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Cited by 397

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Strain- and Species-Level Variation in the Microbiome of Diabetic Wounds Is Associated with Clinical Outcomes and Therapeutic Efficacy

Open access
Kalan, Lindsay R., Meisel, Jacquelyn S., Loesche, Michael A., Horwinski, Joseph, Soaita, Ioana, Chen, Xiaoxuan, Uberoi, Aayushi, Gardner, Sue E., Grice, Elizabeth A.·2019·Cell Host & Microbe

Abstract

Chronic wounds are a major complication of diabetes associated with high morbidity and health care expenditures. To investigate the role of colonizing microbiota in diabetic wound healing, clinical outcomes, and response to interventions, we conducted a longitudinal, prospective study of patients with neuropathic diabetic foot ulcers (DFU). Metagenomic shotgun sequencing revealed that strain-level variation of Staphylococcus aureus and genetic signatures of biofilm formation were associated with poor outcomes. Cultured wound isolates of S. aureus elicited differential phenotypes in mouse models that corresponded with patient outcomes, while wound “bystanders” such as Corynebacterium striatum and Alcaligenes faecalis typically considered commensals or contaminants also significantly impacted wound severity and healing. Antibiotic resistance genes were widespread, and debridement, rather than antibiotic treatment, significantly shifted the DFU microbiota in patients with more favorable outcomes. These findings suggest that the DFU microbiota may be a marker for clinical outcomes and response to therapeutic interventions.

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Metadata

Authors
Kalan, L. R., Meisel, J. S., Loesche, M. A., Horwinski, J., Soaita, I., Chen, X., Uberoi, A., Gardner, S. E., & Grice, E. A.
Venue
Cell Host & Microbe
Publisher
Elsevier BV
Published
2019-05
Volume
25
Issue
5
Pages
641-655.e5
ISSN
1931-3128 (ISSN-L)
OpenAlex
W2939275762
Cited by
397
References
7
FWCI
20.65
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Strain- and Species-Level Variation in the Microbiome of Diabetic Wounds Is Associated with Clinical Outcomes and Therapeutic Efficacy. https://app.cochat.ai/papers/10.1016/j.chom.2019.03.006
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Kalan, L. R., Meisel, J. S., Loesche, M. A., Horwinski, J., Soaita, I., Chen, X., Uberoi, A., Gardner, S. E., & Grice, E. A. (2019). Strain- and Species-Level Variation in the Microbiome of Diabetic Wounds Is Associated with Clinical Outcomes and Therapeutic Efficacy. Cell Host & Microbe. https://doi.org/10.1016/j.chom.2019.03.006

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.