Evidence map›Paper›PMID 35545083›Full record

ArticleCell host & microbe2022

Persisting uropathogenic Escherichia coli lineages show signatures of niche-specific within-host adaptation mediated by mobile genetic elements.

Robert Thänert, JooHee Choi, Kimberly A Reske, Tiffany Hink, Anna Thänert, Meghan A Wallace, Bin Wang, Sondra Seiler, Candice Cass, Margaret H Bost and 15 more

Abstract 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 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

37 citing papers in PubMed.

  1. UropathogenicAntibiotics (Basel, Switzerland) · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Loss of O-antigen due toScience advances · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Microorganisms · 2026
    Article
  14. Genomic Characterisation of Pyometra-AssociatedAntibiotics (Basel, Switzerland) · 2026
    Article
  15. AreVirulence · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Robert ThänertThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine, St. Louis, MO, USA; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
JooHee ChoiThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine, St. Louis, MO, USA.
Kimberly A ReskeDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Tiffany HinkDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Anna ThänertThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine, St. Louis, MO, USA.
Meghan A WallaceDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Bin WangThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine, St. Louis, MO, USA; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Sondra SeilerDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Candice CassDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Margaret H BostDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Emily L StruttmannDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Zainab Hassan IqbalDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Steven R SaxDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Victoria J FraserDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Arthur W BakerDivision of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA; Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA.
Katherine R FoyDivision of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA; Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA.
Brett WilliamsDivision of Infectious Diseases, Department of Internal Medicine, Rush Medical College, Chicago, IL, USA.
Ben XuDivision of Infectious Diseases, Department of Internal Medicine, Rush Medical College, Chicago, IL, USA.
Pam Capocci-TolomeoDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Ebbing LautenbachDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Carey-Ann D BurnhamDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA; Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA; Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA; Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.
Erik R DubberkeDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: edubberk@wustl.edu.
Jennie H KwonDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: j.kwon@wustl.edu.
Gautam DantasThe Edison Family Center for Genome Sciences and Systems Biology, Washington University School of Medicine, St. Louis, MO, USA; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA; Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA; Department of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, USA. Electronic address: dantas@wustl.edu.
CDC Prevention Epicenters Program

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
PHYLOGENOMIC, TRANSCRIPTOMIC, VIROMIC, AND IMMUNOPROTEOMIC DETERMINANTS OF NECROTIZING ENTEROCOLITISR01HD092414 · NICHD · WASHINGTON UNIVERSITY · PI DANTAS, GAUTAM, TARR, PHILLIP I · 2017 to 2021
$3.0M
STRUCTURAL, MECHANISTIC, & EVOLUTIONARY CHARACTERIZATION OF TETRACYCLINE DESTRUCTASESR01AI123394 · NIAID · WASHINGTON UNIVERSITY · PI DANTAS, GAUTAM, WENCEWICZ, TIMOTHY ADAM · 2016 to 2019
$2.7M
Longitudinal Analysis of the Fecal Microbiome and Resistome of Patients with Multidrug-Resistant Urinary Tract Infections and Predictors of RecurrenceK23AI137321 · NIAID · WASHINGTON UNIVERSITY · PI KWON, JENNIE H · 2019 to 2022
$675k
ACL HHS U54CK000482NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR002345NCEZID CDC HHS U54 CK000482NIAID NIH HHS K23 AI137321NIAID NIH HHS R01 AI123394NICHD NIH HHS R01 HD092414
6 · The paper itself

Abstract

Large-scale genomic studies have identified within-host adaptation as a hallmark of bacterial infections. However, the impact of physiological, metabolic, and immunological differences between distinct niches on the pathoadaptation of opportunistic pathogens remains elusive. Here, we profile the within-host adaptation and evolutionary trajectories of 976 isolates representing 119 lineages of uropathogenic Escherichia coli (UPEC) sampled longitudinally from both the gastrointestinal and urinary tracts of 123 patients with urinary tract infections. We show that lineages persisting in both niches within a patient exhibit increased allelic diversity. Habitat-specific selection results in niche-specific adaptive mutations and genes, putatively mediating fitness in either environment. Within-lineage inter-habitat genomic plasticity mediated by mobile genetic elements (MGEs) provides the opportunistic pathogen with a mechanism to adapt to the physiological conditions of either habitat, and reduced MGE richness is associated with recurrence in gut-adapted UPEC lineages. Collectively, our results establish niche-specific adaptation as a driver of UPEC within-host evolution.

Indexed as

Escherichia coli InfectionsEscherichia coli ProteinsHost AdaptationUrinary Tract InfectionsUropathogenic Escherichia coliHumansInterspersed Repetitive SequencesEscherichia coli Proteinsevolutiongenomic plasticitymobile genetic elementsniche adaptationpathoadaptationuropathogenic Escherichia coli

Identifiers

PMID35545083
PMCPMC10365138

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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.