Evidence map›Paper›PMID 20547804›Full record

ArticleAntimicrobial agents and chemotherapy2010

Daptomycin-oxacillin combinations in treatment of experimental endocarditis caused by daptomycin-nonsusceptible strains of methicillin-resistant Staphylococcus aureus with evolving oxacillin susceptibility (the "seesaw effect").

Soo-Jin Yang, Yan Q Xiong, Susan Boyle-Vavra, Robert Daum, Tiffanny Jones, Arnold S Bayer

Open access · greenAbstract 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 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

75 citing papers in PubMed, 129 citations in OpenAlex.

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  3. An Achilles' heel for methicillin-resistantAntimicrobial agents and chemotherapy · 2026
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  7. Expression ofmBio · 2025
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  10. Penicillin susceptibility amongMicrobiology spectrum · 2024
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  12. Alteration ofMicrobiology spectrum · 2023
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  13. Role of the NaHCOMicrobiology spectrum · 2023
    Article
  14. Article
  15. Does a New Antibiotic Scheme Improve the Outcome ofAntibiotics (Basel, Switzerland) · 2022
    Article
  16. The Role ofAntimicrobial agents and chemotherapy · 2022
    Article
  17. Review
  18. Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Soo-Jin YangLA Biomedical Research Institute at Harbor-UCLA, 1124 West Carson Street, RB-2, Rm. 230, Torrance, CA 90502, USA. sjyang@labiomed.org
Yan Q Xiong
Susan Boyle-Vavra
Robert Daum
Tiffanny Jones
Arnold S Bayer
The Lundquist Institute · USUniversity of Chicago · US

Funding

Staphylococcal Adaptations to Platelet Microbicidal ProteinR01AI039108 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI BAYER, ARNOLD S · 1997 to 2016
$5.1M
MECHANISMS OF GLYCOPEPTIDE RESISTANCE IN STAPHYLOCOCCIR01AI040481 · NIAID · UNIVERSITY OF CHICAGO · PI DAUM, ROBERT S. · 1999 to 2006
$2.4M
Role of Signal Transduction in Resistance to Cell-Wall Antimicrobials in MRSAR56AI040481 · NIAID · UNIVERSITY OF CHICAGO · PI BOYLE-VAVRA, SUSAN, DAUM, ROBERT S. · 2009 to 2010
$765k
NIAID NIH HHS AI-39108NIAID NIH HHS AI-40481NIAID NIH HHS R01 AI039108NIAID NIH HHS R01 AI040481NIAID NIH HHS R56 AI040481
6 · The paper itself

Abstract

In vivo development of daptomycin resistance (DAPr) among Staphylococcus aureus strains, especially methicillin-resistant S. aureus (MRSA) strains, in conjunction with clinical treatment failures, has emerged as a major problem. This has raised the question of DAP-based combination regimens to enhance efficacy against such strains. We studied five recent DAP-susceptible (DAPs)/DAPr clinical MRSA strain pairs obtained from patients who failed DAP monotherapy regimens, as well as one DAPs/DAPr MRSA strain pair in which the resistant strain was generated by in vitro passage in DAP. Of note, we identified a DAP-oxacillin (OX) "seesaw" phenomenon in vitro in which development of DAPr was accompanied by a concomitant fall in OX resistance, as demonstrated by 3- to 4-fold decreases in the OX MIC, a susceptibility shift by population analyses, and enhanced early killing by OX in time-kill assays. In addition, the combination of DAP and OX exerted modest improvement in in vitro bactericidal effects. Using an experimental model of infective endocarditis and two DAPs/DAPr strain pairs, we demonstrated that (i) OX monotherapy was ineffective at clearing DAPr strains from any target tissue in this model (heart valve, kidneys, or spleen) and (ii) DAP-OX combination therapy was highly effective in DAPr strain clearances from these organs. The mechanism(s) of the seesaw effect remains to be defined but does not appear to involve excision of the staphylococcal cassette chromosome mec (SCCmec) that carries mecA.

Indexed as

Anti-Bacterial AgentsDaptomycinDisease Models, AnimalDrug Resistance, BacterialOxacillinAnimalsDrug Therapy, CombinationEndocarditis, BacterialHumansMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsRabbitsTreatment OutcomeAnti-Bacterial AgentsDaptomycinOxacillin

Identifiers

PMID20547804
PMCPMC2916313
OpenAlexW2132514720

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.