Evidence map›Paper›PMID 19747119›Full record

ReviewCurrent topics in medicinal chemistry2009

Quinolones: action and resistance updated.

Karl Drlica, Hiroshi Hiasa, Robert Kerns, Muhammad Malik, Arkady Mustaev, Xilin Zhao

Open access · bronzeAbstract readReview
In one paragraph

Review in Current topics in medicinal chemistry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 156 papers.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

156 citing papers in PubMed, 372 citations in OpenAlex.

  1. Review
  2. Antibiotic resistance mechanisms and global resistance patterns of Pseudomonas aeruginosa in microbial keratitis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Insights into antibiotic resistance promoted by quinolone exposure.Antimicrobial agents and chemotherapy · 2025
    Article
  13. Article
  14. Review
  15. Flumequine, a fluoroquinolone in disguise.npj antimicrobials and resistance · 2024
    Article
  16. Review
  17. Article
  18. Interactions between Gepotidacin andACS infectious diseases · 2024
    Article
  19. Article
  20. Review

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

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

6 authors at 3 institutions in 1 country.

Karl DrlicaPublic Health Research Institute, New Jersey Medical School, UMDNJ, 225 Warren Street, Newark, NJ 07103, USA. drlicaka@umdnj.edu
Hiroshi Hiasa
Robert Kerns
Muhammad Malik
Arkady Mustaev
Xilin Zhao
Rutgers New Jersey Medical SchoolUniversity of Iowa · USUniversity of Minnesota Medical Center · US

Funding

Novel fluoroquinolones for killing dormant Mycobacterium tuberculosisR01AI073491 · NIAID · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI DRLICA, KARL A, KERNS, ROBERT JOHN · 2007 to 2015
$5.1M
Structure and Function of RNA Polymerases in E ColiR01GM030717 · NIGMS · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI MUSTAEV, ARKADY · 1985 to 2011
$4.8M
DNA GYRASE AND QUINOLONE RESISTANCE IN TUBERCULOSISR01AI035257 · NIAID · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI DRLICA, KARL A · 1993 to 2007
$4.3M
New genes involved in cellular responses to quinolone treatmentR21AI068014 · NIAID · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI ZHAO, XILIN · 2007 to 2008
$425k
Quinolone Action During Mycobacterial Growth ArrestR21AI063431 · NIAID · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI DRLICA, KARL A · 2005 to 2006
$346k
NIAID NIH HHS AI063431NIAID NIH HHS AI068014NIAID NIH HHS AI073491NIAID NIH HHS AI35357NIAID NIH HHS R01 AI035257NIAID NIH HHS R01 AI073491NIAID NIH HHS R21 AI063431NIAID NIH HHS R21 AI068014NIGMS NIH HHS GM30717-21NIGMS NIH HHS R01 GM030717
6 · The paper itself

Abstract

The quinolones trap DNA gyrase and DNA topoisomerase IV on DNA as complexes in which the DNA is broken but constrained by protein. Early studies suggested that drug binding occurs largely along helix-4 of the GyrA (gyrase) and ParC (topoisomerase IV) proteins. However, recent X-ray crystallography shows drug intercalating between the -1 and +1 nucleotides of cut DNA, with only one end of the drug extending to helix-4. These two models may reflect distinct structural steps in complex formation. A consequence of drug-enzyme-DNA complex formation is reversible inhibition of DNA replication; cell death arises from subsequent events in which bacterial chromosomes are fragmented through two poorly understood pathways. In one pathway, chromosome fragmentation stimulates excessive accumulation of highly toxic reactive oxygen species that are responsible for cell death. Quinolone resistance arises stepwise through selective amplification of mutants when drug concentrations are above the MIC and below the MPC, as observed with static agar plate assays, dynamic in vitro systems, and experimental infection of rabbits. The gap between MIC and MPC can be narrowed by compound design that should restrict the emergence of resistance. Resistance is likely to become increasingly important, since three types of plasmid-borne resistance have been reported.

Indexed as

BacteriaCrystallography, X-RayDrug Resistance, MicrobialModels, MolecularMolecular StructureMutationQuinolonesQuinolones

Identifiers

PMID19747119
PMCPMC3182077
OpenAlexW2167787735

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.