Evidence map›Paper›PMID 29795704›Full record

ArticlePLoS pathogens2018

A global regulatory system links virulence and antibiotic resistance to envelope homeostasis in Acinetobacter baumannii.

Edward Geisinger, Nadav J Mortman, Germán Vargas-Cuebas, Albert K Tai, Ralph R Isberg

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

87 citing papers in PubMed, 115 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Redefining Antimicrobial Resistance inInternational journal of molecular sciences · 2026
    Review
  5. Article
  6. Control of cell division by anbioRxiv : the preprint server for biology · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Bacteriophages targetingFrontiers in microbiology · 2026
    Review
  12. Article
  13. Article
  14. Gene dependence during mammalianMicrobial genomics · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. The interplay betweenInfection and immunity · 2025
    Article
  19. Article
  20. The BfmRS stress response protectsJournal of bacteriology · 2025
    Article

27 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

5 authors at 1 institution in 1 country.

Edward GeisingerDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, United States of America.
Nadav J MortmanDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, United States of America.ORCID 0000-0002-4885-6946
Germán Vargas-CuebasDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, United States of America.ORCID 0000-0002-8906-032X
Albert K TaiDepartment of Integrative Physiology and Pathobiology, Tufts University School of Medicine, Boston, Massachusetts, United States of America.ORCID 0000-0001-7771-0850
Ralph R IsbergDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, United States of America.ORCID 0000-0002-8330-3554
Tufts University · US

Funding

Predicting the emergence of antibiotic resistance through multi-omics approaches and Immune System-surveillanU01AI124302 · NIAID · BOSTON COLLEGE · PI BENTO, JOSE, COOPER, VAUGHN · 2016 to 2020
$10.2M
Tufts Post-Baccalaureate Research Education ProgramR25GM066567 · NIGMS · TUFTS UNIVERSITY BOSTON · PI RIOS, MARIBEL · 2002 to 2024
$5.7M
Identification of the Achilles’ heel in Acinetobacter fluoroquinolone-resistant mutantsR21AI128328 · NIAID · TUFTS UNIVERSITY BOSTON · PI ISBERG, RALPH R. · 2017 to 2018
$454k
Type VI Protein Secretion in an Emerging Multidrug-Resistant PathogenF32AI098358 · NIAID · TUFTS UNIVERSITY BOSTON · PI GEISINGER, EDWARD · 2012 to 2014
$168k
NIAID NIH HHS F32 AI098358NIAID NIH HHS R21 AI128328NIAID NIH HHS U01 AI124302NIGMS NIH HHS R25 GM066567NIH HHS F32 AI098358NIH HHS R01 AI124302NIH HHS R21 AI128328NIH HHS U01 AI124302
6 · The paper itself

Abstract

The nosocomial pathogen Acinetobacter baumannii is a significant threat due to its ability to cause infections refractory to a broad range of antibiotic treatments. We show here that a highly conserved sensory-transduction system, BfmRS, mediates the coordinate development of both enhanced virulence and resistance in this microorganism. Hyperactive alleles of BfmRS conferred increased protection from serum complement killing and allowed lethal systemic disease in mice. BfmRS also augmented resistance and tolerance against an expansive set of antibiotics, including dramatic protection from β-lactam toxicity. Through transcriptome profiling, we showed that BfmRS governs these phenotypes through global transcriptional regulation of a post-exponential-phase-like program of gene expression, a key feature of which is modulation of envelope biogenesis and defense pathways. BfmRS activity defended against cell-wall lesions through both β-lactamase-dependent and -independent mechanisms, with the latter being connected to control of lytic transglycosylase production and proper coordination of morphogenesis and division. In addition, hypersensitivity of bfmRS knockouts could be suppressed by unlinked mutations restoring a short, rod cell morphology, indicating that regulation of drug resistance, pathogenicity, and envelope morphogenesis are intimately linked by this central regulatory system in A. baumannii. This work demonstrates that BfmRS controls a global regulatory network coupling cellular physiology to the ability to cause invasive, drug-resistant infections.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAllelesAnimalsAnti-Bacterial AgentsBacterial Proteinsbeta-Lactamasesbeta-Lactam ResistanceBiofilmsDrug Resistance, BacterialDrug Resistance, Multiple, BacterialFemaleGene Expression Regulation, BacterialHomeostasisMiceMice, Inbred C57BLAnti-Bacterial AgentsBacterial Proteinsbeta-Lactamases

Identifiers

PMID29795704
PMCPMC5967708
OpenAlexW2804818933

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.