Evidence map›Paper›PMID 32105320›Full record

ArticleFEMS microbiology letters2020

Zinc can counteract selection for ciprofloxacin resistance.

Michiel Vos, Louise Sibleyras, Lai Ka Lo, Elze Hesse, William Gaze, Uli Klümper

Open access · hybridAbstract read
In one paragraph

Article in FEMS microbiology letters, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.8field-weighted citation impact, top 32% 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

13 citing papers in PubMed, 30 citations in OpenAlex.

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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

6 authors at 2 institutions in 3 countries.

Michiel VosEuropean Centre for Environment and Human Health, University of Exeter Medical School, Knowledge Spa, Royal Cornwall Hospital Truro, TR1 3HDTruro, Cornwall, UK.
Louise SibleyrasEuropean Centre for Environment and Human Health, University of Exeter Medical School, Knowledge Spa, Royal Cornwall Hospital Truro, TR1 3HDTruro, Cornwall, UK.
Lai Ka LoEuropean Centre for Environment and Human Health, University of Exeter Medical School, Knowledge Spa, Royal Cornwall Hospital Truro, TR1 3HDTruro, Cornwall, UK.
Elze HesseCollege of Life and Environmental Science, University of Exeter, Penryn Campus, TR10 9FE Penryn, Cornwall, UK.
William GazeEuropean Centre for Environment and Human Health, University of Exeter Medical School, Knowledge Spa, Royal Cornwall Hospital Truro, TR1 3HDTruro, Cornwall, UK.
Uli KlümperEuropean Centre for Environment and Human Health, University of Exeter Medical School, Knowledge Spa, Royal Cornwall Hospital Truro, TR1 3HDTruro, Cornwall, UK.
University of Exeter · GBUniversity of Münster · DE

Funding

Biotechnology and Biological Sciences Research CouncilMedical Research Council MR/N007174/1Medical Research Council MR/S037713/1
6 · The paper itself

Abstract

Antimicrobial resistance (AMR) has emerged as one of the most pressing threats to public health. AMR evolution occurs in the clinic but also in the environment, where antibiotics and heavy metals can select and co-select for AMR. While the selective potential of both antibiotics and metals is increasingly well-characterized, experimental studies exploring their combined effects on AMR evolution are rare. It has previously been demonstrated that fluoroquinolone antibiotics such as ciprofloxacin can chelate metal ions. To investigate how ciprofloxacin resistance is affected by the presence of metals, we quantified selection dynamics between a ciprofloxacin-susceptible and a ciprofloxacin-resistant Escherichia coli strain across a gradient of ciprofloxacin concentrations in presence and absence of zinc. The presence of zinc reduced growth of both strains, while ciprofloxacin inhibited exclusively the susceptible one. When present in combination zinc retained its inhibitory effect, while ciprofloxacin inhibition of the susceptible strain was reduced. Consequently, the minimal selective concentration for ciprofloxacin resistance increased up to five-fold in the presence of zinc. Environmental pollution usually comprises complex mixtures of antimicrobial agents. In addition to the usual focus on additive or synergistic interactions in complex selective mixtures, our findings highlight the importance of antagonistic selective interactions when considering resistance evolution.

Indexed as

Anti-Infective AgentsCiprofloxacinDrug InteractionsDrug Resistance, BacterialEscherichia coliMicrobial Sensitivity TestsZincAnti-Infective AgentsCiprofloxacinZincAntibiotic resistanceAntimicrobial resistanceChelationFluroquinoloneHeavy metalsSelection dynamics

Identifiers

PMID32105320
PMCPMC7082703
OpenAlexW3008933953

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.