Evidence map›Paper›PMID 32016379›Full record

ArticleThe Journal of antimicrobial chemotherapy2020

Occurrence of cross-resistance and β-lactam seesaw effect in glycopeptide-, lipopeptide- and lipoglycopeptide-resistant MRSA correlates with membrane phosphatidylglycerol levels.

Kelly M Hines, Tianwei Shen, Nathaniel K Ashford, Adam Waalkes, Kelsi Penewit, Elizabeth A Holmes, Kathryn McLean, Stephen J Salipante, Brian J Werth, Libin Xu

Open access · greenAbstract 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 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

35 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Characterisation ofJAC-antimicrobial resistance · 2025
    Article
  7. Article
  8. β-Lactam Adjunctive Therapy Compared to Vancomycin or Daptomycin Monotherapy in Adult Patients With Methicillin-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  9. Dalbavancin-resistantJAC-antimicrobial resistance · 2024
    Article
  10. Article
  11. Review
  12. Comparative proteomic analysis of vancomycin-sensitive and vancomycin-intermediate resistant Staphylococcus aureus.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  13. Review
  14. Article
  15. A rapid single-phase extraction for polar staphylococcal lipids.Analytical and bioanalytical chemistry · 2023
    Article
  16. Adaptive Laboratory Evolution ofAntibiotics (Basel, Switzerland) · 2023
    Article
  17. Article
  18. Activity of aurisin A isolated fromSaudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  19. Knockout ofJournal of bacteriology · 2022
    Article
  20. 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

10 authors at 1 institution in 1 country.

Kelly M HinesDepartment of Medicinal Chemistry, University of Washington, Seattle, WA, USA.
Tianwei ShenDepartment of Medicinal Chemistry, University of Washington, Seattle, WA, USA.
Nathaniel K AshfordDepartment of Pharmacy, University of Washington, Seattle, WA, USA.
Adam WaalkesDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
Kelsi PenewitDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
Elizabeth A HolmesDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
Kathryn McLeanDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
Stephen J SalipanteDepartment of Laboratory Medicine, University of Washington, Seattle, WA, USA.
Brian J WerthDepartment of Pharmacy, University of Washington, Seattle, WA, USA.
Libin XuDepartment of Medicinal Chemistry, University of Washington, Seattle, WA, USA.
University of Washington · US

Funding

Contribution of altered lipid metabolism to resistance to cell envelope-targeting antimicrobials in MRSAR01AI136979 · NIAID · UNIVERSITY OF WASHINGTON · PI Brian James Werth, Libin Xu · 2018 to 2026
$4.1M
Resistance Selection Potential of the Long Acting Lipoglycopeptides Dalbavancin and OritavancinR21AI132994 · NIAID · UNIVERSITY OF WASHINGTON · PI WERTH, BRIAN JAMES · 2018 to 2019
$428k
NIAID NIH HHS R01 AI136979NIAID NIH HHS R21 AI132994
6 · The paper itself

Abstract

backgroundGlycopeptides (GPs), lipopeptides (LPs) and lipoglycopeptides (LGPs) are related antimicrobials important for the management of invasive MRSA infections. Cross-resistance among these antibiotics in MRSA is well documented, as is the observation that susceptibility of MRSA to β-lactams increases as susceptibility to GPs and LPs decreases (i.e. the seesaw effect). Efforts to understand the relationship between GP/LP/LGP cross-resistance and the seesaw effect have focused on the PBPs, but the role of lipid metabolism has not been investigated.

objectivesSince the cell membrane is structurally and metabolically integrated with the cell wall and anchors associated proteins, including PBPs, we examined the relationship between membrane lipid composition and the phenomena of cross-resistance among GPs/LPs/LGPs and the β-lactam seesaw effect.

methodsWe selected for daptomycin, vancomycin and dalbavancin resistance using the USA300 strain JE2 and evaluated the resulting mutants by WGS, MS-based lipidomics and antimicrobial susceptibility testing to assess the relationship between membrane composition, cross-resistance, and the seesaw effect.

resultsWe observed cross-resistance to GPs/LPs/LGPs among the selected strains and the seesaw effect against various β-lactams, depending on the PBP targets of the particular β-lactam. We found that modification of membrane composition occurs not only in daptomycin-selected strains, but also vancomycin- and dalbavancin-selected strains. Significantly, we observed that the abundance of most phosphatidylglycerols positively correlates with MICs of GPs/LPs/LGPs and negatively correlates with the MICs of β-lactams.

conclusionsThese studies demonstrate a major association between membrane remodelling, cross-resistance and the seesaw effect.

Indexed as

beta-LactamsMethicillin-Resistant Staphylococcus aureusAnti-Bacterial AgentsGlycopeptidesLipoglycopeptidesLipopeptidesMicrobial Sensitivity TestsPhosphatidylglycerolsAnti-Bacterial Agentsbeta-LactamsGlycopeptidesLipoglycopeptidesLipopeptidesPhosphatidylglycerols

Identifiers

PMID32016379
PMCPMC7869793
OpenAlexW3005225202

What OpenQuestion holds

Textmetadata
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.