Evidence map›Paper›PMID 40128891›Full record

ArticlePneumonia (Nathan Qld.)2025

Streptococcus pneumoniae serotype 33H: a novel serotype with frameshift mutations in the acetyltransferase gene wciG.

Sam Manna, Belinda D Ortika, Joel P Werren, Casey L Pell, Ilche Gjuroski, Stephanie W Lo, Jason Hinds, Odgerel Tundev, Eileen M Dunne, Bradford D Gessner and 8 more

Abstract read
In one paragraph

Article in Pneumonia (Nathan Qld.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
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  4. The Lancet regional health. Western Pacific · 2026
    Article
  5. Article
  6. [Pneumococcal meningitis in a tertiary care hospital: clinical characteristics, serotype distribution, and vaccination status].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Article
  7. Article
  8. Article
  9. Clinical microbiology reviews · 2025
    Review
  10. Article
  11. 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

18 authors.

Sam MannaInfection, Immunity and Global Health, Murdoch Children's Research Institute, Melbourne, Australia. sam.manna@mcri.edu.au.
Belinda D OrtikaInfection, Immunity and Global Health, Murdoch Children's Research Institute, Melbourne, Australia.
Joel P WerrenInstitute for Infectious Diseases, University of Bern, Bern, Switzerland.
Casey L PellInfection, Immunity and Global Health, Murdoch Children's Research Institute, Melbourne, Australia.
Ilche GjuroskiDepartment of Chemistry and Biochemistry, University of Bern, Bern, Switzerland.
Stephanie W LoMilner Center for Evolution, Life Sciences Department, University of Bath, Bath, United Kingdom.
Jason HindsInstitute for Infection and Immunity, University of London, St. George's, United Kingdom.
Odgerel TundevNational Center for Communicable Diseases, Ministry of Health, Ulaanbaatar, Mongolia.
Eileen M DunnePfizer Vaccines, Collegeville, Pennsylvania, United States of America.
Bradford D GessnerPfizer Vaccines, Collegeville, Pennsylvania, United States of America.
Fiona M RussellInfection, Immunity and Global Health, Murdoch Children's Research Institute, Melbourne, Australia.
E Kim MulhollandInfection, Immunity and Global Health, Murdoch Children's Research Institute, Melbourne, Australia.
Tuya MungunNational Center for Communicable Diseases, Ministry of Health, Ulaanbaatar, Mongolia.
Claire von MollendorfInfection, Immunity and Global Health, Murdoch Children's Research Institute, Melbourne, Australia.
Stephen D BentleyParasites and Microbes, Wellcome Sanger Institute, Hinxton, United Kingdom.
Markus Hilty *Institute for Infectious Diseases, University of Bern, Bern, Switzerland.
Neil Ravenscroft *Department of Chemistry, University of Cape Town, Rondebosch, South Africa.
Catherine Satzke *Infection, Immunity and Global Health, Murdoch Children's Research Institute, Melbourne, Australia.

Funding

National Health and Medical Research Council (NHMRC) Centre of Research Excellence for Pneumococcal Disease Control in the Asia-Pacific GNT1196415Pfizer N/ARobert Austrian Research Award in Pneumococcal Vaccinology N/A
6 · The paper itself

Abstract

backgroundStreptococcus pneumoniae (the pneumococcus) is a leading cause of community-acquired pneumonia. Pneumococci are categorised into serotypes, based on the type of capsular polysaccharide produced, which has important implications for virulence, vaccine impact and global surveillance. Recently, we identified a novel serotype, which we named 33G, that is comprised of an O-acetylated hexasaccharide repeat unit. In this study, we report and describe variants of 33G, designated 33G-like, which we isolated from the nasopharynx of two adults hospitalised with pneumonia in Mongolia.

methodsSerological comparison of 33G and 33G-like pneumococci were conducted by Quellung serotyping. Genetic analysis of the capsular polysaccharide loci was performed using whole genome sequencing. Polysaccharide composition was determined using

resultsBy Quellung serotyping, 33G pneumococci type as both 10B and 33B whereas 33G-like pneumococci type as both 10B and 33F. Genomic analysis of the capsular polysaccharide locus revealed 33G-like loci are identical to 33G, except for frameshift mutations in the wciG gene which encodes an acetyltransferase responsible for the O-acetylation of beta-galactofuranose (β-Galf) in the capsular polysaccharide repeat unit. We constructed an artificial 33G-like by deleting wciG in a 33G strain and confirmed this gene was responsible for the serological differences between 33G and 33G-like pneumococci. Lastly,

conclusionsHere, we have provided serological, genetic and biochemical evidence that the 33G-like capsule differs to 33G and all other pneumococcal serotypes, meeting the requirements to be designated as a new serotype, which we have named 33H.

Indexed as

CapsuleSerotypes, vaccinesStreptococcus pneumoniae

Identifiers

PMID40128891
PMCPMC11934437

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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.