Evidence map›Paper›PMID 18212094›Full record

ArticleAntimicrobial agents and chemotherapy2008

Spontaneous deletion of the methicillin resistance determinant, mecA, partially compensates for the fitness cost associated with high-level vancomycin resistance in Staphylococcus aureus.

Michael J Noto, Paige M Fox, Gordon L Archer

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Whole-genome sequencing ofMicrobiology spectrum · 2026
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  4. Prevalence and antimicrobial susceptibility ofOne health (Amsterdam, Netherlands) · 2026
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  5. Article
  6. Article
  7. Article
  8. Characterization of SCCAntimicrobial agents and chemotherapy · 2022
    Article
  9. How to survive pig farming: Mechanism of SCCFrontiers in microbiology · 2022
    Article
  10. Characterizing a Novel Staphylococcal Cassette ChromosomeAntimicrobial agents and chemotherapy · 2021
    Article
  11. Article
  12. Article
  13. Methicillin-ResistantFrontiers in microbiology · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Tandem Amplification of the Staphylococcal Cassette ChromosomeAntimicrobial agents and chemotherapy · 2017
    Article
  18. Influence of ISAntimicrobial agents and chemotherapy · 2017
    Article
  19. Article
  20. 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

3 authors at 1 institution in 1 country.

Michael J NotoDepartment of Microbiology and Immunology, Virginia Commonwealth University School of Medicine, McGuire Hall Room 103, 1112 East Clay Street, Richmond, Virginia.
Paige M Fox
Gordon L Archer
Virginia Commonwealth University · US

Funding

Staphylococcal methicillin resistance locusR01AI035705 · NIAID · VIRGINIA COMMONWEALTH UNIVERSITY · PI ARCHER, GORDON LEE · 2004 to 2014
$4.6M
NIAID NIH HHS 5R01AI35705-13NIAID NIH HHS R01 AI035705
6 · The paper itself

Abstract

Treatment of infections caused by Staphylococcus aureus is often confounded by the bacterium's ability to develop resistance to chemotherapeutic agents. Methicillin-resistant S. aureus (MRSA) arises through the acquisition of staphylococcal chromosomal cassette mec (SCCmec), a genomic island containing the methicillin resistance determinant, mecA. In contrast, resistance to vancomycin can result from exposure to the drug, a mechanism that is not dependent upon a gene acquisition event. Here we describe three MRSA strains that became resistant to vancomycin during passage in the presence of increasing concentrations of the drug. In each case two derivative strains were isolated, one that had lost mecA and one that retained mecA during passage. Strain 5836VR lost mecA by the site-specific chromosomal excision of SCCmec, while the other two strains (strains 3130VR and VP32) deleted portions of their SCCmec elements in a manner that appeared to involve IS431. Conversion to vancomycin resistance caused a decrease in the growth rate that was partially compensated for by the deletion of mecA. In mixed-culture competition experiments, vancomycin-resistant strains that lacked mecA readily outcompeted their mecA-containing counterparts, suggesting that the loss of mecA during conversion to vancomycin resistance was advantageous to the organism.

Indexed as

Gene DeletionVancomycin ResistanceAnti-Bacterial AgentsBacterial ProteinsCulture MediaHumansMethicillin ResistanceMicrobial Sensitivity TestsPenicillin-Binding ProteinsStaphylococcus aureusAnti-Bacterial AgentsBacterial ProteinsCulture MediamecA protein, Staphylococcus aureusPenicillin-Binding Proteins

Identifiers

PMID18212094
PMCPMC2292509
OpenAlexW2005386937

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.