Evidence map›Paper›PMID 34735796›Full record

ArticleCell2021

Z-form extracellular DNA is a structural component of the bacterial biofilm matrix.

John R Buzzo, Aishwarya Devaraj, Erin S Gloag, Joseph A Jurcisek, Frank Robledo-Avila, Theresa Kesler, Kathryn Wilbanks, Lauren Mashburn-Warren, Sabarathnam Balu, Joseph Wickham and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed
10.0field-weighted citation impact, top 1% 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

112 citing papers in PubMed, 198 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Imaging nucleic acids in biofilms.Essays in biochemistry · 2026
    Review
  5. Molecular Regulation of Biofilm Development inPathogens (Basel, Switzerland) · 2026
    Review
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52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

John R BuzzoCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Aishwarya DevarajCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Erin S GloagDepartment of Orthopedics, Ohio State University, Columbus, OH 43210, USA.
Joseph A JurcisekCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Frank Robledo-AvilaCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Theresa KeslerCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Kathryn WilbanksCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Lauren Mashburn-WarrenThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Sabarathnam BaluCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Joseph WickhamCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Laura A NovotnyCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Paul StoodleyDepartment of Orthopedics, Ohio State University, Columbus, OH 43210, USA; Department of Microbial Infection and Immunity, Ohio State University, Columbus, OH 43210, USA; National Centre for Advanced Tribology at Southampton, University of Southampton, Southampton S017 1BJ, UK.
Lauren O BakaletzCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA; Department of Pediatrics, College of Medicine, Ohio State University, Columbus, OH 43210, USA. Electronic address: lauren.bakaletz@nationwidechildrens.org.
Steven D GoodmanCenter for Microbial Pathogenesis, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA; Department of Pediatrics, College of Medicine, Ohio State University, Columbus, OH 43210, USA. Electronic address: steven.goodman@nationwidechildrens.org.
Nationwide Children's Hospital · USThe Ohio State University · USUniversity of Southampton · GB

Funding

Novel immunotherapeutics for the management of otitis media due to H. influenzaeR01DC011818 · NIDCD · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BAKALETZ, LAUREN O, GOODMAN, STEVEN D · 2011 to 2020
$5.4M
HMGB1-mediated host response to chronic bacterial infectionR01AI155501 · NIAID · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI GOODMAN, STEVEN D · 2020 to 2024
$3.6M
The role of Staphylococcus aureus aggregate formation in establishing biofilms in chronic orthopaedic periprosthetic joint infection.R01GM124436 · NIGMS · OHIO STATE UNIVERSITY · PI STOODLEY, PAUL · 2018 to 2021
$2.1M
NIAID NIH HHS R01 AI155501NIDCD NIH HHS R01 DC011818NIGMS NIH HHS R01 GM124436
6 · The paper itself

Abstract

Biofilms are community architectures adopted by bacteria inclusive of a self-formed extracellular matrix that protects resident bacteria from diverse environmental stresses and, in many species, incorporates extracellular DNA (eDNA) and DNABII proteins for structural integrity throughout biofilm development. Here, we present evidence that this eDNA-based architecture relies on the rare Z-form. Z-form DNA accumulates as biofilms mature and, through stabilization by the DNABII proteins, confers structural integrity to the biofilm matrix. Indeed, substances known to drive B-DNA into Z-DNA promoted biofilm formation whereas those that drive Z-DNA into B-DNA disrupted extant biofilms. Importantly, we demonstrated that the universal bacterial DNABII family of proteins stabilizes both bacterial- and host-eDNA in the Z-form in situ. A model is proposed that incorporates the role of Z-DNA in biofilm pathogenesis, innate immune response, and immune evasion.

Indexed as

BiofilmsAnimalsAntibody SpecificityBacteriaBacterial ProteinsCell LineChinchillaDeoxyribonucleasesDNA, BacterialDNA, CruciformExtracellular MatrixExtracellular SpaceExtracellular TrapsHumansTetradecanoylphorbol AcetateBacterial ProteinsDeoxyribonucleasesDNA, BacterialDNA, CruciformTetradecanoylphorbol Acetatebiofilm matrixDNABII proteinsDNase resistanceextracellular DNAZ-DNA

Identifiers

PMID34735796
PMCPMC8595767
OpenAlexW3208495306

What OpenQuestion holds

Textmetadata
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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.