Evidence map›Paper›PMID 20956608›Full record

ArticleAntimicrobial agents and chemotherapy2011

Molecular characterization of fluoroquinolone resistance in Mycobacterium tuberculosis: functional analysis of gyrA mutation at position 74.

Ricky W T Lau, Pak-Leung Ho, Richard Y T Kao, Wing-Wai Yew, Terrence C K Lau, Vincent C C Cheng, Kwok-Yung Yuen, Stephen K W Tsui, Xinchun Chen, Wing-Cheong Yam

Abstract readEvaluation Study
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Molecular Analysis of Anti-Tuberculosis Drug Resistance ofAntibiotics (Basel, Switzerland) · 2023
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  7. Article
  8. Whole-genome sequencing ofEpidemiology and infection · 2022
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Antimicrobial Susceptibility and Genomic Analysis ofFrontiers in cellular and infection microbiology · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Comparative Genomic Analysis of Two Clonally Related Multidrug ResistantFrontiers in cellular and infection microbiology · 2017
    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

10 authors.

Ricky W T LauDepartment of Microbiology, Queen Mary Hospital, University of Hong Kong, Hong Kong, China.
Pak-Leung Ho
Richard Y T Kao
Wing-Wai Yew
Terrence C K Lau
Vincent C C Cheng
Kwok-Yung Yuen
Stephen K W Tsui
Xinchun Chen
Wing-Cheong Yam

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A PCR-sequencing assay was evaluated for direct detection of mutations in the quinolone resistance-determining region (QRDR) of gyrase A (gyrA) gene in fluoroquinolone-resistant Mycobacterium tuberculosis in respiratory specimens. As determined by gyrA QRDR analysis, complete concordance of genotypic and phenotypic fluoroquinolone resistance was demonstrated. Our results indicate that the assay is a rapid and reliable method for the diagnosis of fluoroquinolone-resistant tuberculosis, facilitating timely clinical management and public health control. Using the assay, we detected a novel gyrA Ala74Ser mutation in M. tuberculosis directly from sputum specimens. The functional effect of the Ala74Ser mutant was verified through the study of the DNA supercoiling inhibitory activity of fluoroquinolones against the recombinant gyrase. The drug-mediated gyrase-DNA cleavage complex model suggests perturbation of the gyrA-gyrA dimer interface caused by the Ala74Ser mutation probably disturbs the putative quinolone binding pocket and leads to the reduction of the drug binding affinity. A number of gyrA mutations (Glu21Gln, Ser95Thr, and Gly668Asp) were also characterized to be natural polymorphisms not associated with fluoroquinolone resistance.

Indexed as

MutationAnti-Infective AgentsDNA GyraseDrug Resistance, BacterialFluoroquinolonesHumansMicrobial Sensitivity TestsMycobacterium tuberculosisPolymerase Chain ReactionSequence Analysis, DNATuberculosisAnti-Infective AgentsDNA GyraseFluoroquinolones

Identifiers

PMID20956608
PMCPMC3028802

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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.