Evidence map›Paper›PMID 31578567›Full record

ArticleThe Journal of antimicrobial chemotherapy2020

A novel plasmid-encoded mcr-4.3 gene in a colistin-resistant Acinetobacter baumannii clinical strain.

Natacha Martins-Sorenson, Erik Snesrud, Danilo Elias Xavier, Luciana Camila Cacci, Anthony T Iavarone, Patrick McGann, Lee W Riley, Beatriz Meurer Moreira

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

53 citing papers in PubMed.

  1. Article
  2. Plasmid-borneOne health (Amsterdam, Netherlands) · 2026
    Article
  3. Article
  4. A Novel Method to Monitor the Evolution of Antimicrobial Resistance inInternational journal of molecular sciences · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Plasmid-bornemSystems · 2025
    Article
  9. Review
  10. Article
  11. The Evolution of Antimicrobial Resistance inAntibiotics (Basel, Switzerland) · 2025
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Colistin: Lights and Shadows of an Older Antibiotic.Molecules (Basel, Switzerland) · 2024
    Review
  17. Treatment Strategies of Colistin ResistanceAntibiotics (Basel, Switzerland) · 2024
    Review
  18. Article
  19. Characterization and efficacy against carbapenem-resistantFrontiers in cellular and infection microbiology · 2024
    Article
  20. Frontiers in microbiology · 2024
    Review
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

8 authors.

Natacha Martins-SorensonUniversidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Erik SnesrudMultidrug-Resistant Organism Repository and Surveillance Network, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Danilo Elias XavierInstituto Aggeu Magalhães/Fiocruz, Recife, Pernambuco, Brazil.
Luciana Camila CacciUniversidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Anthony T IavaroneQB3/Chemistry Mass Spectrometry Facility, University of California, Berkeley, CA, USA.
Patrick McGannMultidrug-Resistant Organism Repository and Surveillance Network, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Lee W RileyDivision of Infectious Disease and Vaccinology, School of Public Health, University of California, Berkeley, CA, USA.
Beatriz Meurer MoreiraUniversidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.

Funding

High Definition Ion Mobility SpectrometerS10OD020062 · OD · UNIVERSITY OF CALIFORNIA BERKELEY · PI WILLIAMS, EVAN R · 2015 to 2015
$590k
NIH HHS S10 OD020062
6 · The paper itself

Abstract

objectivesTo identify the molecular mechanism of colistin resistance in an MDR Acinetobacter baumannii clinical strain isolated in 2008 from a meningitis case in Brazil.

methodsLong- and short-read WGS was used to identify colistin resistance genes in A. baumannii strain 597A with a colistin MIC of 64 mg/L. MS was used to analyse lipid A content. mcr was cloned into pET-26b (+) and transformed into Escherichia coli BL21(λDE3)pLysS for analysis.

resultsA novel plasmid (pAb-MCR4.3) harbouring mcr-4.3 within a Tn3-like transposon was identified. The A. baumannii 597A lipid A MS spectra showed a main molecular ion peak at m/z=2034, which indicated the addition of phosphoethanolamine to the lipid A structure. E. coli BL21 transformed with pET-26b-mcr-4.3 gained colistin resistance with a colistin MIC of 8 mg/L.

conclusionsColistin resistance in A. baumannii 597A was correlated with the presence of a novel plasmid-encoded mcr-4.3 gene.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAnti-Bacterial AgentsBacterial ProteinsBrazilColistinDrug Resistance, Multiple, BacterialGenome, BacterialHumansMeningitis, BacterialMicrobial Sensitivity TestsPlasmidsWhole Genome SequencingAnti-Bacterial AgentsBacterial ProteinsColistin

Identifiers

PMID31578567
PMCPMC6910164

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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.