Evidence map›Paper›PMID 22053181›Full record

ArticlePloS one2011

Altered antibiotic transport in OmpC mutants isolated from a series of clinical strains of multi-drug resistant E. coli.

Hubing Lou, Min Chen, Susan S Black, Simon R Bushell, Matteo Ceccarelli, Tivadar Mach, Konstantinos Beis, Alison S Low, Victoria A Bamford, Ian R Booth and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

68 citing papers in PubMed, 137 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. From Environmental Organism to Nosocomial Threat:Antibiotics (Basel, Switzerland) · 2026
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  6. Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Understanding Drug Permeability inLife (Basel, Switzerland) · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. No two are alike: on the role ofAntimicrobial agents and chemotherapy · 2025
    Article
  15. Review
  16. Mechanisms ofMicroorganisms · 2025
    Article
  17. Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  18. Review
  19. Review
  20. Article

8 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

12 authors at 4 institutions in 2 countries.

Hubing LouCentre for Biomolecular Sciences, University of St Andrews, St Andrews, United Kingdom.
Min Chen
Susan S Black
Simon R Bushell
Matteo Ceccarelli
Tivadar Mach
Konstantinos Beis
Alison S Low
Victoria A Bamford
Ian R Booth
Hagan Bayley
James H Naismith
University of St Andrews · GBUniversity of Aberdeen · GBUniversity of Oxford · GBUniversity of Cagliari · IT

Funding

Biotechnology and Biological Sciences Research Council B19490Medical Research Council G0300122Wellcome Trust 077564Wellcome Trust 081862/Z/06/Z
6 · The paper itself

Abstract

Antibiotic-resistant bacteria, particularly gram negative species, present significant health care challenges. The permeation of antibiotics through the outer membrane is largely effected by the porin superfamily, changes in which contribute to antibiotic resistance. A series of antibiotic resistant E. coli isolates were obtained from a patient during serial treatment with various antibiotics. The sequence of OmpC changed at three positions during treatment giving rise to a total of four OmpC variants (denoted OmpC20, OmpC26, OmpC28 and OmpC33, in which OmpC20 was derived from the first clinical isolate). We demonstrate that expression of the OmpC K12 porin in the clinical isolates lowers the MIC, consistent with modified porin function contributing to drug resistance. By a range of assays we have established that the three mutations that occur between OmpC20 and OmpC33 modify transport of both small molecules and antibiotics across the outer membrane. This results in the modulation of resistance to antibiotics, particularly cefotaxime. Small ion unitary conductance measurements of the isolated porins do not show significant differences between isolates. Thus, resistance does not appear to arise from major changes in pore size. Crystal structures of all four OmpC clinical mutants and molecular dynamics simulations also show that the pore size is essentially unchanged. Molecular dynamics simulations suggest that perturbation of the transverse electrostatic field at the constriction zone reduces cefotaxime passage through the pore, consistent with laboratory and clinical data. This subtle modification of the transverse electric field is a very different source of resistance than occlusion of the pore or wholesale destruction of the transverse field and points to a new mechanism by which porins may modulate antibiotic passage through the outer membrane.

Indexed as

Drug Resistance, Multiple, BacterialAnti-Bacterial AgentsCefotaximeCrystallography, X-RayEscherichia coliHydrogen BondingIon Channel GatingIon TransportMicrobial Sensitivity TestsMicrobial ViabilityMolecular Dynamics SimulationMutationPorinsAnti-Bacterial AgentsCefotaximeOmpC proteinPorins

Identifiers

PMID22053181
PMCPMC3203869
OpenAlexW2154623108

What OpenQuestion holds

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LicenceCC BY
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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.