Evidence map›Paper›PMID 23439638›Full record

ArticleAntimicrobial agents and chemotherapy2013

OXA-235, a novel class D β-lactamase involved in resistance to carbapenems in Acinetobacter baumannii.

Paul G Higgins, Francisco J Pérez-Llarena, Esther Zander, Ana Fernández, Germán Bou, Harald Seifert

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 1% 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

120 citing papers in PubMed, 1 synthesis or guideline pooled it, 210 citations in OpenAlex.

  1. Pooled it
  2. Virulence · 2026
    Review
  3. Article
  4. Multicenter outbreak of plasmid-encodedAntimicrobial agents and chemotherapy · 2026
    Article
  5. Article
  6. Whole-genome sequence of an extensively drug-resistantMicrobiology resource announcements · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Carbapenem Resistance inMicroorganisms · 2025
    Review
  11. Article
  12. Genomic characterization of multidrug-resistant clinicalFrontiers in cellular and infection microbiology · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Genomic Surveillance Uncovers a 10-Year Persistence of an OXA-24/40International journal of molecular sciences · 2024
    Article
  18. First Detection of International High-RiskTransboundary and emerging diseases · 2024
    Article
  19. Review
  20. Article

60 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

6 authors at 2 institutions in 2 countries.

Paul G HigginsInstitute for Medical Microbiology, Immunology and Hygiene, University of Cologne, Cologne, Germany. paul.higgins@uni-koeln.de
Francisco J Pérez-Llarena
Esther Zander
Ana Fernández
Germán Bou
Harald Seifert
Complexo Hospitalario Universitario A Coruña · ESUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the mechanism of carbapenem resistance in 10 Acinetobacter baumannii strains isolated from the United States and Mexico between 2005 and 2009. The detection of known metallo-β-lactamase or carbapenem-hydrolyzing oxacillinase (OXA) genes by PCR was negative. The presence of plasmid-encoded carbapenem resistance genes was investigated by transformation of A. baumannii ATCC 17978. Shotgun cloning experiments and sequencing were performed, followed by the expression of a novel β-lactamase in A. baumannii. Three novel OXA enzymes were identified, OXA-235 in 8 isolates and the amino acid variants OXA-236 (Glu173-Val) and OXA-237 (Asp208-Gly) in 1 isolate each. The deduced amino acid sequences shared 85% identity with OXA-134, 54% to 57% identities with the acquired OXA-23, OXA-24, OXA-58, and OXA-143, and 56% identity with the intrinsic OXA-51 and, thus, represent a novel subclass of OXA. The expression of OXA-235 in A. baumannii led to reduced carbapenem susceptibility, while cephalosporin MICs were unaffected. Genetic analysis revealed that blaOXA-235, blaOXA-236, and blaOXA-237 were bracketed between two ISAba1 insertion sequences. In addition, the presence of these acquired β-lactamase genes might result from a transposition-mediated mechanism. This highlights the propensity of A. baumannii to acquire multiple carbapenem resistance determinants.

Indexed as

Chromosomes, BacterialPlasmidsAcinetobacter baumanniiAcinetobacter InfectionsAmino Acid SequenceAnti-Bacterial Agentsbeta-Lactamasesbeta-Lactam ResistanceCarbapenemsCephalosporinsCloning, MolecularDNA Transposable ElementsEscherichia coliHumansIsoenzymesMolecular Sequence DataAnti-Bacterial Agentsbeta-LactamasesCarbapenemsCephalosporinsDNA Transposable ElementsIsoenzymesRecombinant Proteins

Identifiers

PMID23439638
PMCPMC3632948
OpenAlexW2125861108

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.