Evidence map›Paper›PMID 27694971›Full record

ArticleNature communications2016

The evolution of antimicrobial peptide resistance in Pseudomonas aeruginosa is shaped by strong epistatic interactions.

Nicholas Jochumsen, Rasmus L Marvig, Søren Damkiær, Rune Lyngklip Jensen, Wilhelm Paulander, Søren Molin, Lars Jelsbak, Anders Folkesson

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed
13.9field-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

85 citing papers in PubMed, 150 citations in OpenAlex.

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  13. ThemBio · 2026
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  14. Macrolide resistance trajectories across threeFrontiers in microbiology · 2026
    Article
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25 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

8 authors at 3 institutions in 1 country.

Nicholas JochumsenDepartment of Systems Biology, Technical University of Denmark, Kongens Lyngby, Denmark.
Rasmus L MarvigDepartment of Systems Biology, Technical University of Denmark, Kongens Lyngby, Denmark.ORCID http://orcid.org/0000-0002-5267-3173
Søren DamkiærDepartment of Systems Biology, Technical University of Denmark, Kongens Lyngby, Denmark.
Rune Lyngklip JensenDepartment of Systems Biology, Technical University of Denmark, Kongens Lyngby, Denmark.
Wilhelm PaulanderDepartment of Veterinary Disease Biology, University of Copenhagen, 1870 Frederiksberg C, Denmark.
Søren MolinDepartment of Systems Biology, Technical University of Denmark, Kongens Lyngby, Denmark.
Lars JelsbakDepartment of Systems Biology, Technical University of Denmark, Kongens Lyngby, Denmark.
Anders FolkessonNational Veterinary Institute, Technical University of Denmark, Frederiksberg, Denmark.ORCID http://orcid.org/0000-0002-2175-830X
Technical University of Denmark · DKRigshospitalet · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colistin is an antimicrobial peptide that has become the only remaining alternative for the treatment of multidrug-resistant Gram-negative bacterial infections, but little is known of how clinical levels of colistin resistance evolve. We use in vitro experimental evolution and whole-genome sequencing of colistin-resistant Pseudomonas aeruginosa isolates from cystic fibrosis patients to reconstruct the molecular evolutionary pathways open for high-level colistin resistance. We show that the evolution of resistance is a complex, multistep process that requires mutation in at least five independent loci that synergistically create the phenotype. Strong intergenic epistasis limits the number of possible evolutionary pathways to resistance. Mutations in transcriptional regulators are essential for resistance evolution and function as nodes that potentiate further evolution towards higher resistance by functionalizing and increasing the effect of the other mutations. These results add to our understanding of clinical antimicrobial peptide resistance and the prediction of resistance evolution.

Indexed as

Drug Resistance, BacterialEpistasis, GeneticAllelesAntimicrobial Cationic PeptidesColistinCystic FibrosisDNA Mutational AnalysisEscherichia coliEvolution, MolecularGenome, FungalMutationPeptidesPhenotypePolymorphism, Single NucleotidePseudomonas aeruginosaAntimicrobial Cationic PeptidesColistinPeptides

Identifiers

PMID27694971
PMCPMC5494192
OpenAlexW2529078122

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.