Evidence map›Paper›PMID 8376594›Full record

Trial reportThe Journal of clinical investigation1993

Role of the eaeA gene in experimental enteropathogenic Escherichia coli infection.

M S Donnenberg, C O Tacket, S P James, G Losonsky, J P Nataro, S S Wasserman, J B Kaper, M M Levine

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical investigation, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 140 papers.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed
9.2field-weighted citation impact, top 1% of its field
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

140 citing papers in PubMed, 342 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Historical Advances in Clinical Trial Design and Expanding Representation as the New Frontier for Innovation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Outbreak of cholera in a remote village in western India.The Indian journal of medical research · 2022
    Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Multi-Year Persistence of VerotoxigenicFrontiers in microbiology · 2018
    Article
  17. Article
  18. Article
  19. Article
  20. Article

80 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

M S DonnenbergCenter for Vaccine Development, University of Maryland, Baltimore 21201.
C O Tacket
S P James
G Losonsky
J P Nataro
S S Wasserman
J B Kaper
M M Levine
University of Maryland, Baltimore · USUniversity of Mary · US

Funding

Molecular Genetics of Enteropathogenic E. Coli AdhesionR37AI021657 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI KAPER, JAMES B · 2004 to 2013
$4.8M
The eae Gene Cluster of Enteropathogenic E.coliR01AI032074 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI DONNENBERG, MICHAEL S · 1997 to 2012
$3.7M
MOLECULAR GENETICS OF ENTEROPATHOGENIC E COLI ADHESIONR01AI021657 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI KAPER, JAMES B · 1989 to 2003
$1.4M
The eae Gene Cluster of Enteropathogenic E.coliR56AI032074 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI DONNENBERG, MICHAEL S · 2007 to 2007
$375k
MOLECULAR GENETICS OF ENTEROPATHOGENIC E. COLI ADHESIONR22AI021657 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI KAPER, JAMES B · 1986 to 1991
–
ENTERIC DISEASES VACCINE EVALUATION &TREATMENT UNITN01AI015096 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI LEVINE, MYRON MAX · 1991 to 1994
–
EAE GENE CLUSTER OF ENTEROPATHOGENIC E. COLIR29AI032074 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI DONNENBERG, MICHAEL S · 1992 to 1996
–
NIAID NIH HHS AI21657NIAID NIH HHS AI32074NIAID NIH HHS N01 AI15096NIAID NIH HHS R37 AI021657
6 · The paper itself

Abstract

Enteropathogenic Escherichia coli (EPEC) infections are a leading cause of infant diarrhea in developing countries. Recently eaeA, a gene necessary for the characteristic intimate attachment of EPEC to epithelial cells in tissue culture, was described. We conducted a randomized, double-blind study to determine the role of the eaeA gene in human EPEC infection. 11 adult volunteers ingested 2 x 10(10) colony-forming units of O127:H6 EPEC strain E2348/69, and an equal number received the same dose of an isogenic eaeA deletion mutant constructed from E2348/69. Volunteers were monitored for the development of diarrhea, fever, and systemic and gastrointestinal complaints. Diarrhea developed in all 11 volunteers who received E2348/69 and in 4 of 11 who received the mutant (P = 0.002). Fever was more common in recipients of the wild-type strain (P = 0.024). Stool volumes were lower in recipients of the mutant. All volunteers seroconverted to E2348/69 LPS, but the geometric mean peak titers of serum IgG and IgA in recipients of the mutant were lower than those of recipients of the wild-type strain. IgA against LPS was detected in the jejunal fluid of six of six recipients of E2348/69 and 5/6 recipients of the mutant. This study unambiguously assigns a role for eaeA as an EPEC virulence gene, but the residual diarrhea seen in recipients of the mutant indicates that other factors are involved.

Indexed as

Adhesins, BacterialBacterial AdhesionBacterial Outer Membrane ProteinsCarrier ProteinsEscherichia coli ProteinsAdultAntibodies, BacterialDiarrheaDouble-Blind MethodEscherichia coliEscherichia coli InfectionsGenes, BacterialHumansSequence DeletionAdhesins, BacterialAntibodies, BacterialBacterial Outer Membrane ProteinsCarrier ProteinseaeA protein, E coliEscherichia coli Proteins

Identifiers

PMID8376594
PMCPMC288285
OpenAlexW1969963017

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.