Evidence map›Paper›PMID 36862761›Full record

ArticlePLoS pathogens2023

Neisseria gonorrhoeae co-opts C4b-binding protein to enhance complement-independent survival from neutrophils.

Lacie M Werner, Allison Alcott, Frida Mohlin, Jocelyn C Ray, Meagan Belcher Dufrisne, Asya Smirnov, Linda Columbus, Anna M Blom, Alison K Criss

Open access · goldFull text read
In one paragraph

Article in PLoS pathogens, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 16 citations in OpenAlex.

  1. C4BP occludes the non-opsonic interaction ofInfection and immunity · 2026
    Article
  2. C4BP occludes the non-opsonic interaction ofbioRxiv : the preprint server for biology · 2026
    Article
  3. Frontiers in microbiology · 2026
    Review
  4. Article
  5. Neutrophil CEACAMs and the Inflammatory Response toJournal of innate immunity · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. mBio · 2024
    Article
  10. Review
  11. Review
  12. Article
  13. bioRxiv : the preprint server for biology · 2024
    Article
  14. Article
  15. Diverse Functions of C4b-Binding Protein in Health and Disease.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Review
  16. Immune responses toFrontiers in immunology · 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

9 authors at 2 institutions in 2 countries.

Lacie M WernerDepartment of Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, Virginia, United States of America.
Allison AlcottDepartment of Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, Virginia, United States of America.
Frida MohlinDepartment of Translational Medicine, Lund University, Malmo, Sweden.
Jocelyn C RayDepartment of Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, Virginia, United States of America.
Meagan Belcher DufrisneDepartment of Chemistry, University of Virginia, Charlottesville, Virginia, United States of America.
Asya SmirnovDepartment of Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, Virginia, United States of America.
Linda ColumbusDepartment of Chemistry, University of Virginia, Charlottesville, Virginia, United States of America.
Anna M BlomDepartment of Translational Medicine, Lund University, Malmo, Sweden.
Alison K CrissDepartment of Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, Virginia, United States of America.ORCID 0000-0001-7738-3757
University of Virginia · USLund University · SE

Funding

INFECTIOUS DISEASES TRAINING PROGRAMT32AI007046 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Alison K Criss, William A Petri · 1985 to 2026
$15.3M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007267 · NIGMS · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI GARCIA-BLANCO, MARIANO A. · 1985 to 2024
$13.4M
Survival of Neisseria gonorrhoeae after primary human neutrophil challengeR01AI097312 · NIAID · UNIVERSITY OF VIRGINIA · PI CRISS, ALISON K · 2012 to 2022
$4.6M
Global Biothreats Training ProgramT32AI055432 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI CRISS, ALISON K, PETRI, WILLIAM A · 2003 to 2022
$4.0M
GRADUATE TRAINING IN BIOSTATISTICST32AI007432 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI CONNETT, JOHN E · 1994 to 2009
$1.3M
Survival of Neisseria gonorrhoeae after primary human neutrophil challengeR37AI097312 · NIAID · UNIVERSITY OF VIRGINIA · PI Alison K Criss · 2025 to 2026
$1.1M
Complement-independent role of C4 binding protein in gonococcal survival from human neutrophilsR21AI157539 · NIAID · UNIVERSITY OF VIRGINIA · PI CRISS, ALISON K · 2021 to 2022
$435k
Determining the role of lipooligosaccharide on the Opa structural ensemble and the formation of an Opa-CEACAM complexF32GM136076 · NIGMS · UNIVERSITY OF VIRGINIA · PI BELCHER DUFRISNE, MEAGAN LEIGH · 2020 to 2022
$203k
NIAID NIH HHS R01 AI097312NIAID NIH HHS R21 AI157539NIAID NIH HHS R37 AI097312NIAID NIH HHS T32 AI007046NIAID NIH HHS T32 AI007432NIAID NIH HHS T32 AI055432NIGMS NIH HHS F32 GM136076NIGMS NIH HHS T32 GM007267
6 · The paper itself

Abstract

Neisseria gonorrhoeae (Gc) is a human-specific pathogen that causes the sexually transmitted infection gonorrhea. Gc survives in neutrophil-rich gonorrheal secretions, and recovered bacteria predominantly express phase-variable, surface-expressed opacity-associated (Opa) proteins (Opa+). However, expression of Opa proteins like OpaD decreases Gc survival when exposed to human neutrophils ex vivo. Here, we made the unexpected observation that incubation with normal human serum, which is found in inflamed mucosal secretions, enhances survival of Opa+ Gc from primary human neutrophils. We directly linked this phenomenon to a novel complement-independent function for C4b-binding protein (C4BP). When bound to the bacteria, C4BP was necessary and sufficient to suppress Gc-induced neutrophil reactive oxygen species production and prevent neutrophil phagocytosis of Opa+ Gc. This research identifies for the first time a complement-independent role for C4BP in enhancing the survival of a pathogenic bacterium from phagocytes, thereby revealing how Gc exploits inflammatory conditions to persist at human mucosal surfaces.

Indexed as

GonorrheaNeisseria gonorrhoeaeBacterial Outer Membrane ProteinsComplement C4b-Binding ProteinHumansNeutrophilsBacterial Outer Membrane ProteinsComplement C4b-Binding Protein

Identifiers

PMID36862761
PMCPMC10013916
OpenAlexW4322758729

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read116
identifiers read7
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.