Evidence map›Paper›PMID 29382822›Full record

ArticleNature communications2018

Bismuth antimicrobial drugs serve as broad-spectrum metallo-β-lactamase inhibitors.

Runming Wang, Tsz-Pui Lai, Peng Gao, Hongmin Zhang, Pak-Leung Ho, Patrick Chiu-Yat Woo, Guixing Ma, Richard Yi-Tsun Kao, Hongyan Li, Hongzhe Sun

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed
7.9field-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

100 citing papers in PubMed, 242 citations in OpenAlex.

  1. Article
  2. Article
  3. Synergistic eradication of NDM-1Materials today. Bio · 2026
    Article
  4. Article
  5. Bismuth Bicycles.Journal of peptide science : an official publication of the European Peptide Society · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
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  18. Tegoprazan dual and quadruple therapy forFrontiers in medicine · 2025
    Article
  19. Article
  20. Article

40 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

10 authors at 2 institutions in 2 countries.

Runming WangDepartment of Chemistry, The University of Hong Kong, Pokfulam Road, Pok Fu Lam, Hong Kong.ORCID http://orcid.org/0000-0001-8525-5659
Tsz-Pui LaiDepartment of Chemistry, The University of Hong Kong, Pokfulam Road, Pok Fu Lam, Hong Kong.
Peng GaoDepartment of Microbiology, The University of Hong Kong, Sassoon Road, Pok Fu Lam, Hong Kong.
Hongmin ZhangDepartment of Chemistry, The University of Hong Kong, Pokfulam Road, Pok Fu Lam, Hong Kong.ORCID http://orcid.org/0000-0003-4356-3615
Pak-Leung HoDepartment of Microbiology, The University of Hong Kong, Sassoon Road, Pok Fu Lam, Hong Kong.
Patrick Chiu-Yat WooDepartment of Microbiology, The University of Hong Kong, Sassoon Road, Pok Fu Lam, Hong Kong.
Guixing MaDepartment of Biology, Guangdong Provincial Key Laboratory of Cell Microenvironment and Disease Research, Shenzhen Key Laboratory of Cell Microenvironment, Southern University of Science and Technology, 518055, Shenzhen, China.
Richard Yi-Tsun KaoDepartment of Microbiology, The University of Hong Kong, Sassoon Road, Pok Fu Lam, Hong Kong.
Hongyan LiDepartment of Chemistry, The University of Hong Kong, Pokfulam Road, Pok Fu Lam, Hong Kong.
Hongzhe SunDepartment of Chemistry, The University of Hong Kong, Pokfulam Road, Pok Fu Lam, Hong Kong. hsun@hku.hk.ORCID http://orcid.org/0000-0001-6697-6899
University of Hong Kong · HKSouthern University of Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug-resistant superbugs pose a huge threat to human health. Infections by Enterobacteriaceae producing metallo-β-lactamases (MBLs), e.g., New Delhi metallo-β-lactamase 1 (NDM-1) are very difficult to treat. Development of effective MBL inhibitors to revive the efficacy of existing antibiotics is highly desirable. However, such inhibitors are not clinically available till now. Here we show that an anti-Helicobacter pylori drug, colloidal bismuth subcitrate (CBS), and related Bi(III) compounds irreversibly inhibit different types of MBLs via the mechanism, with one Bi(III) displacing two Zn(II) ions as revealed by X-ray crystallography, leading to the release of Zn(II) cofactors. CBS restores meropenem (MER) efficacy against MBL-positive bacteria in vitro, and in mice infection model, importantly, also slows down the development of higher-level resistance in NDM-1-positive bacteria. This study demonstrates a high potential of Bi(III) compounds as the first broad-spectrum B1 MBL inhibitors to treat MBL-positive bacterial infection in conjunction with existing carbapenems.

Indexed as

AnimalsAnti-Infective Agentsbeta-Lactamase Inhibitorsbeta-Lactamasesbeta-Lactam ResistanceBismuthCarbapenemsCatalytic DomainCrystallography, X-RayDogsDrug Evaluation, PreclinicalEvolution, MolecularFemaleMadin Darby Canine Kidney CellsMice, Inbred BALB CMicrobial Sensitivity TestsAnti-Infective Agentsbeta-Lactamase Inhibitorsbeta-lactamase NDM-1beta-LactamasesBismuthbismuth tripotassium dicitrateCarbapenemsOrganometallic CompoundsZinc

Identifiers

PMID29382822
PMCPMC5789847
OpenAlexW2791003574

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.