Evidence map›Paper›PMID 38211565›Full record

ArticleCell host & microbe2024

Persistent Salmonella infections in humans are associated with mutations in the BarA/SirA regulatory pathway.

Alexandra Grote, Bar Piscon, Abigail L Manson, Boaz Adani, Helit Cohen, Jonathan Livny, Ashlee M Earl, Ohad Gal-Mor

Open access · greenAbstract read
In one paragraph

Article in Cell host & microbe, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.9field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Retail wet markets, food handlers, and hospitalised patients as nodes in a shared non-typhoidal Salmonella ecosystem: a one health molecular epidemiological pilot study in Wuhan, China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Immune Responses to Phage Therapy in Humans: A Review.The Journal of infectious diseases · 2026
    Review
  6. Article
  7. Genetic diversity ofGut microbes · 2025
    Article
  8. Review
  9. Establishment and epidemiological investigation of a dual fluorescent qPCR assay forFrontiers in cellular and infection microbiology · 2025
    Article
  10. Article
  11. Impact on Human Health ofInternational journal of molecular sciences · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. 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

8 authors at 2 institutions in 2 countries.

Alexandra GroteInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Bar PisconInfectious Diseases Research Laboratory, Sheba Medical Center, Tel-Hashomer, Israel; Department of Clinical Microbiology and Immunology, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Abigail L MansonInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Boaz AdaniInfectious Diseases Research Laboratory, Sheba Medical Center, Tel-Hashomer, Israel.
Helit CohenInfectious Diseases Research Laboratory, Sheba Medical Center, Tel-Hashomer, Israel.
Jonathan LivnyInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA. Electronic address: livny@broadinstitute.org.
Ashlee M EarlInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA. Electronic address: aearl@broadinstitute.org.
Ohad Gal-MorInfectious Diseases Research Laboratory, Sheba Medical Center, Tel-Hashomer, Israel; Department of Clinical Microbiology and Immunology, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: Ohad.Gal-Mor@sheba.health.gov.il.
Broad Institute · USSheba Medical Center · IL

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI EARL, ASHLEE MIRIAM · 2014 to 2024
$66.5M
NIAID NIH HHS U19 AI110818
6 · The paper itself

Abstract

Several bacterial pathogens, including Salmonella enterica, can cause persistent infections in humans by mechanisms that are poorly understood. By comparing genomes of isolates longitudinally collected from 256 prolonged salmonellosis patients, we identified repeated mutations in global regulators, including the barA/sirA two-component regulatory system, across multiple patients and Salmonella serovars. Comparative RNA-seq analysis revealed that distinct mutations in barA/sirA led to diminished expression of Salmonella pathogenicity islands 1 and 4 genes, which are required for Salmonella invasion and enteritis. Moreover, barA/sirA mutants were attenuated in an acute salmonellosis mouse model and induced weaker transcription of host immune responses. In contrast, in a persistent infection mouse model, these mutants exhibited long-term colonization and prolonged shedding. Taken together, these findings suggest that selection of mutations in global virulence regulators facilitates persistent Salmonella infection in humans, by attenuating Salmonella virulence and inducing a weaker host inflammatory response.

Indexed as

Salmonella InfectionsTrans-ActivatorsAnimalsBacterial ProteinsGene Expression Regulation, BacterialHumansMiceMutationPersistent InfectionSalmonella typhimuriumBacterial ProteinsTrans-ActivatorsBarA/SirAchronic infectionsgenomicshost immune responsepersistenceSalmonella entericasalmonellosistranscriptomicstwo-component regulatory systemvirulence regulation

Identifiers

PMID38211565
PMCPMC11410052
OpenAlexW4390707467

What OpenQuestion holds

Textmetadata
LicenceTDM
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.