Evidence map›Paper›PMID 10722475›Full record

ArticleAntimicrobial agents and chemotherapy2000

Non-target gene mutations in the development of fluoroquinolone resistance in Escherichia coli.

W V Kern, M Oethinger, A S Jellen-Ritter, S B Levy

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

57 citing papers in PubMed, 143 citations in OpenAlex.

  1. Article
  2. Tazobactam selects for multidrug resistance.npj antimicrobials and resistance · 2025
    Article
  3. Review
  4. Article
  5. Flumequine, a fluoroquinolone in disguise.npj antimicrobials and resistance · 2024
    Article
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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

4 authors at 2 institutions in 2 countries.

W V KernSection of Infectious Diseases and Clinical Immunology, Department of Medicine, University Hospital and Medical Center, D-89070 Ulm, Germany.winfried.kern@medizin.uni-ulm.de
M Oethinger
A S Jellen-Ritter
S B Levy
Tufts University · USUniversity Hospital Ulm · DE

Funding

MULTIPLE RESISTANCE TO ANTIBIOTICSR01GM051661 · NIGMS · TUFTS UNIVERSITY BOSTON · PI LEVY, STUART B. · 1994 to 2001
$624k
NIGMS NIH HHS GM51661
6 · The paper itself

Abstract

Mutations in loci other than genes for the target topoisomerases of fluoroquinolones, gyrA and parC, may play a role in the development of fluoroquinolone resistance in Escherichia coli. A series of mutants with increasing resistance to ofloxacin was obtained from an E. coli K-12 strain and five clinical isolates. First-step mutants acquired a gyrA mutation. Second-step mutants reproducibly acquired a phenotype of multiple antibiotic resistance (Mar) and organic solvent tolerance and showed enhanced fluoroquinolone efflux. None of the second-step mutants showed additional topoisomerase mutations. All second-step mutants showed constitutive expression of marA and/or overexpressed soxS. In some third-step mutants, fluoroquinolone efflux was further enhanced compared to that for second-step mutants, even when the mutant had acquired additional topoisomerase mutations. Attempts to circumvent the second-step Mar mutation by induction of the mar locus with sodium salicylate and thus to select for pure topoisomerase mutants at the second step were not successful. At least in vitro, non-target gene mutations accumulate in second- and third-step mutants upon exposure to a fluoroquinolone and typically include, but do not appear to be limited to, mutations in the mar or sox regulons with consequent increased drug efflux.

Indexed as

Escherichia coli ProteinsAnti-Infective AgentsBacterial ProteinsBlotting, NorthernCyclohexanesDNA GyraseDNA Topoisomerases, Type IIDrug Resistance, MicrobialEscherichia coliFluoroquinolonesGenes, BacterialMicrobial Sensitivity TestsMutationPhenotypeRepressor ProteinsReverse Transcriptase Polymerase Chain ReactionAnti-Infective AgentsBacterial ProteinsCyclohexanesDNA GyraseDNA Topoisomerases, Type IIEscherichia coli ProteinsFluoroquinolonesMarR protein, E coliRepressor ProteinsRNA, BacterialSodium SalicylateSolvents

Identifiers

PMID10722475
PMCPMC89776
OpenAlexW2165805649

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.