Evidence map›Paper›PMID 30002505›Full record

ReviewNature reviews. Microbiology2018

Multidrug efflux pumps: structure, function and regulation.

Dijun Du, Xuan Wang-Kan, Arthur Neuberger, Hendrik W van Veen, Klaas M Pos, Laura J V Piddock, Ben F Luisi

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 523 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
523citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Emergence ofVirulence · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Adaptive Response ofAntibiotics (Basel, Switzerland) · 2026
    Article
  10. Article
  11. Molecular Regulation of Biofilm Development inPathogens (Basel, Switzerland) · 2026
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Giving Antibiotics a Second Chance: Evolutionary Trade-Offs and Phage-Driven Restoration of Antibiotic Susceptibility.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  17. Article
  18. Article
  19. Article
  20. The Antidepressant Drug Clomipramine Inhibits the ABC Transporter BmrA.Chembiochem : a European journal of chemical biology · 2026
    Article

463 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Dijun DuDepartment of Biochemistry, University of Cambridge, Cambridge, UK.
Xuan Wang-KanInstitute of Microbiology and Infection, University of Birmingham, Birmingham, UK.
Arthur NeubergerDepartment of Biochemistry, University of Cambridge, Cambridge, UK.ORCID 0000-0002-7744-6559
Hendrik W van VeenDepartment of Pharmacology, University of Cambridge, Cambridge, UK.ORCID 0000-0002-9658-8077
Klaas M PosInstitute of Biochemistry, Goethe Universität Frankfurt, Frankfurt, Germany.
Laura J V PiddockInstitute of Microbiology and Infection, University of Birmingham, Birmingham, UK.ORCID 0000-0003-1460-473X
Ben F LuisiDepartment of Biochemistry, University of Cambridge, Cambridge, UK. bfl20@cam.ac.uk.ORCID 0000-0003-1144-9877

Funding

Optimization of novel pyranopyridine efflux pump inhibitorsR44AI100332 · NIAID · MICROBIOTIX, INC · PI OPPERMAN, TIMOTHY J. · 2015 to 2021
$5.5M
Biotechnology and Biological Sciences Research Council BB/N014200/1Medical Research Council G0501415Medical Research Council MC_PC_13059NIAID NIH HHS R44 AI100332Wellcome Trust
6 · The paper itself

Abstract

Infections arising from multidrug-resistant pathogenic bacteria are spreading rapidly throughout the world and threaten to become untreatable. The origins of resistance are numerous and complex, but one underlying factor is the capacity of bacteria to rapidly export drugs through the intrinsic activity of efflux pumps. In this Review, we describe recent advances that have increased our understanding of the structures and molecular mechanisms of multidrug efflux pumps in bacteria. Clinical and laboratory data indicate that efflux pumps function not only in the drug extrusion process but also in virulence and the adaptive responses that contribute to antimicrobial resistance during infection. The emerging picture of the structure, function and regulation of efflux pumps suggests opportunities for countering their activities.

Indexed as

Drug Resistance, BacterialDrug Resistance, MultipleATP-Binding Cassette TransportersBacterial ProteinsGram-Negative BacteriaGram-Negative Bacterial InfectionsMembrane Transport ProteinsATP-Binding Cassette TransportersBacterial ProteinsMembrane Transport Proteins

Identifiers

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.