Evidence map›Paper›PMID 27329501›Full record

ArticleScientific reports2016

The induction and identification of novel Colistin resistance mutations in Acinetobacter baumannii and their implications.

Nguyen Thi Khanh Nhu, David W Riordan, Tran Do Hoang Nhu, Duy Pham Thanh, Guy Thwaites, Nguyen Phu Huong Lan, Brendan W Wren, Stephen Baker, Richard A Stabler

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 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 127 citations in OpenAlex.

  1. Rate of polymyxin resistance among Acinetobacter baumannii recovered from hospitalized patients: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Pooled it
  2. Molecular Characterization of Colistin ResistanceAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Molecular Characterization of Colistin-Resistant ClinicalAntibiotics (Basel, Switzerland) · 2026
    Article
  4. Review
  5. Detection of a new blaBMC research notes · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Treatment Strategies of Colistin ResistanceAntibiotics (Basel, Switzerland) · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Polymyxins: recent advances and challenges.Frontiers in pharmacology · 2024
    Review
  15. Frontiers in microbiology · 2024
    Review
  16. Article
  17. Article
  18. Colistin Resistance inAntibiotics (Basel, Switzerland) · 2023
    Review
  19. Comparative genomics and molecular epidemiology of colistin-resistantComputational and structural biotechnology journal · 2023
    Article
  20. Review

1 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 5 institutions in 3 countries.

Nguyen Thi Khanh NhuThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
David W RiordanDepartment of Pathogen and Molecular Biology, London School of Hygiene &Tropical Medicine, London.
Tran Do Hoang NhuThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Duy Pham ThanhThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Guy ThwaitesThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Phu Huong LanThe Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Brendan W WrenDepartment of Pathogen and Molecular Biology, London School of Hygiene &Tropical Medicine, London.
Stephen BakerThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Richard A StablerDepartment of Pathogen and Molecular Biology, London School of Hygiene &Tropical Medicine, London.
London School of Hygiene & Tropical Medicine · GBHospital for Tropical Diseases · VNOxford University Clinical Research Unit · VNUniversity of Oxford · GBUniversity of Queensland · AU

Funding

Wellcome TrustWellcome Trust 100087/Z/12/Z
6 · The paper itself

Abstract

Acinetobacter baumannii is a significant cause of opportunistic hospital acquired infection and has been identified as an important emerging infection due to its high levels of antimicrobial resistance. Multidrug resistant A. baumannii has risen rapidly in Vietnam, where colistin is becoming the drug of last resort for many infections. In this study we generated spontaneous colistin resistant progeny (up to >256 μg/μl) from four colistin susceptible Vietnamese isolates and one susceptible reference strain (MIC <1.5 μg/μl). Whole genome sequencing was used to identify single nucleotide mutations that could be attributed to the reduced colistin susceptibility. We identified six lpxACD and three pmrB mutations, the majority of which were novel. In addition, we identified further mutations in six A. baumannii genes (vacJ, pldA, ttg2C, pheS and conserved hypothetical protein) that we hypothesise have a role in reduced colistin susceptibility. This study has identified additional mutations that may be associated with colistin resistance through novel resistance mechanisms. Our work further demonstrates how rapidly A. baumannii can generate resistance to a last resort antimicrobial and highlights the need for improved surveillance to identified A. baumannii with an extensive drug resistance profile.

Indexed as

Acinetobacter baumanniiBacterial ProteinsDrug Resistance, BacterialMutationColistinHumansVietnamBacterial ProteinsColistin

Identifiers

PMID27329501
PMCPMC4916428
OpenAlexW2475041682

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.