Evidence map›Paper›PMID 34424944›Full record

ArticlePLoS pathogens2021

Local association of Trypanosoma cruzi chronic infection foci and enteric neuropathic lesions at the tissue micro-domain scale.

Archie A Khan, Harry C Langston, Fernanda C Costa, Francisco Olmo, Martin C Taylor, Conor J McCann, John M Kelly, Michael D Lewis

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
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  4. Coinfection by multipleMicrobiology and molecular biology reviews : MMBR · 2025
    Review
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  18. Murine colon organoids as a novel model to studyFrontiers in cellular and infection microbiology · 2023
    Article
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  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

8 authors at 2 institutions in 1 country.

Archie A KhanDepartment of Infection Biology, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-1575-0894
Harry C LangstonDepartment of Infection Biology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Fernanda C CostaDepartment of Infection Biology, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0001-7108-3278
Francisco OlmoDepartment of Infection Biology, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0001-9314-0026
Martin C TaylorDepartment of Infection Biology, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-4147-0693
Conor J McCannStem Cells and Regenerative Medicine, University College London, Institute of Child Health, London, United Kingdom.ORCID 0000-0002-9324-5984
John M KellyDepartment of Infection Biology, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-4305-5258
Michael D LewisDepartment of Infection Biology, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0001-9540-3280
London School of Hygiene & Tropical Medicine · GBUniversity College London · GB

Funding

Medical Research Council MR/R021430/1Medical Research Council MR/T015969/1
6 · The paper itself

Abstract

Digestive Chagas disease (DCD) is an enteric neuropathy caused by Trypanosoma cruzi infection. The mechanism of pathogenesis is poorly understood and the lack of a robust, predictive animal model has held back research. We screened a series of mouse models using gastrointestinal tracer assays and in vivo infection imaging systems to discover a subset exhibiting chronic digestive transit dysfunction and significant retention of faeces in both sated and fasted conditions. The colon was a specific site of both tissue parasite persistence, delayed transit and dramatic loss of myenteric neurons as revealed by whole-mount immunofluorescence analysis. DCD mice therefore recapitulated key clinical manifestations of human disease. We also exploited dual reporter transgenic parasites to home in on locations of rare chronic infection foci in the colon by ex vivo bioluminescence imaging and then used fluorescence imaging in tissue microdomains to reveal co-localisation of infection and enteric nervous system lesions. This indicates that long-term T. cruzi-host interactions in the colon drive DCD pathogenesis, suggesting that the efficacy of anti-parasitic chemotherapy against chronic disease progression warrants further pre-clinical investigation.

Indexed as

Disease Models, AnimalAnimalsChagas DiseaseChronic DiseaseFemaleGastrointestinal TractIntestinal Pseudo-ObstructionMiceMice, Inbred BALB CMice, Inbred C3HMice, SCIDTrypanosoma cruzi

Identifiers

PMID34424944
PMCPMC8412264
OpenAlexW3194385201

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.