Evidence map›Paper›PMID 40437889›Full record

ArticleThe Journal of antimicrobial chemotherapy2025

Antibiotic stress affects the secretion and physicochemical features of extracellular vesicles produced by Helicobacter pylori.

Paweł Krzyżek, Agnieszka Opalińska, Paweł Migdał, Kaja Tusiewicz, Paweł Szpot, Marcin Zawadzki, Barbara Krzyżanowska, Michał Jerzy Kulus, Marzenna Podhorska-Okołów, Beata Sobieszczańska

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Antibiotics Impact the Cytotoxicity and Cytopathic Effect ofInternational journal of molecular sciences · 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

10 authors.

Paweł KrzyżekDepartment of Microbiology, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0002-3117-8894
Agnieszka OpalińskaLaboratory of Nanostructures, Institute of High Pressure Physics, Polish Academy of Sciences, Warsaw, Poland.
Paweł MigdałDepartment of Bees Breeding, Institute of Animal Husbandry, Wroclaw University of Environmental and Life Sciences, Wroclaw, Poland.
Kaja TusiewiczDepartment of Forensic Medicine, Wroclaw Medical University, Wroclaw, Poland.
Paweł SzpotDepartment of Forensic Medicine, Wroclaw Medical University, Wroclaw, Poland.
Marcin ZawadzkiDepartment of Social Sciences and Infectious Diseases, Faculty of Medicine, Wroclaw University of Science and Technology, Wroclaw, Poland.
Barbara KrzyżanowskaDepartment of Microbiology, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.
Michał Jerzy KulusDivision of Ultrastructure Research, Wroclaw Medical University, Wroclaw, Poland.
Marzenna Podhorska-OkołówDivision of Ultrastructure Research, Wroclaw Medical University, Wroclaw, Poland.
Beata SobieszczańskaDepartment of Microbiology, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.

Funding

Wroclaw Medical University SUBZ.A130.24.011
6 · The paper itself

Abstract

backgroundBacterial extracellular vesicles (EVs) may reduce the effectiveness of various antimicrobials; however, the impact of antibiotics on the secretion and properties of EVs produced by Helicobacter pylori has not been established.

methodsUsing clinical H. pylori strains and culture in EV-depleted media, the influence of ¼ × MIC of clarithromycin, metronidazole and levofloxacin on EV features was determined. Physicochemical properties of EVs were measured using nanoparticle tracking analysis and dynamic light scattering. Determination of fatty acid profiles of EVs and bacterial cells was performed with GC triple-quadrupole tandem MS. Bacteria and EVs were observed by scanning and transmission electron microscopy, respectively.

resultsAntibiotic stress induced in H. pylori affects the secretion intensity and physicochemical features of EVs secreted by this bacterium in a strain- and antibiotic-dependent manner. Exposure to ¼ × MIC of metronidazole or levofloxacin increased the secretion of EVs and contributed to significant changes in their fatty acid profile, whereas treatment with ¼ × MIC of clarithromycin did not induce such changes. Regardless of the culture conditions and the strain analysed, the existence of a conservative process of selective packaging of C17:0 fatty acids into EVs and a substantial limitation of this phenomenon for C14:0, C18:1 and C19c:0 was demonstrated.

conclusionThis is the first study showing the modulatory effect of antibiotic stress on the secretion and physicochemical features of EVs produced by H. pylori, as well as the first to suggest the involvement of EVs in maintaining the appropriate membrane fatty acid composition of this bacterium.

Indexed as

Anti-Bacterial AgentsExtracellular VesiclesHelicobacter pyloriStress, PhysiologicalClarithromycinFatty AcidsHelicobacter InfectionsHumansLevofloxacinMetronidazoleMicrobial Sensitivity TestsMicroscopy, Electron, TransmissionAnti-Bacterial AgentsClarithromycinFatty AcidsLevofloxacinMetronidazole

Identifiers

PMID40437889
PMCPMC12209803

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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.