Evidence map›Paper›PMID 28962020›Full record

ArticleThe Journal of antimicrobial chemotherapy2017

Fitness cost constrains the spectrum of marR mutations in ciprofloxacin-resistant Escherichia coli.

Lisa Praski Alzrigat, Douglas L Huseby, Gerrit Brandis, Diarmaid Hughes

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 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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  7. The induced and intrinsic resistance ofMicrobiology spectrum · 2024
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  14. Expression of the qepA1 gene is induced under antibiotic exposure.The Journal of antimicrobial chemotherapy · 2021
    Article
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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

4 authors.

Lisa Praski AlzrigatDepartment of Medical Biochemistry and Microbiology, Uppsala University, Biomedical Center Box 582, Husargatan 3, S-75123 Uppsala, Sweden.
Douglas L HusebyDepartment of Medical Biochemistry and Microbiology, Uppsala University, Biomedical Center Box 582, Husargatan 3, S-75123 Uppsala, Sweden.
Gerrit BrandisDepartment of Medical Biochemistry and Microbiology, Uppsala University, Biomedical Center Box 582, Husargatan 3, S-75123 Uppsala, Sweden.
Diarmaid HughesDepartment of Medical Biochemistry and Microbiology, Uppsala University, Biomedical Center Box 582, Husargatan 3, S-75123 Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether the spectrum of mutations in marR in ciprofloxacin-resistant clinical isolates of Escherichia coli shows evidence of selection bias, either to reduce fitness costs, or to increase drug resistance. MarR is a repressor protein that regulates, via MarA, expression of the Mar regulon, including the multidrug efflux pump AcrAB-TolC.

methodsIsogenic strains carrying 36 different marR alleles identified in resistant clinical isolates, or selected for resistance in vitro, were constructed. Drug susceptibility and relative fitness in growth competition assays were measured for all strains. The expression level of marA, and of various efflux pump components, as a function of specific mutations in marR, was measured by qPCR.

resultsThe spectrum of genetic alterations in marR in clinical isolates is strongly biased against inactivating mutations. In general, the alleles found in clinical isolates conferred a lower level of resistance and imposed a lower growth fitness cost than mutations selected in vitro. The level of expression of MarA correlated well with the MIC of ciprofloxacin. This supports the functional connection between mutations in marR and reduced susceptibility to ciprofloxacin.

conclusionsMutations in marR selected in ciprofloxacin-resistant clinical isolates are strongly biased against inactivating mutations. Selection favours mutant alleles that have the lowest fitness costs, even though these cause only modest reductions in drug susceptibility. This suggests that selection for high relative fitness is more important than selection for increased resistance in determining which alleles of marR will be selected in resistant clinical isolates.

Indexed as

Genetic FitnessMutationAnti-Bacterial AgentsATP-Binding Cassette, Sub-Family C ProteinsCiprofloxacinDNA-Binding ProteinsDrug Resistance, BacterialEscherichia coliEscherichia coli InfectionsEscherichia coli ProteinsHumansMicrobial Sensitivity TestsReal-Time Polymerase Chain ReactionRepressor ProteinsAnti-Bacterial AgentsATP-Binding Cassette, Sub-Family C ProteinsCiprofloxacinDNA-Binding ProteinsEscherichia coli ProteinsMarR protein, E coliRepressor Proteins

Identifiers

PMID28962020
PMCPMC5890708

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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.