Evidence map›Paper›PMID 34809671›Full record

ArticleGut pathogens2021

Translocating lipopolysaccharide correlates with the severity of enterovirus A71-induced HFMD by promoting pro-inflammation and viral IRES activity.

Yuya Wang, Kena Dan, Xiaoling Xue, Xiongbo Yang, Xujiao Feng, Qingqing Yang, Jing Yang, Bangtao Chen

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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 3 institutions in 1 country.

Yuya WangDepartment of Obstetrics and Gynecology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, China.
Kena DanDepartment of Dermatology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, China.
Xiaoling XueDepartment of Hematology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, China.
Xiongbo YangDepartment of Dermatology, Chongqing University Three Gorges Hospital, Chongqing, 404100, China.
Xujiao FengDepartment of Infectious Diseases, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, 046000, China.
Qingqing YangDepartment of Infectious Diseases, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, 046000, China.
Jing YangDepartment of Dermatology, Chongqing University Three Gorges Hospital, Chongqing, 404100, China. feijing_2002@163.com.
Bangtao ChenDepartment of Dermatology, Chongqing University Three Gorges Hospital, Chongqing, 404100, China. medisci@163.com.ORCID http://orcid.org/0000-0001-6540-8726
Chongqing Medical University · CNChongqing University · CNChangzhi Medical College · CN

Funding

National Natural Science Foundation of China 82003337Postdoctoral Research Foundation of China 2020M683268
6 · The paper itself

Abstract

backgroundThe increase of inflammation-inducing enterobacteria was recently observed in severe hand, foot, and mouth disease (HFMD) caused by Enterovirus A71 (EV-A71). This study aimed to verify the occurrence of bacterial translocation (BT) and further explore the contributory role of BT to severity of EV-A71-mediated HFMD cases.

methodsSerum specimens from 65 mild and 65 severe EV-A71-associated HFMD cases and 65 healthy children were collected. EV-A71 VP1 in serum, inflammatory mediators including C-reactive protein, IL-1β, IL-6, interferon-γ and tumor necrosis factor-α, BT related biomarkers including Claudin-3, intestinal fatty acid binding protein, lipopolysaccharide (LPS), soluble CD14 (sCD14) and endotoxin core antibody were measured by ELISA. Bacterial DNA (BactDNA) fragments were quantified by quantified PCR (qPCR). Rhabdomyosarcoma (RD) or SH-SY5Y cells, infected with LPS-pre-incubated EV-A71 or transfected with plasmid containing viral 2A

resultsCompared to mild HFMD patients, remarkably higher inflammatory mediators as well as BT-related biomarkers except BactDNA were observed in severe HFMD cases (all P < 0.05). In severe HFMD group, circulating concentrations of LPS and sCD14 showed statistical correlations with inflammation indices (all P < 0.05), serum levels of EV-A71 VP1 were found to be positively correlated with serum LPS (r = 0.341, P = 0.005) and serum sCD14 (r = 0.458, P < 0.001). In vitro, EV-A71 attachment and internalization were only slightly promoted by LPS pre-incubation; however, EV-A71 proliferation and viral 2A

conclusionsOur results collectively indicate that gut-derived translocating LPS contributes to the severity of EV-A71-induced HFMD by driving inflammatory response and viral proliferation via viral 2A

Indexed as

2A protease (2Apro)Enterovirus A71Hand, foot, and mouth diseaseInflammationInternal ribosomal entry site (IRES)Lipopolysaccharide

Identifiers

PMID34809671
PMCPMC8607650
OpenAlexW3195756380

What OpenQuestion holds

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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.