Evidence map›Paper›PMID 25367902›Full record

ArticleAntimicrobial agents and chemotherapy2015

First report of a clinical, multidrug-resistant Enterobacteriaceae isolate coharboring fosfomycin resistance gene fosA3 and carbapenemase gene blaKPC-2 on the same transposon, Tn1721.

Gang Li, Ying Zhang, Dexi Bi, Pinghua Shen, Fuqi Ai, Hong Liu, Yueru Tian, Yiming Ma, Bei Wang, Kumar Rajakumar and 2 more

Abstract 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 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Article
  2. Review
  3. Characterization of genetic context ofFrontiers in microbiology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. The Genomic Characterization of KPC-ProducingInfection and drug resistance · 2022
    Article
  8. Article
  9. Complete Genome Sequences ofAntibiotics (Basel, Switzerland) · 2021
    Article
  10. Article
  11. Co-harboring of NovelFrontiers in microbiology · 2021
    Article
  12. A Sequence Type 23 HypervirulentFrontiers in cellular and infection microbiology · 2021
    Article
  13. Article
  14. Article
  15. Prevalence and Distribution Characteristics ofInfection and drug resistance · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Emergence and establishment of KPC-2-producing ST11 Klebsiella pneumoniae in a general hospital in Shanghai, China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    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

12 authors.

Gang LiDepartment of Laboratory Medicine, Jinshan Hospital, Shanghai Medical College, Fudan University, Shanghai, China Department of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Ying ZhangDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Dexi BiState Key Laboratory for Microbial Metabolism and School of Life Sciences & Biotechnology, Shanghai Jiaotong University, Shanghai, China.
Pinghua ShenDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Fuqi AiDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Hong LiuDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Yueru TianDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Yiming MaDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Bei WangDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Kumar RajakumarDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, United Kingdom Department of Clinical Microbiology, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
Hong-Yu OuState Key Laboratory for Microbial Metabolism and School of Life Sciences & Biotechnology, Shanghai Jiaotong University, Shanghai, China jiangxi2154@aliyun.com hyou@sjtu.edu.cn.
Xiaofei JiangDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China jiangxi2154@aliyun.com hyou@sjtu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In order to understand the genetic background and dissemination mechanism of carbapenem resistance and fosfomycin resistance in Enterobacteriaceae isolates, we studied a clinical Escherichia coli strain HS102707 isolate and an Enterobacter aerogenes strain HS112625 isolate, both of which were resistant to carbapenem and fosfomycin and positive for the bla(KPC-2) and fosA3 genes. In addition, a clinical Klebsiella pneumoniae strain HS092839 isolate which was resistant to carbapenem was also studied. A 70-kb plasmid was successfully transferred to recipient E. coli J53 by a conjugation test. PCR and Southern blot analysis showed that bla(KPC-2) was located on this plasmid. The complete sequence of pHS102707 showed that this plasmid belongs to the P11 subfamily (IncP1) and has a replication gene, several plasmid-stable genes, an intact type IV secretion system gene cluster, and a composite transposon Tn1721-Tn3 that harbored bla(KPC-2). Interestingly, a composite IS26 transposon carrying fosA3 was inserted in the Tn1721-tnpA gene in pHS102707 and pHS112625, leading to the disruption of Tn1721-tnpA and the deletion of Tn1721-tnpR. However, only IS26 with a truncated Tn21-tnpR was inserted in pHS092839 at the same position. To our knowledge, this is the first report of fosA3 and bla(KPC-2) colocated in the same Tn1721-Tn3-like composite transposon on a novel IncP group plasmid.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsBacterial Secretion SystemsBacterial Typing TechniquesBase Sequencebeta-LactamasesDNA, BacterialDNA Transposable ElementsDrug Resistance, Multiple, BacterialEnterobacter aerogenesEscherichia coliFosfomycinHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsMolecular Sequence DataAnti-Bacterial AgentsBacterial ProteinsBacterial Secretion Systemsbeta-LactamasescarbapenemaseDNA, BacterialDNA Transposable ElementsFosfomycin

Identifiers

PMID25367902
PMCPMC4291370

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.