Evidence map›Paper›PMID 20176903›Full record

ArticleAntimicrobial agents and chemotherapy2010

Compensation of fitness costs and reversibility of antibiotic resistance mutations.

Pia Schulz zur Wiesch, Jan Engelstädter, Sebastian Bonhoeffer

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

76 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Epidemiology and antimicrobial resistance ofInfectious diseases (London, England) · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Core Perturbomes ofPathogens (Basel, Switzerland) · 2025
    Article
  12. Epistasis-mediated compensatory evolution in a fitness landscape with adaptational tradeoffs.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
  14. Review
  15. Patterns ofFrontiers in tuberculosis · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Upregulated Palmitoleate and Oleate Production inMolecules (Basel, Switzerland) · 2024
    Article

16 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

3 authors.

Pia Schulz zur WieschTheoretical Biology, Institute of Integrative Biology, ETH Zürich, Zürich, Switzerland. pia.schulz_zur_wiesch@env.ethz.ch
Jan Engelstädter
Sebastian Bonhoeffer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Strains of bacterial pathogens that have acquired mutations conferring antibiotic resistance often have a lower growth rate and are less invasive or transmissible initially than their susceptible counterparts. However, fitness costs of resistance mutations can be ameliorated by secondary site mutations. These so-called compensatory mutations may restore fitness in the absence and/or presence of antimicrobials. We review literature data and show that the fitness gains in the absence and presence of antibiotic treatment need not be correlated. The aim of this study is to gain a better conceptual grasp of how compensatory mutations with different fitness gains affect evolutionary trajectories, in particular reversibility. To this end, we developed a theoretical model with which we consider both a resistance and a compensation locus. We propose an intuitively understandable parameterization for the fitness values of the four resulting genotypes (wild type, resistance mutation only, compensatory mutation only, and both mutations) in the absence and presence of treatment. The differential fitness gains, together with the turnover rate and the mutation rate, strongly affected the success of antibacterial treatment, reversibility, and long-term abundance of resistant strains. We therefore propose that experimental studies of compensatory mutations should include fitness measurements of all possible genotypes in both the absence and presence of an antibiotic.

Indexed as

BacteriaBiological EvolutionModels, GeneticAdaptation, PhysiologicalAnti-Bacterial AgentsDrug Resistance, BacterialExtinction, BiologicalGenotypeMutationAnti-Bacterial Agents

Identifiers

PMID20176903
PMCPMC2863634

What OpenQuestion holds

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Registered trials

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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.