Evidence map›Paper›PMID 35584143›Full record

ArticlePLoS neglected tropical diseases2022

Diverse lineages of pathogenic Leptospira species are widespread in the environment in Puerto Rico, USA.

Nathan E Stone, Carina M Hall, Marielisa Ortiz, Shelby M Hutton, Ella Santana-Propper, Kimberly R Celona, Charles H D Williamson, Nicole Bratsch, Luis G V Fernandes, Joseph D Busch and 7 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  8. Host-Driven Genetic Diversity ofTransboundary and emerging diseases · 2026
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  14. Whole-genome sequencing ofMicrobiology resource announcements · 2024
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  15. Detection of Genes Related to Antibiotic Resistance inTropical medicine and infectious disease · 2024
    Article
  16. Leptospirosis Outbreak in Aftermath of Hurricane Fiona - Puerto Rico, 2022.MMWR. Morbidity and mortality weekly report · 2024
    Article
  17. Review
  18. Review
  19. Article
  20. Putative Pathogenic Genes ofTropical medicine and infectious disease · 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

17 authors at 4 institutions in 2 countries.

Nathan E StoneThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Carina M HallThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Marielisa OrtizU.S. Department of Agriculture, Animal and Plant Health Inspection Service, Veterinary Services, San Juan, Puerto Rico, United States of America.
Shelby M HuttonThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Ella Santana-PropperThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Kimberly R CelonaThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Charles H D WilliamsonThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Nicole BratschThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Luis G V FernandesInfectious Bacterial Diseases Research Unit, National Animal Disease Center, Agricultural Research Service, United States Department of Agriculture, Ames, Iowa, United States of America.
Joseph D BuschThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Talima PearsonThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Sarai Rivera-GarciaU.S. Department of Agriculture, Animal and Plant Health Inspection Service, Veterinary Services, San Juan, Puerto Rico, United States of America.
Fred SolteroU.S. Department of Agriculture, Animal and Plant Health Inspection Service, Veterinary Services, San Juan, Puerto Rico, United States of America.
Renee GallowayBacterial Special Pathogens Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Jason W SahlThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.
Jarlath E NallyInfectious Bacterial Diseases Research Unit, National Animal Disease Center, Agricultural Research Service, United States Department of Agriculture, Ames, Iowa, United States of America.
David M WagnerThe Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America.ORCID 0000-0003-2684-6007
Northern Arizona University · USAnimal and Plant Health Inspection Service · USAgricultural Research Service · USCenters for Disease Control and Prevention · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeptospirosis, caused by Leptospira bacteria, is a common zoonosis worldwide, especially in the tropics. Reservoir species and risk factors have been identified but surveys for environmental sources are rare. Furthermore, understanding of environmental Leptospira containing virulence associated genes and possibly capable of causing disease is incomplete, which may convolute leptospirosis diagnosis, prevention, and epidemiology. METHODOLOGY/PRINCIPAL

findingsWe collected environmental samples from 22 sites in Puerto Rico during three sampling periods over 14-months (Dec 2018-Feb 2020); 10 water and 10 soil samples were collected at each site. Samples were screened for DNA from potentially pathogenic Leptospira using the lipL32 PCR assay and positive samples were sequenced to assess genetic diversity. One urban site in San Juan was sampled three times over 14 months to assess persistence in soil; live leptospires were obtained during the last sampling period. Isolates were whole genome sequenced and LipL32 expression was assessed in vitro. We detected pathogenic Leptospira DNA at 15/22 sites; both soil and water were positive at 5/15 sites. We recovered lipL32 sequences from 83/86 positive samples (15/15 positive sites) and secY sequences from 32/86 (10/15 sites); multiple genotypes were identified at 12 sites. These sequences revealed significant diversity across samples, including four novel lipL32 phylogenetic clades within the pathogenic P1 group. Most samples from the serially sampled site were lipL32 positive at each time point. We sequenced the genomes of six saprophytic and two pathogenic Leptospira isolates; the latter represent a novel pathogenic Leptospira species likely belonging to a new serogroup. CONCLUSIONS/SIGNIFICANCE: Diverse and novel pathogenic Leptospira are widespread in the environment in Puerto Rico. The disease potential of these lineages is unknown but several were consistently detected for >1 year in soil, which could contaminate water. This work increases understanding of environmental Leptospira diversity and should improve leptospirosis surveillance and diagnostics.

Indexed as

LeptospiraLeptospirosisHumansPhylogenyPuerto RicoSoilWaterSoilWater

Identifiers

PMID35584143
PMCPMC9154103
OpenAlexW4280564397

What OpenQuestion holds

Textmetadata
LicenceCC0
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.