Evidence map›Paper›PMID 27501945›Full record

ArticleMolecular biology and evolution2016

Survival and Evolution of a Large Multidrug Resistance Plasmid in New Clinical Bacterial Hosts.

Andreas Porse, Kristian Schønning, Christian Munck, Morten O A Sommer

Open access · bronzeAbstract read
In one paragraph

Article in Molecular biology and evolution, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 147 papers.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed
9.7field-weighted citation impact, top 1% 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

147 citing papers in PubMed, 245 citations in OpenAlex.

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  7. Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
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  8. Plasmid-Driven Resistome Diversity in 9700Antibiotics (Basel, Switzerland) · 2026
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  10. Review
  11. Review
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  13. Transfer potential of F-like plasmids inISME communications · 2026
    Article
  14. Article
  15. Article
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  17. Article
  18. Article
  19. Article
  20. Article

87 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

4 authors at 2 institutions in 1 country.

Andreas PorseThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Hørsholm, Denmark.
Kristian SchønningDepartment of Clinical Microbiology, Hvidovre University Hospital, Hvidovre, Denmark and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Christian MunckThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Hørsholm, Denmark chrmu@bio.dtu.dk msom@bio.dtu.dk.
Morten O A SommerThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Hørsholm, Denmark chrmu@bio.dtu.dk msom@bio.dtu.dk.
Novo Nordisk Foundation · DKHvidovre Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large conjugative plasmids are important drivers of bacterial evolution and contribute significantly to the dissemination of antibiotic resistance. Although plasmid borne multidrug resistance is recognized as one of the main challenges in modern medicine, the adaptive forces shaping the evolution of these plasmids within pathogenic hosts are poorly understood. Here we study plasmid-host adaptations following transfer of a 73 kb conjugative multidrug resistance plasmid to naïve clinical isolates of Klebsiella pneumoniae and Escherichia coli. We use experimental evolution, mathematical modelling and population sequencing to show that the long-term persistence and molecular integrity of the plasmid is highly influenced by multiple factors within a 25 kb plasmid region constituting a host-dependent burden. In the E. coli hosts investigated here, improved plasmid stability readily evolves via IS26 mediated deletions of costly regions from the plasmid backbone, effectively expanding the host-range of the plasmid. Although these adaptations were also beneficial to plasmid persistence in a naïve K. pneumoniae host, they were never observed in this species, indicating that differential evolvability can limit opportunities of plasmid adaptation. While insertion sequences are well known to supply plasmids with adaptive traits, our findings suggest that they also play an important role in plasmid evolution by maintaining the plasticity necessary to alleviate plasmid-host constrains. Further, the observed evolutionary strategy consistently followed by all evolved E. coli lineages exposes a trade-off between horizontal and vertical transmission that may ultimately limit the dissemination potential of clinical multidrug resistance plasmids in these hosts.

Indexed as

Adaptation, BiologicalAnti-Bacterial AgentsBacterial ProteinsConjugation, GeneticDNA Transposable ElementsDrug Resistance, MicrobialDrug Resistance, MultipleEscherichia coliEvolution, MolecularKlebsiella pneumoniaeMicrobial Sensitivity TestsPlasmidsAnti-Bacterial AgentsBacterial ProteinsDNA Transposable Elementsantibiotic resistanceclinical isolatesESBL plasmid evolutionexperimental evolutionhorizontal gene transferIS26 restructuring

Identifiers

PMID27501945
PMCPMC5062321
OpenAlexW2513186500

What OpenQuestion holds

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LicenceCC BY-NC
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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.