Evidence map›Paper›PMID 25182649›Full record

ArticleAntimicrobial agents and chemotherapy2014

Mechanisms of tigecycline resistance among Klebsiella pneumoniae clinical isolates.

Zi-Ke Sheng, Fupin Hu, Weixia Wang, Qinglan Guo, Zhijun Chen, Xiaogang Xu, Demei Zhu, Minggui Wang

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

55 citing papers in PubMed, 92 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Molecular Epidemiology and In-Depth Characterization ofInternational journal of molecular sciences · 2025
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  5. Emergence and dissemination of multidrug-resistantFrontiers in cellular and infection microbiology · 2025
    Article
  6. Emergence of an XDRFrontiers in microbiology · 2025
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  7. Dual role ofiMetaOmics · 2024
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  8. Emergence of plasmid-borneMicrobiology spectrum · 2024
    Article
  9. Review
  10. Coexistence of blaAnnals of clinical microbiology and antimicrobials · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. The tigecycline resistance mechanisms in Gram-negative bacilli.Frontiers in cellular and infection microbiology · 2024
    Review
  15. Review
  16. The Prevalence of Multidrug-ResistantDiagnostics (Basel, Switzerland) · 2023
    Article
  17. Review
  18. Characterization of a Tigecycline-Resistant andApplied and environmental microbiology · 2023
    Article
  19. Article
  20. Review
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

8 authors at 2 institutions in 1 country.

Zi-Ke ShengInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, China.
Fupin HuInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, China.
Weixia WangInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, China.
Qinglan GuoInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, China.
Zhijun ChenInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, China.
Xiaogang XuInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, China.
Demei ZhuInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, China.
Minggui WangInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, China mgwang@fudan.edu.cn.
Fudan University · CNHuashan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Of 26 tigecycline-nonsusceptible Klebsiella pneumoniae (TNSKP) clinical isolates, 25 had nonsynonymous mutations in ramR and/or acrR (23 in ramR and 10 in acrR). Eight TNSKP isolates possessed overexpression of ramA, acrB, rarA, and oqxB simultaneously, while 8 and 1 TNSKP strains had upregulation of ramA and acrB and of rarA and oqxB, respectively. Thus, resistance mechanisms of 9 TNSKP isolates cannot be explained by the present pathways. This study underscores the role of RamA in TNSKP and suggests the presence of novel tigecycline resistance mechanisms.

Indexed as

Anti-Bacterial AgentsATP-Binding Cassette, Sub-Family C ProteinsDrug Resistance, Multiple, BacterialHumansKlebsiella InfectionsKlebsiella pneumoniaeMembrane Transport ProteinsMicrobial Sensitivity TestsMinocyclineTigecyclineAcrR protein, Klebsiella pneumoniaeAnti-Bacterial AgentsATP-Binding Cassette, Sub-Family C ProteinsMembrane Transport ProteinsMinocyclineTigecycline

Identifiers

PMID25182649
PMCPMC4249433
OpenAlexW2043621569

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.