Evidence map›Paper›PMID 35972275›Full record

ArticleMicrobiology spectrum2022

Emergence and Molecular Epidemiology of Campylobacter jejuni ST-2993 Associated with a Large Outbreak of Guillain-Barré Syndrome in Peru.

Willi Quino, Junior Caro-Castro, Orson Mestanza, Verónica Hurtado, María Luz Zamudio, Gloria Cruz-Gonzales, Ronnie G Gavilan

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Triggers of Guillain-Barré Syndrome:International journal of molecular sciences · 2022
    Pooled it
  2. Enhancing surveillance of foodborne bacteria and antimicrobial resistance using a large centralized laboratory database: Case study of Campylobacter and nontyphoidal Salmonella in Peru.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Virulence and infectious assessment of aMicrobiology spectrum · 2025
    Article
  7. Article
  8. Review
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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 3 institutions in 1 country.

Willi QuinoLaboratorio de Referencia Nacional de Enteropatógenos, Instituto Nacional de Saludgrid.419226.a, Lima, Perú.ORCID 0000-0002-3693-1531
Junior Caro-CastroLaboratorio de Referencia Nacional de Enteropatógenos, Instituto Nacional de Saludgrid.419226.a, Lima, Perú.
Orson MestanzaLaboratorio de Referencia Nacional de Enteropatógenos, Instituto Nacional de Saludgrid.419226.a, Lima, Perú.
Verónica HurtadoLaboratorio de Referencia Nacional de Enteropatógenos, Instituto Nacional de Saludgrid.419226.a, Lima, Perú.
María Luz ZamudioLaboratorio de Referencia Nacional de Enteropatógenos, Instituto Nacional de Saludgrid.419226.a, Lima, Perú.
Gloria Cruz-GonzalesEscuela Universitaria de Posgrado, Universidad Nacional Federico Villarreal, Lima, Perú.
Ronnie G GavilanLaboratorio de Referencia Nacional de Enteropatógenos, Instituto Nacional de Saludgrid.419226.a, Lima, Perú.
Instituto Nacional de Salud · PEFederico Villarreal National University · PEUniversidad Privada San Juan Bautista · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Campylobacter jejuni infection is considered the most frequent factor associated with Guillain-Barré syndrome (GBS). In 2019, a large outbreak of GBS was detected in Peru, being associated with C. jejuni detected in stool samples from these patients. The aim of this study was to determine the molecular epidemiology of C. jejuni strains (ST-2993) associated with a large GBS outbreak in Peru. In this study, 26 C. jejuni strains belonging to the ST-2293, obtained from 2019 to 2020, were sequenced using Illumina technology. Five low-quality sequences were removed using bioinformatics, and 21 genomes (17 clinical strains and 4 chicken strains) were considered in the phylogenetic analysis and comparative genomics. Phylogenetic reconstruction, including genomes from international databases, showed a connection between Peruvian and Chinese GBS strains, both of them having lipooligosaccharides (LOS) locus genes related to molecular mimicry with gangliosides in peripheral nerves. Also, ST-2993 was detected in Amazon strains recovered many years before the 2019 outbreak, but with no epidemiological connection with GBS. Besides, a close relationship between human and chicken C. jejuni strains indicated chicken as one of the probable reservoirs. Finally, comparative genomics revealed differences between Chinese and Peruvian strains, including the presence of a prophage inserted into the genome. In conclusion, C. jejuni ST-2993 strains recovered from the GBS outbreak are closely related to Peruvian Amazon strains. Moreover, ST-2993 has been circulated in Peru since 2003 in the Peruvian Amazonia, showing the necessity to reinforce the epidemiological surveillance of C. jejuni to improve the prevention and control of future GBS outbreaks.

Indexed as

Campylobacter InfectionsCampylobacter jejuniGuillain-Barre SyndromeAnimalsChickensDisease OutbreaksGangliosidesHumansMolecular EpidemiologyPeruPhylogenyGangliosidesCampylobacter jejunidisease outbreaksGuillain-Barré syndromemolecular typingphylogenomics

Identifiers

PMID35972275
PMCPMC9603473
OpenAlexW4292181396

What OpenQuestion holds

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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.