Evidence map›Paper›PMID 36572928›Full record

ArticleParasites & vectors2022

Extensive testing of a multi-locus sequence typing scheme for Giardia duodenalis assemblage A confirms its good discriminatory power.

Christian Klotz, Anna Rosa Sannella, Filip Weisz, Umer Chaudhry, Jacek Sroka, Pavla Tůmová, Eva Nohýnková, Ralf Ignatius, Toni Aebischer, Martha Betson and 2 more

Abstract read
In one paragraph

Article in Parasites & vectors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Emergence of zoonoticFrontiers in microbiology · 2026
    Article
  4. Article
  5. Article
  6. Autochthonous and imported giardiasis cases: An analysis of two decades of national surveillance data, Germany, 2002 to 2021.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  7. Molecular epidemiology and multilocus genotyping ofParasite epidemiology and control · 2024
    Article
  8. Current Understanding ofCurrent tropical medicine reports · 2024
    Article
  9. Review
  10. Current research in parasitology & vector-borne diseases · 2023
    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

12 authors.

Christian KlotzDepartment of Infectious Diseases, Unit for Mycotic and Parasitic Agents and Mycobacteria, Robert Koch Institute, Berlin, Germany. klotzc@rki.de.
Anna Rosa SannellaDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Filip WeiszInstitute of Immunology and Microbiology, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Umer ChaudhryDepartment of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, UK.
Jacek SrokaDepartment of Parasitology and Invasive Diseases, National Veterinary Research Institute in Pulawy, Pulawy, Poland.
Pavla TůmováInstitute of Immunology and Microbiology, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Eva NohýnkováInstitute of Immunology and Microbiology, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Ralf IgnatiusMedizinisches Versorgungszentrum Labor 28 GmbH (MVZ Labor 28 GmbH), Mecklenburgische Str. 28, 14197, Berlin, Germany.
Toni AebischerDepartment of Infectious Diseases, Unit for Mycotic and Parasitic Agents and Mycobacteria, Robert Koch Institute, Berlin, Germany.
Martha BetsonDepartment of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, UK.
Karin TroellNational Veterinary Institute, Uppsala, Sweden.
Simone M CacciòDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy. simone.caccio@iss.it.

Funding

Horizon 2020 773830
6 · The paper itself

Abstract

backgroundThe flagellated parasite Giardia duodenalis is a major and global cause of diarrhoeal disease. Eight genetically very distinct groups, known as assemblages A to H, have been recognized in the G. duodenalis species complex, two of which (assemblages A and B) infect humans and other mammalian hosts. Informative typing schemes are essential to understand transmission pathways, characterize outbreaks and trace zoonotic transmission. In this study, we evaluated a published multi-locus sequence typing (MLST) scheme for G. duodenalis assemblage A, which is based on six polymorphic markers.

methodsWe genotyped 60 human-derived and 11 animal-derived G. duodenalis isolates collected in Europe and on other continents based on the published protocol. After retrieving previously published genotyping data and excluding isolates whose sequences showed allelic sequence heterozygosity, we analysed a dataset comprising 146 isolates.

resultsWe identified novel variants at five of the six markers and identified 78 distinct MLST types in the overall dataset. Phylogenetic interpretation of typing data confirmed that sub-assemblage AII only comprises human-derived isolates, whereas sub-assemblage AI comprises all animal-derived isolates and a few human-derived isolates, suggesting limited zoonotic transmission. Within sub-assemblage AII, isolates from two outbreaks, which occurred in Sweden and Italy, respectively, had unique and distinct MLST types. Population genetic analysis showed a lack of clustering by geographical origin of the isolates.

conclusionThe MLST scheme evaluated provides sufficient discriminatory power for epidemiological studies of G. duodenalis assemblage A.

Indexed as

Giardia lambliaGiardiasisAnimalsFecesGenotypeHumansMammalsMultilocus Sequence TypingPhylogenyMLSTMolecular epidemiologyOutbreakSource tracingZoonotic transmission

Identifiers

PMID36572928
PMCPMC9791779

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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.