Evidence map›Paper›PMID 30977288›Full record

ArticleMicrobiologyOpen2019

lptG contributes to changes in membrane permeability and the emergence of multidrug hypersusceptibility in a cystic fibrosis isolate of Pseudomonas aeruginosa.

Lucas B Harrison, Randal C Fowler, Baha Abdalhamid, Anna Selmecki, Nancy D Hanson

Open access · goldAbstract read
In one paragraph

Article in MicrobiologyOpen, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 54% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. A Single Nucleotide Polymorphism inFrontiers in microbiology · 2021
    Article
  3. Review
  4. Article
  5. 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

5 authors at 2 institutions in 1 country.

Lucas B HarrisonDepartment of Medical Microbiology and Immunology, Creighton University, Omaha, Nebraska.
Randal C FowlerDepartment of Medical Microbiology and Immunology, Creighton University, Omaha, Nebraska.
Baha AbdalhamidDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha.
Anna SelmeckiDepartment of Medical Microbiology and Immunology, Creighton University, Omaha, Nebraska.
Nancy D HansonDepartment of Medical Microbiology and Immunology, Creighton University, Omaha, Nebraska.ORCID 0000-0002-6558-2465
CHI Health Creighton University Medical Center - Bergan Mercy · USUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the lungs of cystic fibrosis patients, Pseudomonas aeruginosa is exposed to a myriad of antibiotics leading to alterations in antibiotic susceptibility. This study identifies mutations resulting in hypersusceptibility in isogenic mutants of a P. aeruginosa clinical isolate, PA34.

methodsPA34 was exposed to subinhibitory concentrations of doripenem or meropenem during growth to mid-log phase. Antibiotic susceptibility of surviving colonies was determined by agar dilution. Two carbapenem-resistant colonies hypersusceptible to non-carbapenem antibiotics were selected for further analysis. Antibiotic resistance gene expression was evaluated by RT-rtPCR and OprD production by SDS-PAGE. PA34 and isogenic mutants were evaluated with whole genome sequencing. Sequence variants were confirmed by Sanger sequencing, and cognate genes in eight carbapenem-resistant clinical isolates hypersusceptible to non-carbapenem antibiotics were sequenced. Lipopolysaccharide preparations of PA34 and hypersusceptible mutants were evaluated with ProQ-Emerald stain.

resultsIsogenic mutants showed 4- to 8-fold MIC increase for imipenem, meropenem, and doripenem. However, they were hypersusceptible (≥4-fold MIC decrease) to aminoglycosides, fluoroquinolones, and non-carbapenem β-lactams. Expression of ampC or mex-opr efflux pumps was unchanged, but OprD production was decreased. Mutations causing Q86H AlgU and G77C LptG amino acid substitutions and nonsense mutations within OprD were observed in both mutants. Lipopolysaccharide modifications were observed between isogenic mutants and PA34. Non-synonymous mutations in LptF or LptG were observed in 6/8 hypersusceptible clinical isolates resistant to carbapenem antibiotics.

conclusionEvaluation of hypersusceptible mutants identified the association between lptG and a hypersusceptible phenotype. Modifications in lipopolysaccharide profiles suggests LptG modification interferes with lipopolysaccharide transport and contributes to hypersusceptibility.

Indexed as

Drug Resistance, BacterialPermeabilityAnti-Bacterial AgentsATP-Binding Cassette TransportersCell MembraneCodon, NonsenseCystic FibrosisDoripenemElectrophoresis, Polyacrylamide GelHumansImipenemLipopolysaccharidesMeropenemMicrobial Sensitivity TestsMutation, MissensePorinsAnti-Bacterial AgentsATP-Binding Cassette TransportersCodon, NonsenseDoripenemImipenemLipopolysaccharidesMeropenemOprD protein, Pseudomonas aeruginosaPorinscarbapenem resistancecystic fibrosishypersusceptibilitylipopolysaccharideslptGsubinhibitory

Identifiers

PMID30977288
PMCPMC6854846
OpenAlexW2938823955

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.