Evidence map›Paper›PMID 31227716›Full record

ArticleNature communications2019

Minimal exposure of lipid II cycle intermediates triggers cell wall antibiotic resistance.

Hannah Piepenbreier, Angelika Diehl, Georg Fritz

Abstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
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  4. TheJournal of bacteriology · 2024
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  6. Review
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  14. Review
  15. Article
  16. Review
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  18. The Cell Envelope Stress Response ofAntibiotics (Basel, Switzerland) · 2020
    Article
  19. Article
  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

3 authors.

Hannah PiepenbreierLOEWE  Center  for Synthetic Microbiology, Philipps-Universität Marburg, Hans-Meerwein-Strasse 6, 35032, Marburg, Germany.
Angelika DiehlLOEWE  Center  for Synthetic Microbiology, Philipps-Universität Marburg, Hans-Meerwein-Strasse 6, 35032, Marburg, Germany.
Georg FritzLOEWE  Center  for Synthetic Microbiology, Philipps-Universität Marburg, Hans-Meerwein-Strasse 6, 35032, Marburg, Germany. georg.fritz@synmikro.uni-marburg.de.ORCID http://orcid.org/0000-0002-1503-9165

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) FR3673/1-2
6 · The paper itself

Abstract

Cell wall antibiotics are crucial for combatting the emerging wave of resistant bacteria. Yet, our understanding of antibiotic action is limited, as many strains devoid of all resistance determinants display far higher antibiotic tolerance in vivo than suggested by the antibiotic-target binding affinity in vitro. To resolve this conflict, here we develop a comprehensive theory for the bacterial cell wall biosynthetic pathway and study its perturbation by antibiotics. We find that the closed-loop architecture of the lipid II cycle of wall biosynthesis features a highly asymmetric distribution of pathway intermediates, and show that antibiotic tolerance scales inversely with the abundance of the targeted pathway intermediate. We formalize this principle of minimal target exposure as intrinsic resistance mechanism and predict how cooperative drug-target interactions can mitigate resistance. The theory accurately predicts the in vivo efficacy for various cell wall antibiotics in different Gram-positive bacteria and contributes to a systems-level understanding of antibiotic action.

Indexed as

Biosynthetic PathwaysCell WallDrug Resistance, BacterialGram-Positive BacteriaGram-Positive Bacterial InfectionsModels, BiologicalUridine Diphosphate N-Acetylmuramic Acidmuramyl-NAc-(pentapeptide)pyrophosphoryl-undecaprenolUridine Diphosphate N-Acetylmuramic Acid

Identifiers

PMID31227716
PMCPMC6588590

What OpenQuestion holds

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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.