Evidence map›Paper›PMID 37308590›Full record

ArticleNature microbiology2023

Phage diversity in cell-free DNA identifies bacterial pathogens in human sepsis cases.

Naomi L Haddock, Layla J Barkal, Nikhil Ram-Mohan, Gernot Kaber, Charles Y Chiu, Ami S Bhatt, Samuel Yang, Paul L Bollyky

Open access · greenAbstract read
In one paragraph

Article in Nature microbiology, 2023. 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
7.9field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 32 citations in OpenAlex.

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  13. InducedFrontiers in microbiology · 2024
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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

8 authors at 3 institutions in 1 country.

Naomi L Haddock *Immunology Program, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-2525-1450
Layla J Barkal *Division of Pulmonary, Allergy, and Critical Care Medicine, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-4734-7197
Nikhil Ram-MohanDepartment of Emergency Medicine, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-7761-2772
Gernot KaberDepartment of Pediatrics, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-6184-5192
Charles Y ChiuDepartment of Medicine, Division of Infectious Diseases, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-2915-2094
Ami S BhattDivision of Hematology, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-8099-2975
Samuel YangDepartment of Emergency Medicine, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-1123-9036
Paul L BollykyDivision of Infectious Diseases and Geographic Medicine, School of Medicine, Stanford University, Stanford, CA, USA. pbollyky@stanford.edu.ORCID http://orcid.org/0000-0003-2499-9448
Stanford University · USStanford Medicine · USUniversity of California, San Francisco · US

Funding

Technology development for point-of-care detection and antimicrobial susceptibility testing of Neisseria gonorrhoeaeR01AI138978 · NIAID · JOHNS HOPKINS UNIVERSITY · PI WANG, TZA-HUEI JEFF · 2018 to 2021
$5.1M
Changing Cultures in Sepsis: Rapid single-cell pathogen identification and antibiotic susceptibility testing directly from whole bloodR01AI153133 · NIAID · STANFORD UNIVERSITY · PI WONG, PAK KIN, YANG, SAMUEL · 2020 to 2024
$3.7M
A "Culture" Shift: Integrated Bacterial Screening and Antibacterial Susceptibility Test on Microfluidic Digital Array for Bloodstream InfectionsR01AI137272 · NIAID · JOHNS HOPKINS UNIVERSITY · PI WANG, TZA-HUEI JEFF, YANG, SAMUEL · 2018 to 2022
$3.6M
The role of macrophages in chronic suppurative otitis media associated sensory hearing lossR01DC019965 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Peter Luke Santa Maria · 2022 to 2026
$3.6M
Stanford Training Program in Lung BiologyT32HL129970 · NHLBI · STANFORD UNIVERSITY · PI CORNFIELD, DAVID N., NICOLLS, MARK ROBERT · 2016 to 2025
$3.2M
Culture-free pathogen tracking in hospitalized patientsR01AI143757 · NIAID · STANFORD UNIVERSITY · PI BHATT, AMI SIDDHARTH · 2020 to 2023
$3.0M
Emerging novel mechanisms of antibiotic resistance in the prevalent foodborne pathogen, SalmonellaR01AI148623 · NIAID · STANFORD UNIVERSITY · PI BHATT, AMI SIDDHARTH · 2019 to 2023
$2.0M
Pathogenesis of Pf Bacteriophages in Pseudomonas Cystic Fibrosis lung InfectionsR01HL148184 · NHLBI · STANFORD UNIVERSITY · PI MILLA, CARLOS · 2019 to 2022
$1.7M
Studies on bacteriophages in respiratory diseasesK24AI166718 · NIAID · STANFORD UNIVERSITY · PI Paul L Bollyky · 2022 to 2026
$815k
Circulating Bacteriophages for the Diagnosis of SepsisR21GM147838 · NIGMS · STANFORD UNIVERSITY · PI BOLLYKY, PAUL L, YANG, SAMUEL · 2022 to 2023
$429k
NHLBI NIH HHS R01 HL148184NHLBI NIH HHS T32 HL129970NIAID NIH HHS K24 AI166718NIAID NIH HHS R01 AI137272NIAID NIH HHS R01 AI138978NIAID NIH HHS R01 AI143757NIAID NIH HHS R01 AI148623NIAID NIH HHS R01 AI153133NIDCD NIH HHS R01 DC019965NIGMS NIH HHS R21 GM147838
6 · The paper itself

Abstract

Bacteriophages, viruses that infect bacteria, have great specificity for their bacterial hosts at the strain and species level. However, the relationship between the phageome and associated bacterial population dynamics is unclear. Here we generated a computational pipeline to identify sequences associated with bacteriophages and their bacterial hosts in cell-free DNA from plasma samples. Analysis of two independent cohorts, including a Stanford Cohort of 61 septic patients and 10 controls and the SeqStudy cohort of 224 septic patients and 167 controls, reveals a circulating phageome in the plasma of all sampled individuals. Moreover, infection is associated with overrepresentation of pathogen-specific phages, allowing for identification of bacterial pathogens. We find that information on phage diversity enables identification of the bacteria that produced these phages, including pathovariant strains of Escherichia coli. Phage sequences can likewise be used to distinguish between closely related bacterial species such as Staphylococcus aureus, a frequent pathogen, and coagulase-negative Staphylococcus, a frequent contaminant. Phage cell-free DNA may have utility in studying bacterial infections.

Indexed as

BacteriophagesSepsisBacteriaEscherichia coliHumans

Identifiers

PMID37308590
PMCPMC10911932
OpenAlexW4380355357

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.