Evidence map›Paper›PMID 27543672›Full record

ArticleThe Journal of infectious diseases2016

The Global Regulon sarA Regulates β-Lactam Antibiotic Resistance in Methicillin-Resistant Staphylococcus aureus In Vitro and in Endovascular Infections.

Liang Li, Ambrose Cheung, Arnold S Bayer, Liang Chen, Wessam Abdelhady, Barry N Kreiswirth, Michael R Yeaman, Yan Q Xiong

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

40 citing papers in PubMed, 58 citations in OpenAlex.

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  3. Drug Repurposing: An Emerging Strategy inJournal of microbiology and biotechnology · 2025
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  4. The virulence toolkit of Staphylococcus aureus: a comprehensive review of toxin diversity, molecular mechanisms, and clinical implications.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
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  15. Molecules (Basel, Switzerland) · 2023
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  16. Review
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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

8 authors at 5 institutions in 1 country.

Liang LiLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center.
Ambrose CheungDartmouth Medical School, Hanover, New Hampshire.
Arnold S BayerLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center.
Liang ChenPublic Health Research Institute, New Jersey Medical School, Rutgers University, Newark.
Wessam AbdelhadyLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center.
Barry N KreiswirthPublic Health Research Institute, New Jersey Medical School, Rutgers University, Newark.
Michael R YeamanLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center.
Yan Q XiongLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center.
Harbor–UCLA Medical Center · USRutgers, The State University of New Jersey · USDartmouth College · USThe Lundquist Institute · USUCLA Medical Center · US

Funding

Systems Immunolobiology of Antibiotic-Persistent MRSA InfectionU01AI124319 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI YEAMAN, MICHAEL R · 2016 to 2020
$10.1M
Staphylococcal Adaptations to Platelet Microbicidal ProteinR01AI039108 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI BAYER, ARNOLD S · 1997 to 2016
$5.1M
The role of GraRS in resistance to cationic antimicrobial peptides in S. aureusR01AI091801 · NIAID · DARTMOUTH COLLEGE · PI CHEUNG, AMBROSE LIN YAU · 2011 to 2015
$2.4M
Mitigating Resistance & Virulence in MRSAR33AI111661 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI YEAMAN, MICHAEL R · 2016 to 2018
$1.2M
Early agr Activation is a Key Pathogenic Signature in Persistent MRSA BacteremiaR21AI097657 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI XIONG, YAN Q. · 2012 to 2013
$390k
Mitigating Resistance & Virulence in MRSAR21AI111661 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI YEAMAN, MICHAEL R · 2014 to 2015
$378k
NIAID NIH HHS R01 AI039108NIAID NIH HHS R01 AI091801NIAID NIH HHS R21 AI097657NIAID NIH HHS R21 AI111661NIAID NIH HHS R33 AI111661NIAID NIH HHS U01 AI124319
6 · The paper itself

Abstract

backgroundThe global regulator sarA modulates virulence of methicillin-resistant Staphylococcus aureus (MRSA) via regulation of principal virulence factors (eg, adhesins and toxins) and biofilm formation. Resistance of S. aureus strains to β-lactam antibiotics (eg, oxacillin) depends on the production of penicillin-binding protein 2a (PBP2a), encoded by mecA

methodsIn the present study, we investigated the impact of sarA on the phenotypic and genotypic characteristics of oxacillin resistance both in vitro and in an experimental endocarditis model, using prototypic healthcare- and community-associated MRSA parental and their respective sarA mutant strain sets.

resultsAll sarA mutants (vs respective MRSA parental controls) displayed significant reductions in oxacillin resistance and biofilm formation in vitro and oxacillin persistence in an experimental endocarditis model in vivo. These phenotypes corresponded to reduced mecA expression and PBP2a production and an interdependency of sarA and sigB regulators. Moreover, RNA sequencing analyses showed that sarA mutants exhibited significantly increased levels of primary extracellular proteases and suppressed pyrimidine biosynthetic pathway, argininosuccinate lyase-encoding, and ABC transporter-related genes as compared to the parental strain.

conclusionsThese results suggested that sarA regulates oxacillin resistance in mecA-positive MRSA. Thus, abrogation of this regulator represents an attractive and novel drug target to potentiate efficacy of existing antibiotic for MRSA therapy.

Indexed as

Anti-Bacterial AgentsBacterial Proteinsbeta-Lactam Resistancebeta-LactamsGene Expression Regulation, BacterialHumansMethicillinMethicillin ResistanceMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsOxacillinPenicillin-Binding ProteinsRegulonRNA, BacterialTrans-ActivatorsAnti-Bacterial AgentsBacterial Proteinsbeta-LactamsMethicillinOxacillinPenicillin-Binding ProteinsRNA, BacterialSarA protein, bacterialTrans-ActivatorsMRSA endocarditissarAtreatmentβ-lactam antibiotic resistance

Identifiers

PMID27543672
PMCPMC5079373
OpenAlexW2509589992

What OpenQuestion holds

Textmetadata
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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.