Evidence map›Paper›PMID 40165235›Full record

ArticleBMC medicine2025

tesG expression as a potential clinical biomarker for chronic Pseudomonas aeruginosa pulmonary biofilm infections.

Dhammika Leshan Wannigama, Cameron Hurst, Peter N Monk, Gunter Hartel, William Graham Fox Ditcham, Parichart Hongsing, Phatthranit Phattharapornjaroen, Puey Ounjai, Pattama Torvorapanit, Kamonwan Jutivorakool and 22 more

Abstract read
In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Recurrent/Refractory Multidrug- and Pre-Multidrug-ResistantClinical pharmacology : advances and applications · 2026
    Article
  5. ThemSphere · 2025
    Article
  6. Article
  7. Article
  8. 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

32 authors.

Dhammika Leshan WannigamaDepartment of Infectious Diseases and Infection Control, Yamagata Prefectural Central Hospital, Yamagata, Japan. Dhammika.L@chula.ac.th.
Cameron HurstDepartment of Clinical Epidemiology, Faculty of Medicine, Thammasat University, Rangsit, Thailand. cameron.hurst@cdu.edu.au.
Peter N MonkDepartment of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.
Gunter HartelBiostatistics Group, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
William Graham Fox DitchamSchool of Medicine, Faculty of Health and Medical Sciences, The University of Western Australia, Nedlands, WA, Australia.
Parichart Hongsing *Pathogen Hunter's Research Team, Department of Infectious Diseases and Infection Control, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Phatthranit PhattharapornjaroenFaculty of Health Science Technology, Chulabhorn Royal Academy, Bangkok, 10210, Thailand.
Puey OunjaiDepartment of Biology, Faculty of Science, Mahidol University, Bangkok, Thailand.
Pattama TorvorapanitDepartment of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Kamonwan JutivorakoolDepartment of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Sirirat Luk-InDepartment of Clinical Microbiology and Applied Technology, Faculty of Medical Technology, Mahidol University, Bangkok, Thailand.
Sumanee NilgateDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama 4 Road, Bangkok, Pathumwan, Thailand.
Ubolrat RirermDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama 4 Road, Bangkok, Pathumwan, Thailand.
Chanikan TanasatitchaiDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama 4 Road, Bangkok, Pathumwan, Thailand.
Kazuhiko MiyanagaDivision of Bacteriology, School of Medicine, Jichi Medical University, Tochigi, Japan.
Longzhu CuiDivision of Bacteriology, School of Medicine, Jichi Medical University, Tochigi, Japan.
Naveen Kumar Devanga RagupathiBiofilms and Antimicrobial Resistance Consortium of ODA Receiving Countries, the University of Sheffield, Sheffield, UK.
S M Ali Hosseini RadDepartment of Microbiology and Immunology, University of Otago, Dunedin, Otago, 9010, New Zealand.
Aisha KhatibDepartment of Family & Community Medicine, University of Toronto, Toronto, ON, Canada.
Robin James StorerOffice of Graduate Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Hitoshi IshikawaYamagata Prefectural University of Health Sciences, Kamiyanagi, Yamagata, 990-2212, Japan.
Mohan AmarasiriDepartment of Civil and Environmental Engineering, Graduate School of Engineering, Tohoku University, Miyagi, Japan.
Somrat CharuluxanananDepartment of Anesthesiology, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Chulalongkorn University, Bangkok, Thailand.
Asada LeelahavanichkulDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama 4 Road, Bangkok, Pathumwan, Thailand.
Talerngsak KanjanabuchDivision of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Paul G Higgins *Institute for Medical Microbiology, Immunology and Hygiene, Faculty of Medicine University Hospital Cologne, University of Cologne, Cologne, Germany.
Jane C DaviesNational Heart and Lung Institute, Imperial College London, London, UK.
Stephen M Stick *Centre for Cell Therapy and Regenerative Medicine, Medical School, The University of Western Australia, Nedlands, WA, 6009, Australia.
Anthony Kicic *Centre for Cell Therapy and Regenerative Medicine, Medical School, The University of Western Australia, Nedlands, WA, 6009, Australia.
Tanittha ChatsuwanDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama 4 Road, Bangkok, Pathumwan, Thailand. tanittha.c@chula.ac.th.
Kenji ShibuyaTokyo Foundation for Policy Research, Minato-Ku, Tokyo, Japan.
Shuichi Abe *Department of Infectious Diseases and Infection Control, Yamagata Prefectural Central Hospital, Yamagata, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPseudomonas aeruginosa infections in the lungs affect millions of children and adults worldwide. To our knowledge, no clinically validated prognostic biomarkers for chronic pulmonary P. aeruginosa infections exist. Therefore, this study aims to identify potential prognostic markers for chronic P. aeruginosa biofilm lung infections.

methodsHere, we screened the expression of 11 P. aeruginosa regulatory genes (tesG, algD, lasR, lasA, lasB, pelB, phzF, rhlA, rsmY, rsmZ, and sagS) to identify associations between clinical status and chronic biofilm infection.

resultsRNA was extracted from 210 sputum samples from patients (n = 70) with chronic P. aeruginosa lung infections (mean age; 29.3-56.2 years; 33 female). Strong biofilm formation was correlated with prolonged hospital stays (212.2 days vs. 44.4 days) and increased mortality (46.2% (18)). Strong biofilm formation is associated with increased tesG expression (P = 0.001), influencing extended intensive care unit (P = 0.002) or hospitalisation stays (P = 0.001), pneumonia risk (P = 0.006), and mortality (P = 0.001). Notably, tesG expression is linked to the modulation of systemic and sputum inflammatory responses and predicts biofilm biomass.

conclusionsThis study provides the first clinical dataset of tesG expression levels as a predictive biomarker for chronic P. aeruginosa pulmonary infections.

Indexed as

Bacterial ProteinsBiofilmsPseudomonas aeruginosaPseudomonas InfectionsAdultBiomarkersChronic DiseaseFemaleHumansMaleMiddle AgedSputumBacterial ProteinsBiomarkersChronic infectionsChronic respiratory diseasesClinical biomarkerPseudomonas aeruginosaPulmonary biofilmRespiratory infectionsTesG expression

Identifiers

PMID40165235
PMCPMC11959726

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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.