Evidence map›Paper›PMID 27306928›Full record

ArticleScientific reports2016

Combination therapy with polymyxin B and netropsin against clinical isolates of multidrug-resistant Acinetobacter baumannii.

Joon-Hui Chung, Abhayprasad Bhat, Chang-Jin Kim, Dongeun Yong, Choong-Min Ryu

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

23 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. International journal of systematic and evolutionary microbiology · 2025
    Article
  3. Article
  4. Article
  5. Antimicrobial activity of cinnamaldehyde against multidrug-resistant Klebsiella pneumoniae: an in vitro and in vivo study.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Article
  6. The VirtuousAntibiotics (Basel, Switzerland) · 2023
    Review
  7. Article
  8. Disruption of nucleosomes by DNA groove binders of clinical significance and implications for chromatin remodeling.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  9. Article
  10. Article
  11. Pathogens (Basel, Switzerland) · 2021
    Review
  12. Article
  13. Article
  14. Review
  15. Emergent Polymyxin Resistance: End of an Era?Open forum infectious diseases · 2019
    Article
  16. Article
  17. Chronicle of a Soil Bacterium:Frontiers in microbiology · 2019
    Review
  18. A Porcine Wound Model ofAdvances in wound care · 2019
    Article
  19. Article
  20. 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

5 authors at 3 institutions in 1 country.

Joon-Hui ChungSuper-bacteria Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon 34141, South Korea.
Abhayprasad BhatSuper-bacteria Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon 34141, South Korea.
Chang-Jin KimUniversity of Science and Technology, Daejeon 34113, South Korea.
Dongeun YongDepartment of Laboratory Medicine and Research Institute of Antimicrobial Resistance, Yonsei University College of Medicine, Seoul 03722, South Korea.
Choong-Min RyuSuper-bacteria Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon 34141, South Korea.
Korea Research Institute of Bioscience and Biotechnology · KRKorea University of Science and Technology · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polymyxins are last-resort antibiotics for treating infections of Gram-negative bacteria. The recent emergence of polymyxin-resistant bacteria, however, urgently demands clinical optimisation of polymyxin use to minimise further evolution of resistance. In this study we developed a novel combination therapy using minimal concentrations of polymyxin B. After large-scale screening of Streptomyces secondary metabolites, we identified a reliable polymixin synergist and confirmed as netropsin using high-pressure liquid chromatography, nuclear magnetic resonance, and mass spectrometry followed by in vitro assays using various Gram-negative pathogenic bacteria. To evaluate the effectiveness of combining polymixin B and netropsin in vivo, we performed survival analysis on greater wax moth Galleria mellonella infected with colistin-resistant clinical Acinetobacter baumannii isolates as well as Escherichia coli, Shigella flexineri, Salmonella typhimuruim, and Pseudomonas aeruginosa. The survival of infected G. mellonella was significantly higher when treated with polymyxin B and netropsin in combination than when treated with polymyxin B or netropsin alone. We propose a netropsin combination therapy that minimises the use of polymyxin B when treating infections with multidrug resistant Gram-negative bacteria.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAnimalsAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialDrug SynergismDrug Therapy, CombinationEscherichia coliHumansMicrobial Sensitivity TestsModels, AnimalMothsNetropsinPolymyxin BPseudomonas aeruginosaSalmonella typhimuriumAnti-Bacterial AgentsNetropsinPolymyxin B

Identifiers

PMID27306928
PMCPMC4910107
OpenAlexW2424218404

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.