Evidence map›Paper›PMID 21606222›Full record

ArticleAntimicrobial agents and chemotherapy2011

Correlation of daptomycin resistance in a clinical Staphylococcus aureus strain with increased cell wall teichoic acid production and D-alanylation.

Ute Bertsche, Christopher Weidenmaier, Daniel Kuehner, Soo-Jin Yang, Stefanie Baur, Stefanie Wanner, Patrice Francois, Jacques Schrenzel, Michael R Yeaman, Arnold S Bayer

Open access · greenAbstract read
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 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

72 citing papers in PubMed, 130 citations in OpenAlex.

  1. Article
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  5. D-Serine Can Modify the Wall Teichoic Acid of MRSA via theInternational journal of molecular sciences · 2025
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  6. DefectivemSphere · 2024
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  7. Article
  8. Phenotypic and genetic characterization of daptomycin non-susceptibleFrontiers in cellular and infection microbiology · 2024
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  9. Review
  10. Gausemycin A-ResistantMicroorganisms · 2023
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  14. Review
  15. Inhibition ofFrontiers in cellular and infection microbiology · 2022
    Article
  16. Article
  17. Article
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  19. Article
  20. Lytic bacteriophages facilitate antibiotic sensitization ofAntimicrobial agents and chemotherapy · 2021
    Article

12 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

10 authors at 4 institutions in 3 countries.

Ute BertscheInterfacultary Institute of Microbiology and Infection Medicine, Microbial Genetics, University of Tübingen, Auf der Morgenstelle 28, 72076 Tübingen, Germany.
Christopher Weidenmaier
Daniel Kuehner
Soo-Jin Yang
Stefanie Baur
Stefanie Wanner
Patrice Francois
Jacques Schrenzel
Michael R Yeaman
Arnold S Bayer
University of Tübingen · DEHarbor–UCLA Medical Center · USUniversity of Geneva · CHUniversity of California, Los Angeles · 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
Microbicidal Proteins from PlateletsR01AI039001 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI YEAMAN, MICHAEL R · 2006 to 2010
$1.7M
DETERMINANTS IN PLATELET MICROBICIDAL PROTEINSR01AI048031 · NIAID · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI YEAMAN, MICHAEL R · 2000 to 2004
$1.6M
MICROBICIDAL PROTEINS FROM PLATELETSR29AI039001 · NIAID · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI YEAMAN, MICHAEL R · 1996 to 2000
$99k
NIAID NIH HHS AI-39001NIAID NIH HHS AI-39108NIAID NIH HHS AI-48031NIAID NIH HHS R01 AI039001NIAID NIH HHS R01 AI039108NIAID NIH HHS R01 AI048031NIAID NIH HHS R29 AI039001
6 · The paper itself

Abstract

Cell wall thickening is a common feature among daptomycin-resistant Staphylococcus aureus strains. However, the mechanism(s) leading to this phenotype is unknown. We examined a number of cell wall synthesis pathway parameters in an isogenic strain set of S. aureus bloodstream isolates obtained from a patient with recalcitrant endocarditis who failed daptomycin therapy, including the initial daptomycin-susceptible parental strain (strain 616) and two daptomycin-resistant strains (strains 701 and 703) isolated during daptomycin therapy. Transmission electron microscopy demonstrated significantly thicker cell walls in the daptomycin-resistant strains than in the daptomycin-susceptible strain, a finding which was compatible with significant differences in dry cell weight of strain 616 versus strains 701 to 703 (P < 0.05). Results of detailed analysis of cell wall muropeptide composition, the degree of peptide side chain cross-linkage, and the amount of the peptidoglycan precursor, UDP-MurNAc-pentapeptide, were similar in the daptomycin-susceptible and daptomycin-resistant isolates. In contrast, the daptomycin-resistant strains contained less O-acetylated peptidoglycan. Importantly, both daptomycin-resistant strains synthesized significantly more wall teichoic acid (WTA) than the parental strain (P < 0.001). Moreover, the proportion of D-alanylated WTA species was substantially higher in the daptomycin-resistant strains than in the daptomycin-susceptible parental strain (P < 0.05 in comparing strain 616 versus strain 701). The latter phenotypic findings correlated with (i) enhanced tagA and dltA gene expression, respectively, and (ii) an increase in surface positive charge observed in the daptomycin-resistant versus daptomycin-susceptible isolates. Collectively, these data suggest that increases in WTA synthesis and the degree of its D-alanylation may play a major role in the daptomycin-resistant phenotype in some S. aureus strains.

Indexed as

AlanineAnti-Bacterial AgentsBacterial ProteinsCell WallDaptomycinDrug Resistance, BacterialEndocarditis, BacterialHumansLipoproteinsMicrobial Sensitivity TestsMicroscopy, Electron, TransmissionPeptidoglycanStaphylococcal InfectionsStaphylococcus aureusTeichoic AcidsUridine Diphosphate N-Acetylmuramic AcidAlanineAnti-Bacterial AgentsBacterial ProteinsDaptomycinLipoproteinsPeptidoglycanTagA protein, bacteriaTeichoic AcidsUDP-N-acetylmuramic acid pentapeptideUridine Diphosphate N-Acetylmuramic Acid

Identifiers

PMID21606222
PMCPMC3147621
OpenAlexW2166920417

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.