Evidence map›Paper›PMID 23158461›Full record

ArticleGenome biology2012

The multidrug-resistant PMEN1 pneumococcus is a paradigm for genetic success.

Kelly L Wyres, Lotte M Lambertsen, Nicholas J Croucher, Lesley McGee, Anne von Gottberg, Josefina Liñares, Michael R Jacobs, Karl G Kristinsson, Bernard W Beall, Keith P Klugman and 4 more

Open access · goldAbstract read
In one paragraph

Article in Genome biology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

33 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
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  6. Microbial genomics · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Competence inFrontiers in cellular and infection microbiology · 2019
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Puzzling Over the Pneumococcal Pangenome.Frontiers in microbiology · 2018
    Review
  17. Diversity of MosaicAntimicrobial agents and chemotherapy · 2017
    Article
  18. Article
  19. Article
  20. 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

14 authors at 10 institutions in 8 countries.

Kelly L Wyres
Lotte M Lambertsen
Nicholas J Croucher
Lesley McGee
Anne von Gottberg
Josefina Liñares
Michael R Jacobs
Karl G Kristinsson
Bernard W Beall
Keith P Klugman
Julian Parkhill
Regine Hakenbeck
Stephen D Bentley
Angela B Brueggemann
Wellcome Sanger Institute · GBCenters for Disease Control and Prevention · USUniversity of Oxford · GBCase Western Reserve University · USGeorgia Department of Public Health · USInstitut d'Investigació Biomédica de Bellvitge · ESNational Center for Communicable Diseases · MNNational University Hospital of Iceland · ISStatens Serum Institut · DKUniversity of Kaiserslautern · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStreptococcus pneumoniae, also called the pneumococcus, is a major bacterial pathogen. Since its introduction in the 1940s, penicillin has been the primary treatment for pneumococcal diseases. Penicillin resistance rapidly increased among pneumococci over the past 30 years, and one particular multidrug-resistant clone, PMEN1, became highly prevalent globally. We studied a collection of 426 pneumococci isolated between 1937 and 2007 to better understand the evolution of penicillin resistance within this species.

resultsWe discovered that one of the earliest known penicillin-nonsusceptible pneumococci, recovered in 1967 from Australia, was the likely ancestor of PMEN1, since approximately 95% of coding sequences identified within its genome were highly similar to those of PMEN1. The regions of the PMEN1 genome that differed from the ancestor contained genes associated with antibiotic resistance, transmission and virulence. We also revealed that PMEN1 was uniquely promiscuous with its DNA, donating penicillin-resistance genes and sometimes many other genes associated with antibiotic resistance, virulence and cell adherence to many genotypically diverse pneumococci. In particular, we describe two strains in which up to 10% of the PMEN1 genome was acquired in multiple fragments, some as long as 32 kb, distributed around the recipient genomes. This type of directional genetic promiscuity from a single clone to numerous unrelated clones has, to our knowledge, never before been described.

conclusionsThese findings suggest that PMEN1 is a paradigm of genetic success both through its epidemiology and promiscuity. These findings also challenge the existing views about horizontal gene transfer among pneumococci.

Indexed as

Penicillin ResistanceEvolution, MolecularGenome, BacterialPenicillinsPhylogenyRecombination, GeneticSequence Analysis, DNAStreptococcus pneumoniaePenicillins

Identifiers

PMID23158461
PMCPMC3580495
OpenAlexW2102842506

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.