Evidence map›Paper›PMID 29634241›Full record

ArticleACS infectious diseases2018

Plazomicin Retains Antibiotic Activity against Most Aminoglycoside Modifying Enzymes.

Georgina Cox, Linda Ejim, Peter J Stogios, Kalinka Koteva, Emily Bordeleau, Elena Evdokimova, Arthur O Sieron, Alexei Savchenko, Alisa W Serio, Kevin M Krause and 1 more

Open access · greenAbstract read
In one paragraph

Article in ACS infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

78 citing papers in PubMed, 141 citations in OpenAlex.

  1. Trial
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  4. Article
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  6. Mechanisms ofMedicina (Kaunas, Lithuania) · 2026
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  12. The newly identifiedAntimicrobial agents and chemotherapy · 2025
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  15. Efficient degradation of neomycin byFrontiers in microbiology · 2025
    Article
  16. Article
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18 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

11 authors at 3 institutions in 1 country.

Georgina CoxM.G. DeGroote Institute for Infectious Disease Research, Department of Biochemistry and Biomedical Sciences, DeGroote School of Medicine , McMaster University , 1280 Main Street West , Hamilton , Ontario L8N 4K1 , Canada.
Linda EjimM.G. DeGroote Institute for Infectious Disease Research, Department of Biochemistry and Biomedical Sciences, DeGroote School of Medicine , McMaster University , 1280 Main Street West , Hamilton , Ontario L8N 4K1 , Canada.
Peter J StogiosCenter for Structural Genomics of Infectious Diseases (CSGID) and Department of Chemical Engineering and Applied Chemistry , University of Toronto , Toronto , Ontario M5G 1L6 , Canada.
Kalinka KotevaM.G. DeGroote Institute for Infectious Disease Research, Department of Biochemistry and Biomedical Sciences, DeGroote School of Medicine , McMaster University , 1280 Main Street West , Hamilton , Ontario L8N 4K1 , Canada.
Emily BordeleauM.G. DeGroote Institute for Infectious Disease Research, Department of Biochemistry and Biomedical Sciences, DeGroote School of Medicine , McMaster University , 1280 Main Street West , Hamilton , Ontario L8N 4K1 , Canada.
Elena EvdokimovaCenter for Structural Genomics of Infectious Diseases (CSGID) and Department of Chemical Engineering and Applied Chemistry , University of Toronto , Toronto , Ontario M5G 1L6 , Canada.
Arthur O SieronM.G. DeGroote Institute for Infectious Disease Research, Department of Biochemistry and Biomedical Sciences, DeGroote School of Medicine , McMaster University , 1280 Main Street West , Hamilton , Ontario L8N 4K1 , Canada.
Alexei SavchenkoCenter for Structural Genomics of Infectious Diseases (CSGID) and Department of Chemical Engineering and Applied Chemistry , University of Toronto , Toronto , Ontario M5G 1L6 , Canada.ORCID 0000-0002-5256-9237
Alisa W SerioAchaogen , One Tower Place, Suite 300 , South San Francisco , California 94080 , United States.
Kevin M KrauseAchaogen , One Tower Place, Suite 300 , South San Francisco , California 94080 , United States.
Gerard D WrightM.G. DeGroote Institute for Infectious Disease Research, Department of Biochemistry and Biomedical Sciences, DeGroote School of Medicine , McMaster University , 1280 Main Street West , Hamilton , Ontario L8N 4K1 , Canada.ORCID 0000-0002-9129-7131
McMaster University · CAUniversity of Toronto · CAUniversity of Calgary · CA

Funding

NIAID NIH HHS HHSN272201200026CNIAID NIH HHS HHSN272201700060C
6 · The paper itself

Abstract

Plazomicin is a next-generation, semisynthetic aminoglycoside antibiotic currently under development for the treatment of infections due to multidrug-resistant Enterobacteriaceae. The compound was designed by chemical modification of the natural product sisomicin to provide protection from common aminoglycoside modifying enzymes that chemically alter these drugs via N-acetylation, O-adenylylation, or O-phosphorylation. In this study, plazomicin was profiled against a panel of isogenic strains of Escherichia coli individually expressing twenty-one aminoglycoside resistance enzymes. Plazomicin retained antibacterial activity against 15 of the 17 modifying enzyme-expressing strains tested. Expression of only two of the modifying enzymes, aac(2')-Ia and aph(2″)-IVa, decreased plazomicin potency. On the other hand, expression of 16S rRNA ribosomal methyltransferases results in a complete lack of plazomicin potency. In vitro enzymatic assessment confirmed that AAC(2')-Ia and APH(2'')-IVa (aminoglycoside acetyltransferase, AAC; aminoglycoside phosphotransferase, APH) were able to utilize plazomicin as a substrate. AAC(2')-Ia and APH(2'')-IVa are limited in their distribution to Providencia stuartii and Enterococci, respectively. These data demonstrate that plazomicin is not modified by a broad spectrum of common aminoglycoside modifying enzymes including those commonly found in Enterobacteriaceae. However, plazomicin is inactive in the presence of 16S rRNA ribosomal methyltransferases, which should be monitored in future surveillance programs.

Indexed as

AcetyltransferasesAminoglycosidesAnti-Bacterial AgentsEscherichia coliHumansMass SpectrometryMicrobial Sensitivity TestsModels, MolecularMolecular ConformationMolecular StructureSisomicinStructure-Activity RelationshipAcetyltransferasesaminoglycoside acetyltransferaseAminoglycosidesAnti-Bacterial AgentsplazomicinSisomicinaminoglycoside-modifying enzymesantibiotic resistanceEnterobacteriaceaeplazomicin

Identifiers

PMID29634241
PMCPMC6167752
OpenAlexW2798171299

What OpenQuestion holds

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Registered trials

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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.