Evidence map›Paper›PMID 35109894›Full record

ArticleGenome biology2022

An invasive Haemophilus influenzae serotype b infection in an Anglo-Saxon plague victim.

Meriam Guellil, Marcel Keller, Jenna M Dittmar, Sarah A Inskip, Craig Cessford, Anu Solnik, Toomas Kivisild, Mait Metspalu, John E Robb, Christiana L Scheib

Open access · goldAbstract read
In one paragraph

Article in Genome biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 35 citations in OpenAlex.

  1. A refined phylochronology of the second plague pandemic in Western Eurasia.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Current research in microbial sciences · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. A Perilous Combination:Vector borne and zoonotic diseases (Larchmont, N.Y.) · 2023
    Review
  18. Article
  19. Ancient pathogens provide a window into health and well-being.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  20. Review
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 7 institutions in 6 countries.

Meriam GuellilEstonian Biocentre, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia. meriam.guellil@ut.ee.ORCID 0000-0002-7235-4604
Marcel KellerEstonian Biocentre, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia. marcel.keller@ut.ee.
Jenna M DittmarMcDonald Institute for Archaeological Research, University of Cambridge, Downing Street, Cambridge, CB2 3ER, UK.
Sarah A InskipMcDonald Institute for Archaeological Research, University of Cambridge, Downing Street, Cambridge, CB2 3ER, UK.
Craig CessfordMcDonald Institute for Archaeological Research, University of Cambridge, Downing Street, Cambridge, CB2 3ER, UK.
Anu SolnikCore Facility, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia.
Toomas KivisildEstonian Biocentre, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia.
Mait MetspaluEstonian Biocentre, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia.
John E RobbDepartment of Archaeology, University of Cambridge, Downing Street, Cambridge, CB2 3DZ, UK.
Christiana L ScheibEstonian Biocentre, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia. cls83@ut.ee.
Estonian Biocentre · EEUniversity of Cambridge · GBCentre For Human Genetics · INSt. John's College of Nursing · USUniversity of Aberdeen · GBUniversity of Leicester · GBUniversity of Tartu · EE

Funding

Wellcome Trust 2000368/Z/15/ZWellcome Trust 200368/Z/15/Z
6 · The paper itself

Abstract

backgroundThe human pathogen Haemophilus influenzae was the main cause of bacterial meningitis in children and a major cause of worldwide infant mortality before the introduction of a vaccine in the 1980s. Although the occurrence of serotype b (Hib), the most virulent type of H. influenzae, has since decreased, reports of infections with other serotypes and non-typeable strains are on the rise. While non-typeable strains have been studied in-depth, very little is known of the pathogen's evolutionary history, and no genomes dating prior to 1940 were available.

resultsWe describe a Hib genome isolated from a 6-year-old Anglo-Saxon plague victim, from approximately 540 to 550 CE, Edix Hill, England, showing signs of invasive infection on its skeleton. We find that the genome clusters in phylogenetic division II with Hib strain NCTC8468, which also caused invasive disease. While the virulence profile of our genome was distinct, its genomic similarity to NCTC8468 points to mostly clonal evolution of the clade since the 6th century. We also reconstruct a partial Yersinia pestis genome, which is likely identical to a published first plague pandemic genome of Edix Hill.

conclusionsOur study presents the earliest genomic evidence for H. influenzae, points to the potential presence of larger genomic diversity in the phylogenetic division II serotype b clade in the past, and allows the first insights into the evolutionary history of this major human pathogen. The identification of both plague and Hib opens questions on the effect of plague in immunocompromised individuals already affected by infectious diseases.

Indexed as

Haemophilus VaccinesPlagueChildHaemophilus influenzaeHumansInfantPhylogenySerogroupHaemophilus VaccinesaDNAAncient DNAHaemophilus influenzaeMicrobial genomicsOsteologyPaleogenomicsPathogen genomicsPlagueSerotype bYersinia pestis

Identifiers

PMID35109894
PMCPMC8812261
OpenAlexW4210540849

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.