Evidence map›Paper›PMID 32048461›Full record

ArticleEMBO molecular medicine2020

Predicting antimicrobial resistance in Pseudomonas aeruginosa with machine learning-enabled molecular diagnostics.

Ariane Khaledi, Aaron Weimann, Monika Schniederjans, Ehsaneddin Asgari, Tzu-Hao Kuo, Antonio Oliver, Gabriel Cabot, Axel Kola, Petra Gastmeier, Michael Hogardt and 5 more

Abstract read
In one paragraph

Article in EMBO molecular medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 5 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

114 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  14. mSphere · 2026
    Article
  15. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
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54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Ariane Khaledi *Department of Molecular Bacteriology, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Aaron Weimann *Molecular Bacteriology Group, TWINCORE-Centre for Experimental and Clinical Infection Research, Hannover, Germany.ORCID 0000-0003-4597-2471
Monika Schniederjans *Department of Molecular Bacteriology, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Ehsaneddin Asgari *Computational Biology of Infection Research, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Tzu-Hao KuoComputational Biology of Infection Research, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Antonio OliverServicio de Microbiología y Unidad de Investigación Hospital Universitario Son Espases, Instituto de Investigación Sanitaria Illes Balears (IdISPa), Palma de Mallorca, Spain.
Gabriel CabotServicio de Microbiología y Unidad de Investigación Hospital Universitario Son Espases, Instituto de Investigación Sanitaria Illes Balears (IdISPa), Palma de Mallorca, Spain.
Axel KolaInstitute of Hygiene and Environmental Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Petra GastmeierInstitute of Hygiene and Environmental Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Michael HogardtInstitute of Medical Microbiology and Infection Control, University Hospital Frankfurt, Frankfurt/Main, Germany.
Daniel JonasFaculty of Medicine, Institute for Infection Prevention and Hospital Epidemiology, Medical Center-University of Freiburg, Freiburg, Germany.
Mohammad Rk MofradMolecular Cell Biomechanics Laboratory, Departments of Bioengineering and Mechanical Engineering, University of California, Berkeley, CA, USA.
Andreas BremgesComputational Biology of Infection Research, Helmholtz Centre for Infection Research, Braunschweig, Germany.ORCID 0000-0001-6739-7899
Alice C McHardyComputational Biology of Infection Research, Helmholtz Centre for Infection Research, Braunschweig, Germany.ORCID 0000-0003-2370-3430
Susanne HäusslerDepartment of Molecular Bacteriology, Helmholtz Centre for Infection Research, Braunschweig, Germany.ORCID 0000-0001-6141-9102

Funding

EC FP7 FP7 Ideas: European Research Council (FP7 Ideas) 724290German Federal Ministry of Education and Research 01 KI 9907Instituto de Salud Carlos IIIMinisterio de Economa, Industria y CompetitividadSpanish Network for Research in Infectious Diseases PI18/00076Spanish Network for Research in Infectious Diseases REIPI RD16/0016
6 · The paper itself

Abstract

Limited therapy options due to antibiotic resistance underscore the need for optimization of current diagnostics. In some bacterial species, antimicrobial resistance can be unambiguously predicted based on their genome sequence. In this study, we sequenced the genomes and transcriptomes of 414 drug-resistant clinical Pseudomonas aeruginosa isolates. By training machine learning classifiers on information about the presence or absence of genes, their sequence variation, and expression profiles, we generated predictive models and identified biomarkers of resistance to four commonly administered antimicrobial drugs. Using these data types alone or in combination resulted in high (0.8-0.9) or very high (> 0.9) sensitivity and predictive values. For all drugs except for ciprofloxacin, gene expression information improved diagnostic performance. Our results pave the way for the development of a molecular resistance profiling tool that reliably predicts antimicrobial susceptibility based on genomic and transcriptomic markers. The implementation of a molecular susceptibility test system in routine microbiology diagnostics holds promise to provide earlier and more detailed information on antibiotic resistance profiles of bacterial pathogens and thus could change how physicians treat bacterial infections.

Indexed as

Drug Resistance, BacterialMachine LearningPseudomonas aeruginosaAnti-Bacterial AgentsGenome, BacterialMicrobial Sensitivity TestsPathology, MolecularTranscriptomeAnti-Bacterial Agentsantibiotic resistancebiomarkersclinical isolatesmachine learningmolecular diagnostics

Identifiers

PMID32048461
PMCPMC7059009

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.