Evidence map›Paper›PMID 30027699›Full record

ArticleAnnals of laboratory medicine2018

Detection of mcr-1 Plasmids in Enterobacteriaceae Isolates From Human Specimens: Comparison With Those in Escherichia coli Isolates From Livestock in Korea.

Eun Jeong Yoon, Jun Sung Hong, Ji Woo Yang, Kwang Jun Lee, Hyukmin Lee, Seok Hoon Jeong

Open access · diamondAbstract read
In one paragraph

Article in Annals of laboratory medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. High prevalence ofApplied and environmental microbiology · 2025
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  4. Case Report: Transferable IncX4 plasmid carryingFrontiers in veterinary science · 2025
    Article
  5. Article
  6. Review
  7. Worldwide Prevalence ofPathogens (Basel, Switzerland) · 2022
    Review
  8. Article
  9. Molecular Epidemiology of Extensively Drug-ResistantAntibiotics (Basel, Switzerland) · 2021
    Article
  10. Mobile Colistin Resistance GeneMicroorganisms · 2021
    Article
  11. Article
  12. Article
  13. Prevalence and Genetic Characterization ofJournal of microbiology and biotechnology · 2020
    Article
  14. Article
  15. First Report of anAntibiotics (Basel, Switzerland) · 2020
    Article
  16. Review
  17. Review
  18. Article
  19. Infection & chemotherapy · 2019
    Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Eun Jeong YoonDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Jun Sung HongDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Ji Woo YangNational Institute of Health, Centers for Disease Control and Prevention, Cheongju, Korea.
Kwang Jun LeeNational Institute of Health, Centers for Disease Control and Prevention, Cheongju, Korea.
Hyukmin LeeDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Seok Hoon JeongDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea. kscpjsh@yuhs.ac.ORCID https://orcid.org/0000-0001-9290-897X
Yonsei University · KRKorea Center for Disease Control and Prevention · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe emerging mobile colistin resistance gene, mcr-1, is an ongoing worldwide concern and an evaluation of clinical isolates harboring this gene is required in Korea. We investigated mcr-1-possessing Enterobacteriaceae among Enterobacteriaceae strains isolated in Korea, and compared the genetic details of the plasmids with those in Escherichia coli isolates from livestock.

methodsAmong 9,396 Enterobacteriaceae clinical isolates collected between 2010 and 2015, 1,347 (14.3%) strains were resistant to colistin and those were screened for mcr-1 by PCR. Colistin minimum inhibitory concentrations (MICs) were determined by microdilution, and conjugal transfer of the mcr-1-harboring plasmids was assessed by direct mating. Whole genomes of three mcr-1-positive Enterobacteriaceae clinical isolates and 11 livestock-origin mcr-1-positive E. coli isolates were sequenced.

resultsTwo E. coli and one Enterobacter aerogenes clinical isolates carried carried IncI2 plasmids harboring mcr-1, which conferred colistin resistance (E. coli MIC, 4 mg/L; E. aerogenes MIC, 32 mg/L). The strains possessed the complete conjugal machinery except for E. aerogenes harboring a truncated prepilin peptidase. The E. coli plasmid transferred more efficiently to E. coli than to Klebsiella pneumoniae or Enterobacter cloacae recipients. Among the three bacterial hosts, the colistin MIC was the highest for E. coli owing to the higher mcr-1-plasmid copy number and mcr-1 expression levels. Ten mcr-1-positive chicken-origin E. coli strains also possessed mcr-1-harboring IncI2 plasmids closely related to that in the clinical E. aerogenes isolate, and the remaining one porcine-origin E. coli possessed an mcr-1-harboring IncX4 plasmid.

conclusionsmcr-1-harboring IncI2 plasmids were identified in clinical Enterobacteriaceae isolates. These plasmids were closely associated with those in chicken-origin E. coli strains in Korea, supporting the concept of mcr-1 dissemination between humans and livestock.

Indexed as

AnimalsAnti-Bacterial AgentsBacterial ProteinsChickensColistinDrug Resistance, BacterialEnterobacteriaceaeEnterobacteriaceae InfectionsEscherichia coliEscherichia coli ProteinsHumansMicrobial Sensitivity TestsPlasmidsRepublic of KoreaRetrospective StudiesWhole Genome SequencingAnti-Bacterial AgentsBacterial ProteinsColistinEscherichia coli ProteinsMCR-1 protein, E coliColistin resistanceEnterobacteriaceaeIncI2 plasmidmcr-1

Identifiers

PMID30027699
PMCPMC6056395
OpenAlexW2883211225

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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.