe most prevalent ST were ST5 (N = 55), ST8 (N = 15), and ST105 (N = 14). Closely related MRSA strains were shared by family members with CF, but rarely between unrelated individuals. Three clusters of MRSA were identified by accessory genome content. Cluster A, including ST5 and ST105, was highly prevalent at all ages. Cluster B, including ST8, was more limited to younger patients. Cluster C included 6 distantly related strains. Patients 20 years old and younger infected with Cluster A had lower forced expiratory volume in the first second (FEV

conclusionsIn this CF cohort, we identified MRSA subtypes that predominate at different ages and differ by accessory gene content. The most prevalent cluster of MRSA, including ST5 and ST105, was associated with lower FEV

Indexed as

Cystic FibrosisMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsAdolescentHumansPhylogenyWhole Genome SequencingYoung Adultbirth cohort effectcystic fibrosisMRSAStaphylococcus aureuswhole genome sequencing

Identifiers

PMID34219414
PMCPMC8395597
OpenAlexW3177528915

What OpenQuestion holds

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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.