Evidence map›Paper›PMID 29506074›Full record

ArticleThe Journal of antimicrobial chemotherapy2018

Morpholino oligomers tested in vitro, in biofilm and in vivo against multidrug-resistant Klebsiella pneumoniae.

Bruce L Geller, Lixin Li, Fabian Martinez, Erin Sully, Carolyn R Sturge, Seth M Daly, Christine Pybus, David E Greenberg

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.2field-weighted citation impact, top 26% 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

22 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Antimicrobial Resistance: The Answers.British journal of biomedical science · 2026
    Review
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  7. Chemical strategies for antisense antibiotics.Chemical Society reviews · 2024
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  8. Article
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  10. Review
  11. Animal models ofFrontiers in microbiology · 2024
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. FromMicroorganisms · 2021
    Review
  19. Article
  20. Review
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 2 institutions in 1 country.

Bruce L GellerDepartment of Microbiology, 226 Nash Hall, Oregon State University, Corvallis, OR 97331, USA.
Lixin LiDepartment of Microbiology, 226 Nash Hall, Oregon State University, Corvallis, OR 97331, USA.
Fabian MartinezDepartment of Microbiology, 226 Nash Hall, Oregon State University, Corvallis, OR 97331, USA.
Erin SullyDepartment of Microbiology, 226 Nash Hall, Oregon State University, Corvallis, OR 97331, USA.
Carolyn R SturgeDepartment of Internal Medicine, 5323 Harry Hines Blvd., University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Seth M DalyDepartment of Internal Medicine, 5323 Harry Hines Blvd., University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Christine PybusDepartment of Internal Medicine, 5323 Harry Hines Blvd., University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
David E GreenbergDepartment of Internal Medicine, 5323 Harry Hines Blvd., University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Oregon State University · USThe University of Texas Southwestern Medical Center · US

Funding

MOLECULAR MICROBIOLOGY TRAINING GRANTT32AI007520 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI Julie K Pfeiffer · 1997 to 2026
$7.0M
Circumventing Antibiotic Resistance with Novel Gene-Silencing TherapeuticsR33AI111753 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI GELLER, BRUCE L, GREENBERG, DAVID ELIHU · 2016 to 2018
$1.4M
Circumventing Antibiotic Resistance with Novel Gene-Silencing TherapeuticsR21AI111753 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI GELLER, BRUCE L, GREENBERG, DAVID ELIHU · 2014 to 2015
$415k
NIAID NIH HHS R21 AI111753NIAID NIH HHS R33 AI111753NIAID NIH HHS T32 AI007520
6 · The paper itself

Abstract

Background: Klebsiella pneumoniae is an opportunistic pathogen and many strains are multidrug resistant. KPC is one of the most problematic resistance mechanisms, as it confers resistance to most β-lactams, including carbapenems. A promising platform technology for treating infections caused by MDR pathogens is the nucleic acid-like synthetic oligomers that silence bacterial gene expression by an antisense mechanism. Objectives: To test a peptide-conjugated phosphorodiamidate morpholino oligomer (PPMO) in a mouse model of K. pneumoniae infection. Methods: PPMOs were designed to target various essential genes of K. pneumoniae and screened in vitro against a panel of diverse strains. The most potent PPMOs were further tested for their bactericidal effects in broth cultures and in established biofilms. Finally, a PPMO was used to treat mice infected with a KPC-expressing strain. Results: The most potent PPMOs targeted acpP, rpmB and ftsZ and had MIC75s of 0.5, 4 and 4 μM, respectively. AcpP PPMOs were bactericidal at 1-2 × MIC and reduced viable cells and biofilm mass in established biofilms. In a mouse pneumonia model, therapeutic intranasal treatment with ∼30 mg/kg AcpP PPMO improved survival by 89% and reduced bacterial burden in the lung by ∼3 logs. Survival was proportional to the dose of AcpP PPMO. Delaying treatment by 2, 8 or 24 h post-infection improved survival compared with control groups treated with PBS or scrambled sequence (Scr) PPMOs. Conclusions: PPMOs have the potential to be effective therapeutic agents against KPC-expressing, MDR K. pneumoniae.

Indexed as

Drug Resistance, Multiple, BacterialAnimalsAnti-Bacterial AgentsBiofilmsDisease Models, AnimalFemaleKlebsiella InfectionsKlebsiella pneumoniaeLungMiceMice, Inbred BALB CMicrobial Sensitivity TestsMorpholinosPneumonia, BacterialAnti-Bacterial AgentsMorpholinos

Identifiers

PMID29506074
PMCPMC6251509
OpenAlexW2804315511

What OpenQuestion holds

Textmetadata
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.