Evidence map›Paper›PMID 29162798›Full record

ArticleNature communications2017

Persistence and reversal of plasmid-mediated antibiotic resistance.

Allison J Lopatkin, Hannah R Meredith, Jaydeep K Srimani, Connor Pfeiffer, Rick Durrett, Lingchong You

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 190 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
190citing papers in PubMed, 2 pooled it
7.8field-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

190 citing papers in PubMed, 2 syntheses or guidelines pooled it, 362 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
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  6. Review
  7. Article
  8. Do plasmid-dependent phages enable the survival of costly plasmids?bioRxiv : the preprint server for biology · 2026
    Article
  9. Redefining Antimicrobial Resistance inInternational journal of molecular sciences · 2026
    Review
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  12. Article
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130 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

6 authors at 1 institution in 1 country.

Allison J LopatkinDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.
Hannah R MeredithDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.
Jaydeep K SrimaniDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.
Connor PfeifferDepartment of Biology, Duke University, Durham, NC, 27708, USA.
Rick DurrettDepartment of Mathematics, Duke University, Durham, NC, 27708, USA.
Lingchong YouDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA. you@duke.edu.
Duke University · US

Funding

Post-antibiotic effect and design of optimal antibiotic dosing protocolsR01GM098642 · NIGMS · DUKE UNIVERSITY · PI YOU, LINGCHONG · 2011 to 2025
$3.6M
Tradeoffs between fitness costs and transfer rates in horizontal gene transferR01AI125604 · NIAID · DUKE UNIVERSITY · PI LINGCHONG YOU · 2017 to 2026
$3.3M
A synthetic biology approach to analyze evolution of programmed bacterial deathR01GM110494 · NIGMS · DUKE UNIVERSITY · PI YOU, LINGCHONG · 2014 to 2017
$1.2M
NIAID NIH HHS R01 AI125604NIGMS NIH HHS R01 GM098642NIGMS NIH HHS R01 GM110494
6 · The paper itself

Abstract

In the absence of antibiotic-mediated selection, sensitive bacteria are expected to displace their resistant counterparts if resistance genes are costly. However, many resistance genes persist for long periods in the absence of antibiotics. Horizontal gene transfer (primarily conjugation) could explain this persistence, but it has been suggested that very high conjugation rates would be required. Here, we show that common conjugal plasmids, even when costly, are indeed transferred at sufficiently high rates to be maintained in the absence of antibiotics in Escherichia coli. The notion is applicable to nine plasmids from six major incompatibility groups and mixed populations carrying multiple plasmids. These results suggest that reducing antibiotic use alone is likely insufficient for reversing resistance. Therefore, combining conjugation inhibition and promoting plasmid loss would be an effective strategy to limit conjugation-assisted persistence of antibiotic resistance.

Indexed as

Conjugation, GeneticDrug Resistance, BacterialEscherichia coliGenetic EngineeringGenetic TechniquesMicrobial ConsortiaModels, GeneticPlasmidsSynthetic Biology

Identifiers

PMID29162798
PMCPMC5698434
OpenAlexW2770886876

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.