Evidence map›Paper›PMID 34807735›Full record

ArticleInfection and immunity2022

Enterotoxigenic

Alaullah Sheikh, Tamding Wangdi, Tim J Vickers, Bailey Aaron, Margot Palmer, Mark J Miller, Seonyoung Kim, Cassandra Herring, Rita Simoes, Jennifer A Crainic and 4 more

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 35 citations in OpenAlex.

  1. Discovery of a secretedGut microbes · 2026
    Article
  2. The potential of yeast culture for alleviating enterotoxigenicAnimal nutrition (Zhongguo xu mu shou yi xue hui) · 2026
    Review
  3. Article
  4. Frontiers in microbiology · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Mechanisms of uropathogenicScience advances · 2025
    Article
  9. Exploring the O-glycomic Degradome Using Natural Mucin Libraries.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  10. Review
  11. Host-derived CEACAM-laden vesicles engage enterotoxigenicProceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  12. Host-derived CEACAM-laden vesicles engage enterotoxigenicbioRxiv : the preprint server for biology · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Berberine alleviates enterotoxigenicFrontiers in nutrition · 2024
    Article
  18. Article
  19. Review
  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

14 authors at 3 institutions in 2 countries.

Alaullah SheikhDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.ORCID 0000-0002-2972-6978
Tamding WangdiDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.
Tim J VickersDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.
Bailey AaronDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.
Margot PalmerDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.
Mark J MillerDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.
Seonyoung KimDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.
Cassandra HerringDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.
Rita SimoesDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.
Jennifer A CrainicCenter for Cancer Research, Chemical Biology Laboratory, National Cancer Institutegrid.48336.3a, Fredrick, Maryland, USA.
Jeffrey C GildersleeveCenter for Cancer Research, Chemical Biology Laboratory, National Cancer Institutegrid.48336.3a, Fredrick, Maryland, USA.
Sjoerd van der PostDepartment of Medical Biochemistry and Cell Biology, University of Gothenburggrid.8761.8, Gothenburg, Sweden.
Gunnar C HanssonDepartment of Medical Biochemistry and Cell Biology, University of Gothenburggrid.8761.8, Gothenburg, Sweden.
James M FleckensteinDepartment of Medicine, Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri, USA.ORCID 0000-0002-1148-697X
Washington University in St. Louis · USNational Cancer Institute · USUniversity of Gothenburg · SE

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
Infectious Diseases/Basic Microbial Pathogenic MechanismsT32AI007172 · NIAID · WASHINGTON UNIVERSITY · PI Daniel E. Goldberg, JENNIFER A PHILIPS · 1985 to 2026
$13.0M
Carbohydrate Microarray Profiling of Glycan-Binding Antibodies and LectinsZIABC010740 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GILDERSLEEVE, JEFFREY · 2009 to 2025
$10.7M
Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI Christine T. Pham · 2018 to 2026
$7.6M
Novel Antigen Identification for an Enterotoxigenic E. coli VaccineR01AI089894 · NIAID · WASHINGTON UNIVERSITY · PI Zachary T. Berndsen, James Michael Fleckenstein · 2010 to 2026
$7.4M
Epithelial Responses to Bacterial InvasionR01AI077600 · NIAID · WASHINGTON UNIVERSITY · PI MILLER, MARK JAMES · 2009 to 2021
$3.8M
The MUC2 Mucus Gel as an Innate Immune Mechanism that Inhibits InflammationU01AI095473 · NIAID · GOTEBORG UNIVERSITY · PI HANSSON, GUNNAR C., JOHANSSON, MALIN E.V. · 2011 to 2020
$2.6M
Molecular Microbiology of Enterotoxigenic E. coli Pathogen-Host InteractionsR01AI126887 · NIAID · WASHINGTON UNIVERSITY · PI FLECKENSTEIN, JAMES MICHAEL · 2016 to 2020
$1.6M
Molecular Pathogenesis of Enterotoxigenic Escherichia coli InfectionsI01BX001469 · VA · ST. LOUIS VA MEDICAL CENTER · PI FLECKENSTEIN, JAMES MICHAEL · 2013 to 2017
–
Molecular Pathogenesis of Enterotoxigenic Escherichia coli InfectionsI01BX004825 · VA · ST. LOUIS VA MEDICAL CENTER · PI FLECKENSTEIN, JAMES MICHAEL · 2020 to 2024
–
BLRD VA I01 BX001469BLRD VA I01 BX004825NCATS NIH HHS UL1 TR002345NIAID NIH HHS R01 AI077600NIAID NIH HHS R01 AI089894NIAID NIH HHS R01 AI126887NIAID NIH HHS T32 AI007172NIAID NIH HHS U01 AI095473NIAMS NIH HHS P30 AR073752NIDDK NIH HHS P30 DK052574
6 · The paper itself

Abstract

Enterotoxigenic Escherichia coli (ETEC) isolates are genetically diverse pathological variants of E. coli defined by the production of heat-labile (LT) and/or heat-stable (ST) toxins. ETEC strains are estimated to cause hundreds of millions of cases of diarrheal illness annually. However, it is not clear that all strains are equally equipped to cause disease, and asymptomatic colonization with ETEC is common in low- to middle-income regions lacking basic sanitation and clean water where ETEC are ubiquitous. Recent molecular epidemiology studies have revealed a significant association between strains that produce EatA, a secreted autotransporter protein, and the development of symptomatic infection. Here, we demonstrate that LT stimulates production of MUC2 mucin by goblet cells in human small intestine, enhancing the protective barrier between pathogens and enterocytes. In contrast, using explants of human small intestine as well as small intestinal enteroids, we show that EatA counters this host defense by engaging and degrading the MUC2 mucin barrier to promote bacterial access to target enterocytes and ultimately toxin delivery, suggesting that EatA plays a crucial role in the molecular pathogenesis of ETEC. These findings may inform novel approaches to prevention of acute diarrheal illness as well as the sequelae associated with ETEC and other pathogens that rely on EatA and similar proteases for efficient interaction with their human hosts.

Indexed as

Bacterial ToxinsEnterotoxigenic Escherichia coliEscherichia coli InfectionsEscherichia coli ProteinsDiarrheaEnterocytesEnterotoxinsHumansIntestine, SmallMucin-2MucinsBacterial ToxinsEnterotoxinsEscherichia coli ProteinsMUC2 protein, humanMucin-2MucinsdiarrheaenterotoxinsEscherichiamucinaseproteases

Identifiers

PMID34807735
PMCPMC8853678
OpenAlexW3215084904

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.