Evidence map›Paper›PMID 40715782›Full record

ReviewNature microbiology2025

Within-host bacterial evolution and the emergence of pathogenicity.

Gerry Tonkin-Hill, Christopher Ruis, Stephen D Bentley, Katrina A Lythgoe, Josephine M Bryant

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature microbiology, 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. Review
  3. Article
  4. Article
  5. Phylogenetic Relationships and Structural Conservation ofInternational journal of molecular sciences · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Adaptive microevolution in CC17Frontiers in cellular and infection microbiology · 2026
    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

5 authors.

Gerry Tonkin-Hill *Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. gtonkin@unimelb.edu.au.ORCID http://orcid.org/0000-0003-4397-2224
Christopher Ruis *Molecular Immunity Unit, University of Cambridge Department of Medicine, Medical Research Council-Laboratory of Molecular Biology, Cambridge, UK. cr628@cam.ac.uk.ORCID http://orcid.org/0000-0003-0977-5534
Stephen D BentleyParasites and Microbes, Wellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0001-8094-3751
Katrina A LythgoeDepartment of Biology, University of Oxford, Oxford, UK.
Josephine M Bryant *Parasites and Microbes, Wellcome Sanger Institute, Cambridge, UK. jb31@sanger.ac.uk.ORCID http://orcid.org/0000-0002-0149-5768

Funding

Department of Health | National Health and Medical Research Council (NHMRC) 2025515Wellcome Trust (Wellcome) 220540/Z/20/A
6 · The paper itself

Abstract

The use of whole-genome sequencing to monitor bacterial pathogens has provided crucial insights into their within-host evolution, revealing mutagenic and selective processes driving the emergence of antibiotic resistance, immune evasion phenotypes and adaptations that enable sustained human-to-human transmission. Deep genomic and metagenomic sequencing of intra-host pathogen populations is also enhancing our ability to track bacterial transmission, a key component of infection control. This Review discusses the major processes driving bacterial evolution within humans, including both pathogenic and commensal species. Initially, mutational processes, including how mutational signatures reveal pathogen biology, and the selective pressures driving evolution are considered. The dynamics of horizontal gene transfer and intra-host pathogen competition are also examined, followed by a focus on the emergence of bacterial pathogenesis. Finally, the Review focuses on the importance of within-host genetic diversity in tracking bacterial transmission and its implications for infectious disease control and public health.

Indexed as

BacteriaBacterial InfectionsBiological EvolutionEvolution, MolecularHost-Pathogen InteractionsGenetic VariationGene Transfer, HorizontalGenome, BacterialHumansMutationVirulence

Identifiers

What OpenQuestion holds

Textmetadata
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.