Evidence map›Paper›PMID 35439435›Full record

ArticleCell host & microbe2022

Thymidine starvation promotes c-di-AMP-dependent inflammation during pathogenic bacterial infection.

Qing Tang, Mimi R Precit, Maureen K Thomason, Sophie F Blanc, Fariha Ahmed-Qadri, Adelle P McFarland, Daniel J Wolter, Lucas R Hoffman, Joshua J Woodward

Open access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. A c-di-AMP-controlled glutamine synthesis pathway promotes persistence ofbioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. A Purely Biomanufactured System for Delivering Nanoparticles and STING Agonists.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  12. Article
  13. Article
  14. Thymidine-dependent Staphylococcus aureus and lung function in patients with cystic fibrosis: a 10-year retrospective case-control study.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024
    Article
  15. STING trafficking as a new dimension of immune signaling.The Journal of experimental medicine · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Qing TangDepartment of Microbiology, University of Washington, Seattle, WA 98105, USA.
Mimi R PrecitDepartment of Microbiology, University of Washington, Seattle, WA 98105, USA.
Maureen K ThomasonDepartment of Microbiology, University of Washington, Seattle, WA 98105, USA.
Sophie F BlancDepartment of Microbiology, University of Washington, Seattle, WA 98105, USA.
Fariha Ahmed-QadriDepartment of Microbiology, University of Washington, Seattle, WA 98105, USA.
Adelle P McFarlandDepartment of Microbiology, University of Washington, Seattle, WA 98105, USA.
Daniel J WolterDepartment of Pediatrics, University of Washington, Seattle, WA 98105, USA; Pulmonary and Sleep Medicine, Seattle Children's Hospital, Seattle, WA 98105, USA.
Lucas R HoffmanDepartment of Microbiology, University of Washington, Seattle, WA 98105, USA; Department of Pediatrics, University of Washington, Seattle, WA 98105, USA; Pulmonary and Sleep Medicine, Seattle Children's Hospital, Seattle, WA 98105, USA.
Joshua J WoodwardDepartment of Microbiology, University of Washington, Seattle, WA 98105, USA. Electronic address: jjwoodwa@uw.edu.
University of Washington · US

Funding

Listeria monocytogenes physiology and host pathogen interactionsR01AI116669 · NIAID · UNIVERSITY OF WASHINGTON · PI WOODWARD, JOSHUA · 2015 to 2024
$4.4M
C-di-AMP signaling in S. aureusR01AI139071 · NIAID · UNIVERSITY OF WASHINGTON · PI WOODWARD, JOSHUA · 2019 to 2023
$2.8M
NIAID NIH HHS R01 AI116669NIAID NIH HHS R01 AI139071
6 · The paper itself

Abstract

Antimicrobials can impact bacterial physiology and host immunity with negative treatment outcomes. Extensive exposure to antifolate antibiotics promotes thymidine-dependent Staphylococcus aureus small colony variants (TD-SCVs), commonly associated with worse clinical outcomes. We show that antibiotic-mediated disruption of thymidine synthesis promotes elevated levels of the bacterial second messenger cyclic di-AMP (c-di-AMP), consequently inducing host STING activation and inflammation. An initial antibiotic screen in Firmicutes revealed that c-di-AMP production was largely driven by antifolate antibiotics targeting dihydrofolate reductase (DHFR), which promotes folate regeneration required for thymidine biosynthesis. Additionally, TD-SCVs exhibited excessive c-di-AMP production and STING activation in a thymidine-dependent manner. Murine lung infection with TD-SCVs revealed STING-dependent elevation of proinflammatory cytokines, causing higher airway neutrophil infiltration and activation compared with normal-colony S. aureus and hemin-dependent SCVs. Collectively, our results suggest that thymidine metabolism disruption in Firmicutes leads to elevated c-di-AMP-mediated STING-dependent inflammation, with potential impacts on antibiotic usage and infection outcomes.

Indexed as

Folic Acid AntagonistsStaphylococcal InfectionsAnimalsAnti-Bacterial AgentsBacterial ProteinsCyclic AMPDinucleoside PhosphatesInflammationMiceStaphylococcus aureusThymidineAnti-Bacterial AgentsBacterial ProteinsCyclic AMPcyclic diadenosine phosphateDinucleoside PhosphatesFolic Acid AntagonistsThymidineanti-folate antibioticslungneutrophilsmall colony variantsStaphylococcus aureusSTINGthymidine

Identifiers

PMID35439435
PMCPMC9283248
OpenAlexW4224005061

What OpenQuestion holds

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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.