Evidence map›Paper›PMID 29868791›Full record

ArticleThe Journal of infectious diseases2018

Role of Purine Biosynthesis in Persistent Methicillin-Resistant Staphylococcus aureus Infection.

Liang Li, Wessam Abdelhady, Niles P Donegan, Kati Seidl, Ambrose Cheung, Yu-Feng Zhou, Michael R Yeaman, Arnold S Bayer, Yan Q Xiong

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

43 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
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  4. Review
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  10. Microbiology spectrum · 2025
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  15. Article
  16. Article
  17. Review
  18. Article
  19. Bacterial persisters: molecular mechanisms and therapeutic development.Signal transduction and targeted therapy · 2024
    Review
  20. 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

9 authors at 5 institutions in 3 countries.

Liang LiLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance.
Wessam AbdelhadyLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance.
Niles P DoneganDartmouth Medical School, Hanover, New Hampshire.
Kati SeidlUniversity Hospital of Zurich, Switzerland.
Ambrose CheungDartmouth Medical School, Hanover, New Hampshire.
Yu-Feng ZhouLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance.
Michael R YeamanLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance.
Arnold S BayerLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance.
Yan Q XiongLos Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance.
The Lundquist Institute · USDartmouth College · USHarbor–UCLA Medical Center · USUniversity Hospital of Zurich · CHUniversity of California, Los Angeles · US

Funding

Systems Immunolobiology of Antibiotic-Persistent MRSA InfectionU01AI124319 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI YEAMAN, MICHAEL R · 2016 to 2020
$10.1M
Staphylococcal Adaptations to Platelet Microbicidal ProteinR01AI039108 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI BAYER, ARNOLD S · 1997 to 2016
$5.1M
The role of GraRS in resistance to cationic antimicrobial peptides in S. aureusR01AI091801 · NIAID · DARTMOUTH COLLEGE · PI CHEUNG, AMBROSE LIN YAU · 2011 to 2015
$2.4M
Mitigating Resistance & Virulence in MRSAR33AI111661 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI YEAMAN, MICHAEL R · 2016 to 2018
$1.2M
Early agr Activation is a Key Pathogenic Signature in Persistent MRSA BacteremiaR21AI097657 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI XIONG, YAN Q. · 2012 to 2013
$390k
Mitigating Resistance & Virulence in MRSAR21AI111661 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI YEAMAN, MICHAEL R · 2014 to 2015
$378k
NIAID NIH HHS R01 AI039108NIAID NIH HHS R01 AI091801NIAID NIH HHS R21 AI097657NIAID NIH HHS R21 AI111661NIAID NIH HHS R33 AI111661NIAID NIH HHS U01 AI124319
6 · The paper itself

Abstract

Persistent methicillin-resistant Staphylococcus aureus (MRSA) bacteremia (PB) represents an important subset of S. aureus endovascular infections. In this study, we investigated potential genetic mechanisms underlying the persistent outcomes. Compared with resolving bacteremia (RB) isolates (defined as isolates associated with negative results of blood cultures 2-4 days after initiation of therapy), PB strains (defined as isolates associated with positive results of blood cultures ≥7 days after initiation of therapy) had significantly earlier onset activation of key virulence regulons and structural genes (eg, sigB, sarA, sae, and cap5), higher expression of purine biosynthesis genes (eg, purF), and faster growth rates, with earlier entrance into stationary phase. Importantly, an isogenic strain set featuring a wild-type MRSA isolate, a purF mutant strain, and a purF-complemented strain and use of strategic purine biosynthesis inhibitors implicated a causal relationship between purine biosynthesis and the in vivo persistent outcomes. These observations suggest that purine biosynthesis plays a key role in the outcome of PB and may represent a new target for enhanced efficacy in treating life-threatening MRSA infections.

Indexed as

AnimalsAnti-Bacterial AgentsBacteremiaDisease Models, AnimalHumansMethicillinMethicillin-Resistant Staphylococcus aureusPurinesRabbitsStaphylococcal InfectionsAnti-Bacterial AgentsMethicillinPurines

Identifiers

PMID29868791
PMCPMC6151072
OpenAlexW2807673815

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.