Evidence map›Paper›PMID 35804301›Full record

ArticleBMC microbiology2022

Cyclic-di-GMP stimulates keratinocyte innate immune responses and attenuates methicillin-resistant Staphylococcus aureus colonization in a murine skin wound infection model.

Shuai Gao, Abidullah Khan, Xuhong Chen, Guohui Xiao, Stijn van der Veen, Yin Chen, Xu'ai Lin

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. [The role ofLin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    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

7 authors at 4 institutions in 1 country.

Shuai Gao *Department of Medical Microbiology and Parasitology, and Department of Infection of the Children's Hospital, National Clinical Research Center for Child Health, School of Medicine, Zhejiang University, 866Yuhangtang Road, West Lake District, Hangzhou, 310058, China.
Abidullah Khan *Department of Burns, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Xuhong ChenDepartment of Medical Microbiology and Parasitology, and Department of Infection of the Children's Hospital, National Clinical Research Center for Child Health, School of Medicine, Zhejiang University, 866Yuhangtang Road, West Lake District, Hangzhou, 310058, China.
Guohui XiaoDepartment of Medical Microbiology and Parasitology, and Department of Infection of the Children's Hospital, National Clinical Research Center for Child Health, School of Medicine, Zhejiang University, 866Yuhangtang Road, West Lake District, Hangzhou, 310058, China.
Stijn van der VeenDepartment of Microbiology, and Department of Dermatology of Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yin ChenKey Laboratory of Emergency Detection for Public Health of Zhejiang Province, Zhejiang Provincial Center for Disease Control and Prevention, 3399 Binsheng Road, Binjiang District, Hangzhou, 310051, China. yinch@cdc.zj.cn.
Xu'ai LinDepartment of Medical Microbiology and Parasitology, and Department of Infection of the Children's Hospital, National Clinical Research Center for Child Health, School of Medicine, Zhejiang University, 866Yuhangtang Road, West Lake District, Hangzhou, 310058, China. lxai122@zju.edu.cn.
Children's Hospital of Zhejiang University · CNSecond Affiliated Hospital of Zhejiang University · CNZhejiang Center for Disease Control and Prevention · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStaphylococcus aureus is a leading cause for morbidity and mortality associated with skin and burn wound infections. Therapeutic options for methicillin-resistant S. aureus (MRSA) have dwindled and therefore alternative treatments are urgently needed. In this study, the immuno-stimulating and anti-MRSA effects of cyclic di-guanosine monophosphate (c-di-GMP), a uniquely bacterial second messenger and immuno-modulator, were investigated in HaCaT human epidermal keratinocytes and a murine skin wound infection model.

resultsStimulation of HaCaT cells with 125 μM c-di-GMP for 12 h prior to MRSA challenge resulted in a 20-fold reduction in bacterial colonization compared with untreated control cells, which was not the result of a direct c-di-GMP toxic effect, since bacterial viability was not affected by this dose in the absence of HaCaT cells. C-di-GMP-stimulated or MRSA-challenged HaCaT cells displayed enhanced secretion of the antimicrobial peptides human β-defensin 1 (hBD-1), hBD-2, hBD-3 and LL-37, but for hBD1 and LL-37 the responses were additive in a c-di-GMP-dose-dependent manner. Secretion of the chemokines CXCL1 and CXCL8 was also elevated after stimulation of HaCaT cells with lower c-di-GMP doses and peaked at a dose of 5 μM. Finally, pre-treatment of mice with a 200 nmol dose of c-di-GMP 24 h before a challenge with MRSA in skin wound infection model resulted in a major reduction (up to 1,100-fold by day 2) in bacterial CFU counts recovered from challenged skin tissue sections compared PBS-treated control animals. Tissue sections displayed inflammatory cell infiltration and enhanced neutrophil influx in the c-di-GMP pre-treated animals, which might account for the reduced ability of MRSA to colonize c-di-GMP pre-treated mice.

conclusionsThese results demonstrate that c-di-GMP is a potent immuno-modulator that can stimulate anti-MRSA immune responses in vivo and might therefore be a suitable alternative prophylactic or therapeutic agent for MRSA skin or burn wound infections.

Indexed as

Adjuvants, ImmunologicImmunity, InnateMethicillin-Resistant Staphylococcus aureusStaphylococcal Skin InfectionsAnimalsBurnsCyclic GMPDisease Models, AnimalHumansKeratinocytesMiceAdjuvants, Immunologicbis(3',5')-cyclic diguanylic acidCyclic GMPc-di-GMPImmunomodulatoryMRSASkin infection

Identifiers

PMID35804301
PMCPMC9264594
OpenAlexW4284885973

What OpenQuestion holds

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LicenceCC BY
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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.