Evidence map›Paper›PMID 42259839›Full record

ArticleNature communications2026

An ubiquitous antibacterial toxin from human gut bacteria engenders neonatal colonization advantage.

Ezequiel Valguarnera, Jessica Tung, Jesse J Pak, Seongmi K Russell, David W Hecht, Drew J Schwartz, Juliane Bubeck Wardenburg

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Ezequiel ValguarneraDepartment of Pediatrics, Washington University, St. Louis, MO, USA.
Jessica TungDepartment of Pediatrics, Washington University, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-6388-4868
Jesse J PakDepartment of Pediatrics, Washington University, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-9084-8536
Seongmi K RussellDepartment of Pediatrics, Washington University, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-2012-4492
David W HechtDepartment of Medicine, Microbiology and Immunology, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA.
Drew J SchwartzDepartment of Pediatrics, Washington University, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-1568-7733
Juliane Bubeck WardenburgDepartment of Pediatrics, Washington University, St. Louis, MO, USA. jbubeck@wustl.edu.ORCID http://orcid.org/0000-0002-2755-3348

Funding

NATIONAL RESEARCH SERVICE AWARD-MEDICAL SCIENTISTT32GM007200 · NIGMS · WASHINGTON UNIVERSITY · PI YOKOYAMA, WAYNE M. · 1985 to 2024
$59.8M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Jeffrey Wade Brown · 2000 to 2026
$30.8M
Pediatric Gastroenterology Research Training ProgramT32DK077653 · NIDDK · WASHINGTON UNIVERSITY · PI PHILLIP I TARR · 2007 to 2026
$5.8M
Enterotoxigenic B. fragilis Acquisition in Disease SusceptibilityR01AI138565 · NIAID · WASHINGTON UNIVERSITY · PI BUBECK WARDENBURG, JULIANE · 2018 to 2022
$2.0M
Antibiotic disruption of the gut microbiome and immune response in neonatal late-onset sepsisK08AI159384 · NIAID · WASHINGTON UNIVERSITY · PI SCHWARTZ, DREW JOEL · 2021 to 2025
$785k
Enterotoxigenic Bacteroides fragilis in modulation of host immunityR21AI157196 · NIAID · WASHINGTON UNIVERSITY · PI BUBECK WARDENBURG, JULIANE · 2021 to 2022
$433k
Early-Life Enterotoxigenic Bacteroides fragilis Acquisition and Colorectal Cancer RiskF32CA306217 · NCI · WASHINGTON UNIVERSITY · PI RUSSELL, SEONGMI K · 2025 to 2025
$83k
NCI NIH HHS F32 CA306217NIAID NIH HHS K08 AI159384NIAID NIH HHS R01 AI138565NIAID NIH HHS R21 AI157196NIDDK NIH HHS P30 DK052574NIDDK NIH HHS T32 DK077653NIGMS NIH HHS T32 GM007200U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) F32 CA306217-01U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) AI138565U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) AI157196U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) K08 KAI159384a
6 · The paper itself

Abstract

Bacteroides fragilis is a common member of the human colonic microbiota. In children, the B. fragilis Type 6 Secretion System (T6SS) has been suggested to mediate dominance between coexisting strains. We sequenced nearly 900 clinical isolates and characterized their T6SS toxin repertoire. The T6SS effector Bte3 was identified as one of the most prevalent effectors within this human isolate cohort. Bte3 exhibited the ability to intoxicate both B. fragilis and Enterobacteriaceae in vitro, and was defined as a periplasmic-intoxicating effector that employs previously unknown adaptor proteins for its secretion. The role of bte3 in early life competition was interrogated via a murine model in which neonates were exposed upon birth to two T6SS-isogenic strains. We observed that T6SS-engineered strains and human isolates containing bte3-based toxin combinations displaced competing B. fragilis strains unless these strains manifest immunity to bte3. These studies suggest that the landscape of T6SS effectors in the human population may be shaped not only by temporal exposure to distinct strains, but by potency of effector function. Our work underscores the relevance of T6SS diversity in B. fragilis early life competition and provides a potential roadmap to design microbial interventions in the context of neonatal acquisition of colonic commensals.

Indexed as

Bacterial ToxinsBacteroides fragilisBacteroides InfectionsGastrointestinal MicrobiomeType VI Secretion SystemsAnimalsAnimals, NewbornBacterial ProteinsColonEnterobacteriaceaeFemaleHumansInfant, NewbornMiceBacterial ProteinsBacterial ToxinsType VI Secretion Systems

Identifiers

PMID42259839
PMCPMC13402684

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.