Evidence map›Paper›PMID 29802257›Full record

ArticleScientific reports2018

Proteomic identification of Axc, a novel beta-lactamase with carbapenemase activity in a meropenem-resistant clinical isolate of Achromobacter xylosoxidans.

Frank Fleurbaaij, Alex A Henneman, Jeroen Corver, Cornelis W Knetsch, Wiep Klaas Smits, Sjoerd T Nauta, Martin Giera, Irina Dragan, Nitin Kumar, Trevor D Lawley and 4 more

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Epidemiology ofNew microbes and new infections · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Highly carbapenem-resistantMicrobiology spectrum · 2025
    Article
  6. Article
  7. Article
  8. Genetic and Biochemical Characterization of AXC-2 fromPathogens (Basel, Switzerland) · 2024
    Article
  9. Article
  10. Review
  11. The First Bacterial Endocarditis Due toPathogens (Basel, Switzerland) · 2021
    Article
  12. Review
  13. Antimicrobial agents and chemotherapy · 2020
    Review
  14. Article
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

14 authors.

Frank FleurbaaijDepartment of Medical Microbiology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.
Alex A HennemanCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.
Jeroen CorverDepartment of Medical Microbiology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0002-9262-5475
Cornelis W KnetschDepartment of Medical Microbiology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0002-2789-5786
Wiep Klaas SmitsDepartment of Medical Microbiology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0002-7409-2847
Sjoerd T NautaDepartment of Medical Microbiology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.
Martin GieraCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0003-1684-1894
Irina DraganCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.
Nitin KumarHost-Microbiota Interactions Laboratory, Wellcome Trust Sanger Institute, Hinxton, United Kingdom.
Trevor D LawleyHost-Microbiota Interactions Laboratory, Wellcome Trust Sanger Institute, Hinxton, United Kingdom.ORCID 0000-0002-4805-621X
Aswin VerhoevenCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.
Hans C van LeeuwenDepartment of Medical Microbiology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0002-8246-4786
Ed J KuijperDepartment of Medical Microbiology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0001-5726-2405
Paul J HensbergenCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands. P.Hensbergen@lumc.nl.ORCID 0000-0002-3193-5445

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development of antibiotic resistance during treatment is a threat to patients and their environment. Insight in the mechanisms of resistance development is important for appropriate therapy and infection control. Here, we describe how through the application of mass spectrometry-based proteomics, a novel beta-lactamase Axc was identified as an indicator of acquired carbapenem resistance in a clinical isolate of Achromobacter xylosoxidans. Comparative proteomic analysis of consecutively collected susceptible and resistant isolates from the same patient revealed that high Axc protein levels were only observed in the resistant isolate. Heterologous expression of Axc in Escherichia coli significantly increased the resistance towards carbapenems. Importantly, direct Axc mediated hydrolysis of imipenem was demonstrated using pH shift assays and

Indexed as

Drug Resistance, BacterialProteomicsAchromobacter denitrificansAmino Acid SequenceBacterial Proteinsbeta-LactamasesHumansMeropenemBacterial Proteinsbeta-LactamasescarbapenemaseMeropenem

Identifiers

PMID29802257
PMCPMC5970244

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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.