Evidence map›Paper›PMID 35324915›Full record

ArticlePLoS genetics2022

Genome wide association study of Escherichia coli bloodstream infection isolates identifies genetic determinants for the portal of entry but not fatal outcome.

Erick Denamur, Bénédicte Condamine, Marina Esposito-Farèse, Guilhem Royer, Olivier Clermont, Cédric Laouenan, Agnès Lefort, Victoire de Lastours, Marco Galardini, COLIBAFI and 1 more

Abstract read
In one paragraph

Article in PLoS genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
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  4. Evolutionary genomic analyses of canineApplied and environmental microbiology · 2024
    Article
  5. Predicting the primary infection source of Escherichia coli bacteremia using virulence-associated genes.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
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  18. Highly Virulent and Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2022
    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

11 authors.

Erick DenamurUniversité de Paris, IAME, UMR 1137, INSERM, Paris, France.ORCID 0000-0002-7860-1717
Bénédicte CondamineUniversité de Paris, IAME, UMR 1137, INSERM, Paris, France.ORCID 0000-0002-3513-7168
Marina Esposito-FarèseDépartement d'épidémiologie, biostatistiques et recherche clinique, Hôpital Bichat, AP-HP, Paris, France.
Guilhem RoyerUniversité de Paris, IAME, UMR 1137, INSERM, Paris, France.ORCID 0000-0001-9092-8336
Olivier ClermontUniversité de Paris, IAME, UMR 1137, INSERM, Paris, France.
Cédric LaouenanUniversité de Paris, IAME, UMR 1137, INSERM, Paris, France.ORCID 0000-0002-3681-6314
Agnès LefortUniversité de Paris, IAME, UMR 1137, INSERM, Paris, France.
Victoire de LastoursUniversité de Paris, IAME, UMR 1137, INSERM, Paris, France.ORCID 0000-0003-1160-2069
Marco GalardiniInstitute for Molecular Bacteriology, TWINCORE Centre for Experimental and Clinical Infection Research, a joint venture between the Hannover Medical School (MHH) and the Helmholtz Centre for Infection Research (HZI), Hannover, Germany.ORCID 0000-0003-2018-8242
COLIBAFI
SEPTICOLI groups

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Escherichia coli is an important cause of bloodstream infections (BSI), which is of concern given its high mortality and increasing worldwide prevalence. Finding bacterial genetic variants that might contribute to patient death is of interest to better understand infection progression and implement diagnostic methods that specifically look for those factors. E. coli samples isolated from patients with BSI are an ideal dataset to systematically search for those variants, as long as the influence of host factors such as comorbidities are taken into account. Here we performed a genome-wide association study (GWAS) using data from 912 patients with E. coli BSI from hospitals in Paris, France. We looked for associations between bacterial genetic variants and three patient outcomes (death at 28 days, septic shock and admission to intensive care unit), as well as two portals of entry (urinary and digestive tract), using various clinical variables from each patient to account for host factors. We did not find any association between genetic variants and patient outcomes, potentially confirming the strong influence of host factors in influencing the course of BSI; we however found a strong association between the papGII operon and entrance of E. coli through the urinary tract, which demonstrates the power of bacterial GWAS when applied to actual clinical data. Despite the lack of associations between E. coli genetic variants and patient outcomes, we estimate that increasing the sample size by one order of magnitude could lead to the discovery of some putative causal variants. Given the wide adoption of bacterial genome sequencing of clinical isolates, such sample sizes may be soon available.

Indexed as

BacteremiaEscherichia coli InfectionsSepsisBacteriaEscherichia coliGenome-Wide Association StudyHumans

Identifiers

PMID35324915
PMCPMC8946752

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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.