Evidence map›Paper›PMID 27650186›Full record

ArticleThe Journal of antimicrobial chemotherapy2017

Antimicrobial peptide exposure selects for Staphylococcus aureus resistance to human defence peptides.

Jessica Z Kubicek-Sutherland, Hava Lofton, Martin Vestergaard, Karin Hjort, Hanne Ingmer, Dan I Andersson

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
–field-weighted citation impact
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

48 citing papers in PubMed.

  1. Review
  2. Adaptive Response ofAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Functional analysis of theFrontiers in microbiology · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Interactions betweenInternational journal of molecular sciences · 2023
    Article
  15. Review
  16. Synergy between Winter Flounder antimicrobial peptides.npj antimicrobials and resistance · 2023
    Article
  17. Article
  18. 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

6 authors.

Jessica Z Kubicek-SutherlandDepartment of Medical Biochemistry and Microbiology, Uppsala University, Box 582, 75123, Uppsala, Sweden.
Hava LoftonDepartment of Medical Biochemistry and Microbiology, Uppsala University, Box 582, 75123, Uppsala, Sweden.
Martin VestergaardDepartment of Veterinary Disease Biology, University of Copenhagen, Stigbøjlen 4, 1870 Frederiksberg C, Copenhagen, Denmark.
Karin HjortDepartment of Medical Biochemistry and Microbiology, Uppsala University, Box 582, 75123, Uppsala, Sweden.
Hanne IngmerDepartment of Veterinary Disease Biology, University of Copenhagen, Stigbøjlen 4, 1870 Frederiksberg C, Copenhagen, Denmark.
Dan I AnderssonDepartment of Medical Biochemistry and Microbiology, Uppsala University, Box 582, 75123, Uppsala, Sweden dan.andersson@imbim.uu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical development of antimicrobial peptides (AMPs) is currently under evaluation to combat the rapid increase in MDR bacterial pathogens. However, many AMPs closely resemble components of the human innate immune system and the ramifications of prolonged bacterial exposure to AMPs are not fully understood.

objectivesWe show that in vitro serial passage of a clinical USA300 MRSA strain in a host-mimicking environment containing host-derived AMPs results in the selection of stable AMP resistance.

methodsSerial passage experiments were conducted using steadily increasing concentrations of LL-37, PR-39 or wheat germ histones. WGS and proteomic analysis by MS were used to identify the molecular mechanism associated with increased tolerance of AMPs. AMP-resistant mutants were characterized by measuring in vitro fitness, AMP and antibiotic susceptibility, and virulence in a mouse model of sepsis.

resultsAMP-resistant Staphylococcus aureus mutants often displayed little to no fitness cost and caused invasive disease in mice. Further, this phenotype coincided with diminished susceptibility to both clinically prescribed antibiotics and human defence peptides.

conclusionsThese findings suggest that therapeutic use of AMPs could select for virulent mutants with cross-resistance to human innate immunity as well as antibiotic therapy. Thus, therapeutic use of AMPs and the implications of cross-resistance need to be carefully monitored and evaluated.

Indexed as

Drug Resistance, BacterialDrug ToleranceSelection, GeneticAnimalsAnti-Infective AgentsAntimicrobial Cationic PeptidesDisease Models, AnimalFemaleHumansMethicillin-Resistant Staphylococcus aureusMice, Inbred BALB CSepsisSerial PassageStaphylococcal InfectionsVirulenceAnti-Infective AgentsAntimicrobial Cationic Peptides

Identifiers

PMID27650186
PMCPMC5161045

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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.