Evidence map›Paper›PMID 38310089›Full record

ArticleNature communications2024

Gestational diabetes augments group B Streptococcus infection by disrupting maternal immunity and the vaginal microbiota.

Vicki Mercado-Evans, Marlyd E Mejia, Jacob J Zulk, Samantha Ottinger, Zainab A Hameed, Camille Serchejian, Madelynn G Marunde, Clare M Robertson, Mallory B Ballard, Simone H Ruano and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
18.5field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Gestational Diabetes Mellitus and Adverse Maternal and Neonatal Health Outcomes: an Umbrella review of Meta-Analyses.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Pooled it
  3. Observational
  4. MMP8 Promotes NETosis in Gestational Diabetes Mellitus.Antioxidants (Basel, Switzerland) · 2026
    Article
  5. Article
  6. Article
  7. mBio · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Type 2 diabetes mellitus exacerbates vaginal group BbioRxiv : the preprint server for biology · 2026
    Article
  13. Article
  14. Article
  15. Microbiota-dependent IFN-L controls uterine and placental immunity.bioRxiv : the preprint server for biology · 2026
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Bacteriophage-mediated reduction of uropathogenicbioRxiv : the preprint server for biology · 2025
    Article
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

14 authors at 3 institutions in 1 country.

Vicki Mercado-EvansDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Marlyd E MejiaDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Jacob J ZulkDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Samantha OttingerDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Zainab A HameedDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Camille SerchejianDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Madelynn G MarundeDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Clare M RobertsonDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Mallory B BallardDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Simone H RuanoDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, 77030, USA.
Natalia KorotkovaDepartment of Microbiology, Immunology and Molecular Genetics, University of Kentucky, Lexington, KY, USA.ORCID 0000-0002-8696-4892
Anthony R FloresDivision of Infectious Diseases, Department of Pediatrics, McGovern Medical School, UTHealth Houston, Children's Memorial Hermann Hospital, Houston, TX, USA.
Kathleen A PenningtonDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, 77030, USA.
Kathryn A PatrasDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA. katy.patras@bcm.edu.ORCID 0000-0003-2631-8810
Baylor College of Medicine · USMemorial Hermann · USUniversity of Kentucky · US

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Suzanne AW Fuqua · 2007 to 2026
$73.9M
Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Hashem B El-Serag · 2001 to 2026
$28.3M
Initiative for Maximizing Student Development (IMSD) ProgramR25GM056929 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI PEREIRA, FRED A · 1998 to 2023
$12.4M
Organoid Cultivation CoreU19AI157981 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI LEMON, KATHERINE PAIGE · 2021 to 2025
$12.4M
The Clinical Translational Research Certificate of Added Qualification ProgramT32GM136554 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI Melissa Suter, IGNATIA B VAN DEN VEYVER · 2020 to 2026
$3.0M
Contribution of immune modulation, metabolism, and microbiota to Group B Streptococcal urinary tract infectionR01DK128053 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI PATRAS, KATY · 2021 to 2025
$2.3M
Baylor College of Medicine Initiative for Maximizing Student DevelopmentT32GM152777 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI PANGAS, STEPHANIE A., PEREIRA, FRED A · 2024 to 2024
$547k
The impact of gestational diabetes on Group B Streptococcal virulence and host immune responseR21AI173448 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI PATRAS, KATY · 2023 to 2024
$452k
BD Biosciences Special Order LSRIIS10RR024574 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI LUMPKIN, ELLEN A · 2009 to 2009
$430k
Identification of the factors contributing to resistance of Group A Streptococcus to human group IIA secreted phospholipase A2R21AI149366 · NIAID · UNIVERSITY OF KENTUCKY · PI KOROTKOVA, NATALIA · 2020 to 2021
$415k
Characterizing the Impact of Gestational Diabetes on Immunity and Group B Streptococcal Virulence in the Maternal Reproductive TractF31AI167547 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI MERCADO, VICKI · 2022 to 2025
$178k
Characterizing the impact of maternal immune response to urinary tract infection on preterm birthF31HD111236 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI OTTINGER, SAMANTHA · 2023 to 2025
$149k
NCI NIH HHS P30 CA125123NCRR NIH HHS S10 RR024574NIAID NIH HHS F31 AI167538NIAID NIH HHS F31 AI167547NIAID NIH HHS R21 AI149366NIAID NIH HHS R21 AI173448NIAID NIH HHS U19 AI157981NICHD NIH HHS F31 HD111236NIDDK NIH HHS P30 DK056338NIDDK NIH HHS R01 DK128053NIGMS NIH HHS R25 GM056929NIGMS NIH HHS T32 GM136554NIGMS NIH HHS T32 GM152777
6 · The paper itself

Abstract

Group B Streptococcus (GBS) is a pervasive perinatal pathogen, yet factors driving GBS dissemination in utero are poorly defined. Gestational diabetes mellitus (GDM), a complication marked by dysregulated immunity and maternal microbial dysbiosis, increases risk for GBS perinatal disease. Using a murine GDM model of GBS colonization and perinatal transmission, we find that GDM mice display greater GBS in utero dissemination and subsequently worse neonatal outcomes. Dual-RNA sequencing reveals differential GBS adaptation to the GDM reproductive tract, including a putative glycosyltransferase (yfhO), and altered host responses. GDM immune disruptions include reduced uterine natural killer cell activation, impaired recruitment to placentae, and altered maternofetal cytokines. Lastly, we observe distinct vaginal microbial taxa associated with GDM status and GBS invasive disease status. Here, we show a model of GBS dissemination in GDM hosts that recapitulates several clinical aspects and identifies multiple host and bacterial drivers of GBS perinatal disease.

Indexed as

Diabetes, GestationalMicrobiotaStreptococcal InfectionsAnimalsCytokinesFemaleHumansInfectious Disease Transmission, VerticalMicePregnancyStreptococcusStreptococcus agalactiaeVaginaCytokines

Identifiers

PMID38310089
PMCPMC10838280
OpenAlexW4391509793

What OpenQuestion holds

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LicenceCC BY
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.