Evidence map›Paper›PMID 35915063›Full record

ArticleNature communications2022

Combined comparative genomics and clinical modeling reveals plasmid-encoded genes are independently associated with Klebsiella infection.

Jay Vornhagen, Emily K Roberts, Lavinia Unverdorben, Sophia Mason, Alieysa Patel, Ryan Crawford, Caitlyn L Holmes, Yuang Sun, Alexandra Teodorescu, Evan S Snitkin and 6 more

Abstract readComparative Study
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Connections betweenInfection and immunity · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. A Novel Technique to CharacterizebioRxiv : the preprint server for biology · 2025
    Article
  9. mBio · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Type-2 diabetes mellitus enhancesbioRxiv : the preprint server for biology · 2024
    Article
  14. Article
  15. Immunometabolic control byImmunometabolism (Cobham, Surrey) · 2023
    Review
  16. Article
  17. A Comprehensive Genomic Analysis of the EmergentPathogens (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

16 authors.

Jay VornhagenDepartment of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Emily K RobertsDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-5838-9691
Lavinia UnverdorbenDepartment of Microbiology & Immunology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Sophia MasonDepartment of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Alieysa PatelDepartment of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Ryan CrawfordDepartment of Computational Medicine and Bioinformatics, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Caitlyn L HolmesDepartment of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Yuang SunDepartment of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0001-9508-2691
Alexandra TeodorescuDepartment of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Evan S SnitkinDepartment of Microbiology & Immunology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Lili ZhaoDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Patricia J SimnerDivision of Medical Microbiology, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MI, USA.
Pranita D TammaDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MI, USA.
Krishna RaoDepartment of Internal Medicine/Infectious Diseases Division, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Keith S KayeDepartment of Internal Medicine/Infectious Diseases Division, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Michael A BachmanDepartment of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. mikebach@med.umich.edu.ORCID http://orcid.org/0000-0003-2507-6987

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Molecular Mechanisms of Microbial Pathogenesis Training ProgramT32AI007528 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARRUTHERS, VERNON BRUCE · 1998 to 2024
$6.8M
Lung Immunopathology Training Stipend SupplementT32HL007517 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUKACS, NICHOLAS W · 1985 to 2022
$6.1M
Training Program in BioinformaticsT32GM070449 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ATHEY, BRIAN DAVID, BURMEISTER, MARGIT · 2005 to 2020
$3.6M
Integrated modeling of Klebsiella pneumoniae infections based on bacterial genotype, patient factors and colonization statusR01AI125307 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BACHMAN, MICHAEL ABBOTT · 2017 to 2021
$2.6M
Regional genomic epidemiology to identify drivers of resistance, transmission and infection with carbapenem-resistant Klebsiella pneumoniaeR01AI148259 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SNITKIN, EVAN · 2020 to 2023
$2.2M
NCATS NIH HHS UL1 TR002240NHLBI NIH HHS T32 HL007517NIAID NIH HHS R01 AI125307NIAID NIH HHS R01 AI148259NIAID NIH HHS T32 AI007528NIGMS NIH HHS T32 GM070449
6 · The paper itself

Abstract

Members of the Klebsiella pneumoniae species complex frequently colonize the gut and colonization is associated with subsequent infection. To identify genes associated with progression from colonization to infection, we undertook a case-control comparative genomics study. Concordant cases (N = 85), where colonizing and invasive isolates were identical strain types, were matched to asymptomatically colonizing controls (N = 160). Thirty-seven genes are associated with infection, 27 of which remain significant following adjustment for patient variables and bacterial phylogeny. Infection-associated genes are not previously characterized virulence factors, but instead a diverse group of stress resistance, regulatory and antibiotic resistance genes, despite careful adjustment for antibiotic exposure. Many genes are plasmid borne, and for some, the relationship with infection is mediated by gut dominance. Five genes were validated in a geographically-independent cohort of colonized patients. This study identifies several genes reproducibly associated with progression to infection in patients colonized by diverse Klebsiella.

Indexed as

Klebsiella InfectionsKlebsiella pneumoniaeAnti-Bacterial AgentsGenomicsHumansKlebsiellaPlasmidsAnti-Bacterial Agents

Identifiers

PMID35915063
PMCPMC9343666

What OpenQuestion holds

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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.