Evidence map›Paper›PMID 27125555›Full record

ArticleThe Journal of antimicrobial chemotherapy2016

LN-1-255, a penicillanic acid sulfone able to inhibit the class D carbapenemase OXA-48.

Juan A Vallejo, Marta Martínez-Guitián, Juan C Vázquez-Ucha, Concepción González-Bello, Margarita Poza, John D Buynak, Christopher R Bethel, Robert A Bonomo, German Bou, Alejandro Beceiro

Open access · greenAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Disarming carbapenemase-producingAntimicrobial agents and chemotherapy · 2026
    Article
  4. Article
  5. Antibacterial activity of enmetazobactam againstAntimicrobial agents and chemotherapy · 2026
    Article
  6. Investigating the Effect of Xylitol onInternational journal of microbiology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. New Carbapenemase Inhibitors: Clearing the Way for the β-Lactams.International journal of molecular sciences · 2020
    Review
  15. Article
  16. Review
  17. Article
  18. New Treatment Options against Carbapenem-ResistantAntimicrobial agents and chemotherapy · 2019
    Review
  19. Treatment of Infections by OXA-48-Producing Enterobacteriaceae.Antimicrobial agents and chemotherapy · 2018
    Review
  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

10 authors at 4 institutions in 2 countries.

Juan A VallejoServicio de Microbiología-Instituto de Investigación Biomédica (INIBIC), 15006 A Coruña, Spain.
Marta Martínez-GuitiánServicio de Microbiología-Instituto de Investigación Biomédica (INIBIC), 15006 A Coruña, Spain.
Juan C Vázquez-UchaServicio de Microbiología-Instituto de Investigación Biomédica (INIBIC), 15006 A Coruña, Spain.
Concepción González-BelloCentro Singular de Investigación en Química Biolóxica e Materiais Moleculares (CIQUS), Universidad de Santiago de Compostela, 15782 Santiago de Compostela, Spain.
Margarita PozaServicio de Microbiología-Instituto de Investigación Biomédica (INIBIC), 15006 A Coruña, Spain.
John D BuynakDepartment of Chemistry, Southern Methodist University, Dallas, TX 75275, USA.
Christopher R BethelResearch Service, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH 44106, USA.
Robert A BonomoResearch Service, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH 44106, USA Departments of Biochemistry, Molecular Biology and Microbiology, Pharmacology and Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
German BouServicio de Microbiología-Instituto de Investigación Biomédica (INIBIC), 15006 A Coruña, Spain.
Alejandro BeceiroServicio de Microbiología-Instituto de Investigación Biomédica (INIBIC), 15006 A Coruña, Spain alejandro.beceiro.casas@sergas.es.
Instituto de Investigación Biomédica de A Coruña · ESLouis Stokes Cleveland VA Medical Center · USSouthern Methodist University · USUniversidade de Santiago de Compostela · ES

Funding

Bicyclic beta-Lactam Antibiotics as Poor Substrates for Metallo-beta-lactamasesR15AI109624 · NIAID · SOUTHERN METHODIST UNIVERSITY · PI BUYNAK, JOHN D · 2014 to 2014
$438k
NIAID NIH HHS R15 AI109624
6 · The paper itself

Abstract

objectivesCarbapenemases are the most important mechanism responsible for carbapenem resistance in Enterobacteriaceae. Among carbapenemases, OXA-48 presents unique challenges as it is resistant to β-lactam inhibitors. Here, we test the capacity of the compound LN-1-255, a 6-alkylidene-2'-substituted penicillanic acid sulfone, to inhibit the activity of the carbapenemase OXA-48.

methodsThe OXA-48 gene was cloned and expressed in Klebsiella pneumoniae and Escherichia coli in order to obtain MICs in the presence of inhibitors (clavulanic acid, tazobactam and sulbactam) and LN-1-255. OXA-48 was purified and steady-state kinetics was performed with LN-1-255 and tazobactam. The covalent binding mode of LN-1-255 with OXA-48 was studied by docking assays.

resultsBoth OXA-48-producing clinical and transformant strains displayed increased susceptibility to carbapenem antibiotics in the presence of 4 mg/L LN-1-255 (2-32-fold increased susceptibility) and 16 mg/L LN-1-255 (4-64-fold increased susceptibility). Kinetic assays demonstrated that LN-1-255 is able to inhibit OXA-48 with an acylation efficiency (k2/K) of 10 ± 1 × 10(4) M(-1) s(-1) and a slow deacylation rate (koff) of 7 ± 1 × 10(-4) s(-1). IC50 was 3 nM for LN-1-255 and 1.5 μM for tazobactam. Lastly, kcat/kinact was 500-fold lower for LN-1-255 than for tazobactam.

conclusionsIn these studies, carbapenem antibiotics used in combination with LN-1-255 are effective against the carbapenemase OXA-48, an important emerging mechanism of antibiotic resistance. This provides an incentive for further investigations to maximize the efficacy of penicillin sulfone inhibition of class D plasmid-carried Enterobacteriaceae carbapenemases.

Indexed as

Anti-Bacterial Agentsbeta-Lactamase Inhibitorsbeta-LactamasesCarbapenemsCloning, MolecularCyclic S-OxidesEscherichia coliGene ExpressionKineticsKlebsiella pneumoniaeMicrobial Sensitivity TestsPenicillinsProtein BindingSulbactamAnti-Bacterial Agentsbeta-Lactamase Inhibitorsbeta-LactamasesCarbapenemsCyclic S-OxidesLN 1-255oxacillinasePenicillinsSulbactam

Identifiers

PMID27125555
PMCPMC4954921
OpenAlexW2342800830

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.