Evidence map›Paper›PMID 25348539›Full record

ArticleAntimicrobial agents and chemotherapy2015

Target-based resistance in Pseudomonas aeruginosa and Escherichia coli to NBTI 5463, a novel bacterial type II topoisomerase inhibitor.

Asha S Nayar, Thomas J Dougherty, Folkert Reck, Jason Thresher, Ning Gao, Adam B Shapiro, David E Ehmann

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

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  14. Gepotidacin (GSK2140944)Antimicrobial agents and chemotherapy · 2017
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  16. Antimicrobial agents and chemotherapy · 2017
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  17. 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

7 authors at 1 institution in 1 country.

Asha S NayarInfection Innovative Medicines Unit, AstraZeneca R&D Boston, Waltham, Massachusetts, USA.
Thomas J DoughertyInfection Innovative Medicines Unit, AstraZeneca R&D Boston, Waltham, Massachusetts, USA.
Folkert ReckInfection Innovative Medicines Unit, AstraZeneca R&D Boston, Waltham, Massachusetts, USA.
Jason ThresherInfection Innovative Medicines Unit, AstraZeneca R&D Boston, Waltham, Massachusetts, USA.
Ning GaoInfection Innovative Medicines Unit, AstraZeneca R&D Boston, Waltham, Massachusetts, USA.
Adam B ShapiroInfection Innovative Medicines Unit, AstraZeneca R&D Boston, Waltham, Massachusetts, USA.
David E EhmannInfection Innovative Medicines Unit, AstraZeneca R&D Boston, Waltham, Massachusetts, USA david.ehmann@astrazeneca.com.
AstraZeneca (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a previous report (T. J. Dougherty, A. Nayar, J. V. Newman, S. Hopkins, G. G. Stone, M. Johnstone, A. B. Shapiro, M. Cronin, F. Reck, and D. E. Ehmann, Antimicrob Agents Chemother 58:2657-2664, 2014), a novel bacterial type II topoisomerase inhibitor, NBTI 5463, with activity against Gram-negative pathogens was described. First-step resistance mutations in Pseudomonas aeruginosa arose exclusively in the nfxB gene, a regulator of the MexCD-OprJ efflux pump system. The present report describes further resistance studies with NBTI 5463 in both Pseudomonas aeruginosa and Escherichia coli. Second-step mutations in P. aeruginosa arose at aspartate 82 of the gyrase A subunit and led to 4- to 8-fold increases in the MIC over those seen in the parental strain with a first-step nfxB efflux mutation. A third-step mutant showed additional GyrA changes, with no changes in topoisomerase IV. Despite repeated efforts, resistance mutations could not be selected in E. coli. Genetic introduction of the Asp82 mutations observed in P. aeruginosa did not significantly increase the NBTI MIC in E. coli. However, with the aspartate 82 mutation present, it was possible to select second-step mutations in topoisomerase IV that did lead to MIC increases of 16- and 128-fold. As with the gyrase aspartate 82 mutation, the mutations in topoisomerase IV did not by themselves raise the NBTI MIC in E. coli. Only the presence of mutations in both targets of E. coli led to an increase in NBTI MIC values. This represents a demonstration of the value of balanced dual-target activity in mitigating resistance development.

Indexed as

Bacterial ProteinsDNA GyraseDrug Resistance, BacterialEscherichia coliEscherichia coli ProteinsMicrobial Sensitivity TestsMorpholinesMutationNaphthyridinesPseudomonas aeruginosaTopoisomerase II InhibitorsBacterial ProteinsDNA GyraseEscherichia coli ProteinsMorpholinesNaphthyridinesNBTI 5463Topoisomerase II Inhibitors

Identifiers

PMID25348539
PMCPMC4291369
OpenAlexW2171713020

What OpenQuestion holds

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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.