Evidence map›Paper›PMID 31645551›Full record

ArticleNature communications2019

Dissecting the molecular evolution of fluoroquinolone-resistant Shigella sonnei.

Hao Chung The, Christine Boinett, Duy Pham Thanh, Claire Jenkins, Francois-Xavier Weill, Benjamin P Howden, Mary Valcanis, Niall De Lappe, Martin Cormican, Sonam Wangchuk and 15 more

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 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. AnalyzingInfection and drug resistance · 2025
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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

25 authors.

Hao Chung TheThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.ORCID http://orcid.org/0000-0002-4028-4074
Christine BoinettThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Duy Pham ThanhThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Claire JenkinsGastrointestinal Bacterial Reference Unit, National Infection Service, Public Health England, London, UK.
Francois-Xavier WeillInstitut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, France.ORCID http://orcid.org/0000-0001-9941-5799
Benjamin P HowdenMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0003-0237-1473
Mary ValcanisMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Australia.
Niall De LappeNational Salmonella, Shigella, and Listeria monocytogenes Reference Laboratory, University Hospital Galway, Galway, Ireland.
Martin CormicanSchool of Medicine, National University of Ireland Galway, Galway, Ireland.
Sonam WangchukPublic Health Laboratory, Department of Public Health, Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan.
Ladaporn BodhidattaDepartment of Enteric Diseases, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Carl J MasonDepartment of Enteric Diseases, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.ORCID http://orcid.org/0000-0002-3676-2811
To Nguyen Thi NguyenThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Tuyen Ha ThanhThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Vinh Phat VoongThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Vu Thuy DuongThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Phu Huong Lan NguyenThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Paul TurnerCentre for Tropical Medicine and Global Health, Oxford University, Oxford, UK.ORCID http://orcid.org/0000-0002-1013-7815
Ryan WickDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0001-8349-0778
Pieter-Jan CeyssensUnit Bacterial Diseases, Sciensano, Brussels, Belgium.
Guy ThwaitesThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Kathryn E HoltDepartment of Infectious Diseases, Central Clinical School, Monash University, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0003-3949-2471
Nicholas R ThomsonLondon School of Hygiene and Tropical Medicine, London, UK.
Maia A RabaaThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam. mrabaa@oucru.org.ORCID http://orcid.org/0000-0003-0529-2228
Stephen BakerThe Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.ORCID http://orcid.org/0000-0003-1308-5755

Funding

Wellcome Trust
6 · The paper itself

Abstract

Shigella sonnei increasingly dominates the international epidemiological landscape of shigellosis. Treatment options for S. sonnei are dwindling due to resistance to several key antimicrobials, including the fluoroquinolones. Here we analyse nearly 400 S. sonnei whole genome sequences from both endemic and non-endemic regions to delineate the evolutionary history of the recently emergent fluoroquinolone-resistant S. sonnei. We reaffirm that extant resistant organisms belong to a single clonal expansion event. Our results indicate that sequential accumulation of defining mutations (gyrA-S83L, parC-S80I, and gyrA-D87G) led to the emergence of the fluoroquinolone-resistant S. sonnei population around 2007 in South Asia. This clone was then transmitted globally, resulting in establishments in Southeast Asia and Europe. Mutation analysis suggests that the clone became dominant through enhanced adaptation to oxidative stress. Experimental evolution reveals that under fluoroquinolone exposure in vitro, resistant S. sonnei develops further intolerance to the antimicrobial while the susceptible counterpart fails to attain complete resistance.

Indexed as

FluoroquinolonesAnti-Bacterial AgentsAsia, SoutheasternAsia, WesternBayes TheoremCiprofloxacinDirected Molecular EvolutionDNA GyraseDNA Topoisomerase IVDrug Resistance, BacterialDysentery, BacillaryEuropeEvolution, MolecularGenome, BacterialHumansMolecular EpidemiologyAnti-Bacterial AgentsCiprofloxacinDNA GyraseDNA Topoisomerase IVFluoroquinolones

Identifiers

PMID31645551
PMCPMC6811581

What OpenQuestion holds

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LicenceCC BY
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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.