Evidence map›Paper›PMID 23963176›Full record

ArticlemBio2013

A dysfunctional tricarboxylic acid cycle enhances fitness of Staphylococcus epidermidis during β-lactam stress.

Vinai C Thomas, Vinai Chittezham Thomas, Lauren C Kinkead, Ashley Janssen, Carolyn R Schaeffer, Keith M Woods, Jill K Lindgren, Jonathan M Peaster, Sujata S Chaudhari, Marat Sadykov and 6 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in mBio, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing 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

50 citing papers in PubMed, 65 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Antibiotic-Induced Bacterial Cell Death: A "Radical" Way of Dying?Current topics in microbiology and immunology · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Molecular mechanism underlyingFrontiers in pharmacology · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
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  20. Article
4 · The record

Corrections and comments

  • Erratum issued
    Chittezham Thomas, Vinai [corrected to Thomas, Vinai C]
5 · Who and what money

Authors and funding

16 authors at 3 institutions in 2 countries.

Vinai C ThomasDepartment of Pathology and Microbiology, Center for Staphylococcal Research, Omaha, Nebraska, USA.
Vinai Chittezham ThomasDepartment of Pathology and Microbiology, Center for Staphylococcal Research, Omaha, Nebraska, USA.
Lauren C Kinkead
Ashley Janssen
Carolyn R Schaeffer
Keith M Woods
Jill K Lindgren
Jonathan M Peaster
Sujata S Chaudhari
Marat Sadykov
Joselyn Jones
Sameh M Mohamadi AbdelGhani
Matthew C Zimmerman
Kenneth W Bayles
Greg A Somerville
Paul D Fey
University of Nebraska Medical Center · USBeni-Suef University · EGUniversity of Nebraska–Lincoln · US

Funding

The S. aureus biofilm lifecycleP01AI083211 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BAYLES, KENNETH W. · 2009 to 2023
$32.1M
Antibiotic pressure and selection of TCA cycle mutants in Staphylococcus epidermiR21AI081101 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI FEY, PAUL D · 2009 to 2010
$413k
NIAID NIH HHS P01 AI083211NIAID NIH HHS P01AI083211NIAID NIH HHS R21 AI081101NIAID NIH HHS R21AI081101
6 · The paper itself

Abstract

unlabelledA recent controversial hypothesis suggested that the bactericidal action of antibiotics is due to the generation of endogenous reactive oxygen species (ROS), a process requiring the citric acid cycle (tricarboxylic acid [TCA] cycle). To test this hypothesis, we assessed the ability of oxacillin to induce ROS production and cell death in Staphylococcus epidermidis strain 1457 and an isogenic citric acid cycle mutant. Our results confirm a contributory role for TCA-dependent ROS in enhancing susceptibility of S. epidermidis toward β-lactam antibiotics and also revealed a propensity for clinical isolates to accumulate TCA cycle dysfunctions presumably as a way to tolerate these antibiotics. The increased protection from β-lactam antibiotics could result from pleiotropic effects of a dysfunctional TCA cycle, including increased resistance to oxidative stress, reduced susceptibility to autolysis, and a more positively charged cell surface. IMPORTANCE: Staphylococcus epidermidis, a normal inhabitant of the human skin microflora, is the most common cause of indwelling medical device infections. In the present study, we analyzed 126 clinical S. epidermidis isolates and discovered that tricarboxylic acid (TCA) cycle dysfunctions are relatively common in the clinical environment. We determined that a dysfunctional TCA cycle enables S. epidermidis to resist oxidative stress and alter its cell surface properties, making it less susceptible to β-lactam antibiotics.

Indexed as

Citric Acid CycleAnti-Bacterial Agentsbeta-LactamsHumansMicrobial Sensitivity TestsMicrobial ViabilityOxacillinOxidative StressReactive Oxygen SpeciesStaphylococcus epidermidisAnti-Bacterial Agentsbeta-LactamsOxacillinReactive Oxygen Species

Identifiers

PMID23963176
PMCPMC3747581
OpenAlexW2127527061

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.