Evidence map›Paper›PMID 35102306›Full record

ArticleNature microbiology2022

Pathogenomic analyses of Shigella isolates inform factors limiting shigellosis prevention and control across LMICs.

Rebecca J Bengtsson, Adam J Simpkin, Caisey V Pulford, Ross Low, David A Rasko, Daniel J Rigden, Neil Hall, Eileen M Barry, Sharon M Tennant, Kate S Baker

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Nature microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06523231 (Safety and Immunogenicity of a Second Generation Shigella Bioconjugate Vaccine), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
9.9field-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.

NCT06523231 phase2completednot on this mapstarted 2025, after this paper: background citation

Safety and Immunogenicity of a Second Generation Shigella Bioconjugate Vaccine: a Phase II Randomized, Controlled, and Blinded Study in 9-month-old Infants

TypeinterventionalSponsorLimmaTech Biologics AGRan2025 to 2026Enrolled110ConditionsShigellosisArmsShigella4V2, MenACWY
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The Burden and Genomic Characterization ofmedRxiv : the preprint server for health sciences · 2026
    Article
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  8. Genomic and epidemiological characteristics ofPathogens and global health · 2025
    Article
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  12. Whole genome analysis ofFrontiers in veterinary science · 2025
    Article
  13. Article
  14. Recent progress inFood chemistry: X · 2024
    Review
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  18. Article
  19. Article
  20. Identification and characterization of a novel lytic peptidoglycan transglycosylase (MltC) in Shigella dysenteriae.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    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

10 authors at 5 institutions in 2 countries.

Rebecca J BengtssonClinical Infection, Microbiology and Immunity, Institute of Infection, Veterinary and Ecological Sciences, The University of Liverpool, Liverpool, UK.
Adam J SimpkinBiochemistry and Systems Biology, Institute of Systems, Molecular and Systems Biology, The University of Liverpool, Liverpool, UK.
Caisey V PulfordClinical Infection, Microbiology and Immunity, Institute of Infection, Veterinary and Ecological Sciences, The University of Liverpool, Liverpool, UK.
Ross LowEarlham Institute, Norwich Research Park, Norwich, UK.
David A RaskoDepartment of Microbiology and Immunology, Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-7337-7154
Daniel J RigdenBiochemistry and Systems Biology, Institute of Systems, Molecular and Systems Biology, The University of Liverpool, Liverpool, UK.
Neil HallEarlham Institute, Norwich Research Park, Norwich, UK.
Eileen M BarryCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-5326-0047
Sharon M TennantCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Kate S BakerClinical Infection, Microbiology and Immunity, Institute of Infection, Veterinary and Ecological Sciences, The University of Liverpool, Liverpool, UK. kbaker@liverpool.ac.uk.ORCID http://orcid.org/0000-0001-5850-1949
University of Liverpool · GBUniversity of Maryland, Baltimore · USDepartment of Health and Social Care · GBNorwich Research Park · GBUniversity of East Anglia · GB

Funding

Technology CoreU19AI110820 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI DUNNING HOTOPP, JULIE · 2014 to 2023
$36.5M
Biotechnology and Biological Sciences Research Council BB/CCG1720/1Medical Research Council MR/R020787/1NIAID NIH HHS U19 AI110820Wellcome Trust 106690Wellcome Trust 106690/A/14/Z
6 · The paper itself

Abstract

Shigella spp. are the leading bacterial cause of severe childhood diarrhoea in low- and middle-income countries (LMICs), are increasingly antimicrobial resistant and have no widely available licenced vaccine. We performed genomic analyses of 1,246 systematically collected shigellae sampled from seven countries in sub-Saharan Africa and South Asia as part of the Global Enteric Multicenter Study (GEMS) between 2007 and 2011, to inform control and identify factors that could limit the effectiveness of current approaches. Through contemporaneous comparison among major subgroups, we found that S. sonnei contributes ≥6-fold more disease than other Shigella species relative to its genomic diversity, and highlight existing diversity and adaptative capacity among S. flexneri that may generate vaccine escape variants in <6 months. Furthermore, we show convergent evolution of resistance against ciprofloxacin, the current WHO-recommended antimicrobial for the treatment of shigellosis, among Shigella isolates. This demonstrates the urgent need to integrate existing genomic diversity into vaccine and treatment plans for Shigella, providing a framework for the focused application of comparative genomics to guide vaccine development, and the optimization of control and prevention strategies for other pathogens relevant to public health policy considerations.

Indexed as

ChildChild, PreschoolCiprofloxacinDeveloping CountriesDrug Resistance, BacterialDysentery, BacillaryEvolution, MolecularGenome, BacterialGlobal HealthHumansShigellaShigella sonneiWhole Genome SequencingCiprofloxacin

Identifiers

PMID35102306
PMCPMC8813619
OpenAlexW4210610021

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Registered trials

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.