Evidence map›Paper›PMID 29563494›Full record

ArticleNature communications2018

The global distribution and spread of the mobilized colistin resistance gene mcr-1.

Ruobing Wang, Lucy van Dorp, Liam P Shaw, Phelim Bradley, Qi Wang, Xiaojuan Wang, Longyang Jin, Qing Zhang, Yuqing Liu, Adrien Rieux and 6 more

Abstract 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 357 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
357citing papers in PubMed, 3 pooled it
–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

357 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Genomic characterization ofOne health (Amsterdam, Netherlands) · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Domestic travel as a driver for the dissemination ofAntimicrobial agents and chemotherapy · 2026
    Article
  10. Plasmid-borneOne health (Amsterdam, Netherlands) · 2026
    Article
  11. Characteristics ofOne health (Amsterdam, Netherlands) · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Discovery of HAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  17. Review
  18. Detection of polymyxin-resistant Enterobacteriaceae from poultry farms in Brazil: continued mcr gene dissemination.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2026
    Article
  19. Article
  20. Bacterial cell envelope-targeting antibiotics.Nature reviews. Microbiology · 2026
    Review

297 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

16 authors.

Ruobing WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, 100044, China.
Lucy van DorpUCL Genetics Institute, University College London, Gower Street, London, WC1E 6BT, UK.ORCID http://orcid.org/0000-0002-6211-2310
Liam P ShawUCL Genetics Institute, University College London, Gower Street, London, WC1E 6BT, UK.ORCID http://orcid.org/0000-0001-7332-0820
Phelim BradleyWellcome Trust Centre for Human Genetics, University of Oxford, Oxford, OX3 7BN, UK.
Qi WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, 100044, China.
Xiaojuan WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, 100044, China.
Longyang JinDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, 100044, China.
Qing ZhangInstitute of Animal Science and Veterinary Medicine, Shandong Academy of Agricultural Sciences, Shandong Province, Jinan, 250100, China.
Yuqing LiuInstitute of Animal Science and Veterinary Medicine, Shandong Academy of Agricultural Sciences, Shandong Province, Jinan, 250100, China.
Adrien RieuxUMR PVBMT, CIRAD, 97410, St Pierre, Reunion, France.
Thamarai Dorai-SchneidersDivision of Infection and Pathway Medicine, 49 Little France Crescent, Edinburgh, EH16 4SB, UK.
Lucy Anne WeinertDepartment of Veterinary Medicine, Cambridge, CB3 0ES, UK.
Zamin IqbalWellcome Trust Centre for Human Genetics, University of Oxford, Oxford, OX3 7BN, UK.ORCID http://orcid.org/0000-0001-8466-7547
Xavier DidelotDepartment of Infectious Disease Epidemiology, Imperial College London, Norfolk Place 21, London, W2 1PG, UK.
Hui WangDepartment of Clinical Laboratory, Peking University People's Hospital, Beijing, 100044, China. wanghui@pkuph.edu.cn.
Francois BallouxUCL Genetics Institute, University College London, Gower Street, London, WC1E 6BT, UK. f.balloux@ucl.ac.uk.ORCID http://orcid.org/0000-0003-1978-7715

Funding

Medical Research Council MR/P007597/1Wellcome Trust
6 · The paper itself

Abstract

Colistin represents one of the few available drugs for treating infections caused by carbapenem-resistant Enterobacteriaceae. As such, the recent plasmid-mediated spread of the colistin resistance gene mcr-1 poses a significant public health threat, requiring global monitoring and surveillance. Here, we characterize the global distribution of mcr-1 using a data set of 457 mcr-1-positive sequenced isolates. We find mcr-1 in various plasmid types but identify an immediate background common to all mcr-1 sequences. Our analyses establish that all mcr-1 elements in circulation descend from the same initial mobilization of mcr-1 by an ISApl1 transposon in the mid 2000s (2002-2008; 95% highest posterior density), followed by a marked demographic expansion, which led to its current global distribution. Our results provide the first systematic phylogenetic analysis of the origin and spread of mcr-1, and emphasize the importance of understanding the movement of antibiotic resistance genes across multiple levels of genomic organization.

Indexed as

DNA Transposable ElementsGenome, BacterialAmericasAnti-Bacterial AgentsAsiaCarbapenemsColistinDrug Resistance, Multiple, BacterialEnterobacteriaceaeEnterobacteriaceae InfectionsEscherichia coli ProteinsEuropeEvolution, MolecularGene ExpressionGene Transfer, HorizontalHumansAnti-Bacterial AgentsCarbapenemsColistinDNA Transposable ElementsEscherichia coli ProteinsMCR-1 protein, E coli

Identifiers

PMID29563494
PMCPMC5862964

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.