Evidence map›Paper›PMID 25267673›Full record

ArticleAntimicrobial agents and chemotherapy2014

Extracellular DNA impedes the transport of vancomycin in Staphylococcus epidermidis biofilms preexposed to subinhibitory concentrations of vancomycin.

Natalya Doroshenko, Boo Shan Tseng, Robert P Howlin, Jill Deacon, Julian A Wharton, Philipp J Thurner, Brendan F Gilmore, Matthew R Parsek, Paul Stoodley

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 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

73 citing papers in PubMed, 132 citations in OpenAlex.

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  3. Validation of an innovative tissue-cage/beads rabbit model for ex vivo determination of minimum levels of Staphylococcus aureus biofilm eradication.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  4. Antimicrobial 3D printed implants for periprosthetic joint infections.Drug delivery and translational research · 2026
    Article
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  6. Animals : an open access journal from MDPI · 2026
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13 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

9 authors at 4 institutions in 2 countries.

Natalya DoroshenkoFaculty of Engineering and the Environment, University of Southampton, Southampton, United Kingdom nd2m09@gmail.com.
Boo Shan TsengDepartment of Microbiology, University of Washington, Seattle, Washington, USA.
Robert P HowlinNational Institute for Health Research Southampton Respiratory Biomedical Research Unit, Southampton Centre for Biomedical Research, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom Centre for Biological Sciences, Faculty of Natural and Environmental Sciences and Institute for Life Sciences, University of Southampton, Southampton, United Kingdom.
Jill DeaconCentre for Infection and Immunity, School of Medicine, Dentistry and Biomedical Sciences, Queen's University of Belfast, Belfast, United Kingdom.
Julian A WhartonFaculty of Engineering and the Environment, University of Southampton, Southampton, United Kingdom.
Philipp J ThurnerFaculty of Engineering and the Environment, University of Southampton, Southampton, United Kingdom.
Brendan F GilmoreSchool of Pharmacy, Queen's University of Belfast, Belfast, United Kingdom.
Matthew R ParsekDepartment of Microbiology, University of Washington, Seattle, Washington, USA.
Paul StoodleyFaculty of Engineering and the Environment, University of Southampton, Southampton, United Kingdom Centre for Microbial Interface Biology, Departments of Microbial Infection and Immunity and Orthopedics, The Ohio State University, Columbus, Ohio, USA.
University of Southampton · GBQueen's University Belfast · GBUniversity of Washington · USUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Staphylococcus epidermidis biofilm formation is responsible for the persistence of orthopedic implant infections. Previous studies have shown that exposure of S. epidermidis biofilms to sub-MICs of antibiotics induced an increased level of biofilm persistence. BODIPY FL-vancomycin (a fluorescent vancomycin conjugate) and confocal microscopy were used to show that the penetration of vancomycin through sub-MIC-vancomycin-treated S. epidermidis biofilms was impeded compared to that of control, untreated biofilms. Further experiments showed an increase in the extracellular DNA (eDNA) concentration in biofilms preexposed to sub-MIC vancomycin, suggesting a potential role for eDNA in the hindrance of vancomycin activity. Exogenously added, S. epidermidis DNA increased the planktonic vancomycin MIC and protected biofilm cells from lethal vancomycin concentrations. Finally, isothermal titration calorimetry (ITC) revealed that the binding constant of DNA and vancomycin was 100-fold higher than the previously reported binding constant of vancomycin and its intended cellular d-Ala-d-Ala peptide target. This study provides an explanation of the eDNA-based mechanism of antibiotic tolerance in sub-MIC-vancomycin-treated S. epidermidis biofilms, which might be an important factor for the persistence of biofilm infections.

Indexed as

Anti-Bacterial AgentsBiofilmsBiological TransportBoron CompoundsDNA, BacterialFluorescent DyesMicrobial Sensitivity TestsMicroscopy, ConfocalSolubilityStaining and LabelingStaphylococcus epidermidisVancomycin4,4-difluoro-4-bora-3a,4a-diaza-s-indaceneAnti-Bacterial AgentsBoron CompoundsDNA, BacterialFluorescent DyesVancomycin

Identifiers

PMID25267673
PMCPMC4249571
OpenAlexW2070399793

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.