Evidence map›Paper›PMID 30449724›Full record

ArticleMolecular cell2019

Inhibiting the Evolution of Antibiotic Resistance.

Mark N Ragheb, Maureen K Thomason, Chris Hsu, Patrick Nugent, John Gage, Ariana N Samadpour, Ankunda Kariisa, Christopher N Merrikh, Samuel I Miller, David R Sherman and 1 more

Abstract read
In one paragraph

Article in Molecular cell, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers.

0numbers the graph read from it
0cells of the map it votes in
95citing 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

95 citing papers in PubMed.

  1. Survival of the driest.Nature microbiology · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. mSphere · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Genome-wide strand-specific UV mutagenesis inProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Article
  17. Phase-Specific Antibiotic Resistance Mechanisms in anbioRxiv : the preprint server for biology · 2025
    Article
  18. Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Mark N RaghebDepartment of Microbiology, University of Washington, Seattle, WA, USA; Molecular and Cellular Biology Graduate Program and Medical Scientist Training Program, University of Washington, Seattle, WA, USA.
Maureen K ThomasonDepartment of Microbiology, University of Washington, Seattle, WA, USA.
Chris HsuDepartment of Microbiology, University of Washington, Seattle, WA, USA.
Patrick NugentDepartment of Microbiology, University of Washington, Seattle, WA, USA.
John GageDepartment of Microbiology, University of Washington, Seattle, WA, USA.
Ariana N SamadpourDepartment of Microbiology, University of Washington, Seattle, WA, USA.
Ankunda KariisaDepartment of Microbiology, University of Washington, Seattle, WA, USA.
Christopher N MerrikhDepartment of Microbiology, University of Washington, Seattle, WA, USA.
Samuel I MillerDepartment of Microbiology, University of Washington, Seattle, WA, USA; Department of Genome Sciences, University of Washington, Seattle, WA, USA.
David R ShermanCenter for Infectious Disease Research, Seattle, WA, USA; Interdiscipinary Program of Pathobiology, Department of Global Health, University of Washington, Seattle, WA, USA.
Houra MerrikhDepartment of Microbiology, University of Washington, Seattle, WA, USA; Department of Genome Sciences, University of Washington, Seattle, WA, USA. Electronic address: merrikh@uw.edu.

Funding

University of Washington Medical Scientist Training Program: MD/PhDT32GM007266 · NIGMS · UNIVERSITY OF WASHINGTON · PI HORWITZ, MARSHALL S. · 1985 to 2023
$30.4M
Validation and Application of a Model for Human-like TB Latency in RabbitsU19AI111276 · NIAID · RBHS-NEW JERSEY MEDICAL SCHOOL · PI ALLAND, DAVID, ALLAND, DAVID · 2014 to 2020
$23.3M
Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Sonya Heltshe · 2010 to 2026
$21.4M
Targeted Gene Evolution via Replication-Transcription ConflictsDP2GM110773 · NIGMS · UNIVERSITY OF WASHINGTON · PI MERRIKH, HOURA · 2013 to 2013
$2.2M
Mechanisms of antibiotic resistance development in bacterial pathogensR01AI127422 · NIAID · VANDERBILT UNIVERSITY · PI MERRIKH, HOURA · 2018 to 2021
$1.6M
NIAID NIH HHS R01 AI127422NIAID NIH HHS U19 AI111276NIDDK NIH HHS P30 DK089507NIGMS NIH HHS DP2 GM110773NIGMS NIH HHS T32 GM007266
6 · The paper itself

Abstract

Efforts to battle antimicrobial resistance (AMR) are generally focused on developing novel antibiotics. However, history shows that resistance arises regardless of the nature or potency of new drugs. Here, we propose and provide evidence for an alternate strategy to resolve this problem: inhibiting evolution. We determined that the DNA translocase Mfd is an "evolvability factor" that promotes mutagenesis and is required for rapid resistance development to all antibiotics tested across highly divergent bacterial species. Importantly, hypermutator alleles that accelerate AMR development did not arise without Mfd, at least during evolution of trimethoprim resistance. We also show that Mfd's role in AMR development depends on its interactions with the RNA polymerase subunit RpoB and the nucleotide excision repair protein UvrA. Our findings suggest that AMR development can be inhibited through inactivation of evolvability factors (potentially with "anti-evolution" drugs)-in particular, Mfd-providing an unexplored route toward battling the AMR crisis.

Indexed as

Evolution, MolecularAdenosine TriphosphatasesAnimalsAnti-Bacterial AgentsBacteriaBacterial ProteinsCaco-2 CellsDNA-Directed RNA PolymerasesDrug DesignDrug Resistance, BacterialGene Expression Regulation, BacterialHumansMice, Inbred BALB CMolecular Targeted TherapyMutagenesisProtein BindingAdenosine TriphosphatasesAnti-Bacterial AgentsBacterial ProteinsDNA-Directed RNA PolymerasesTranscription Factorstranscription repair coupling factor protein, Bacteriaantibiotic resistanceanti-evolutionantimicrobial resistanceevolutionhypermutatorMfdMycobacteriatranscription-coupled repair

Identifiers

PMID30449724
PMCPMC6320318

What OpenQuestion holds

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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.