Evidence map›Paper›PMID 32576824›Full record

ArticleNature communications2020

An amphipathic peptide with antibiotic activity against multidrug-resistant Gram-negative bacteria.

Alysha G Elliott, Johnny X Huang, Søren Neve, Johannes Zuegg, Ingrid A Edwards, Amy K Cain, Christine J Boinett, Lars Barquist, Carina Vingsbo Lundberg, Jason Steen and 7 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed
16.1field-weighted citation impact, top 1% 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

90 citing papers in PubMed, 190 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. De Novo Multi-Mechanism Antimicrobial Peptide Design via Multimodal Deep Learning.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Advances of Antimicrobial Peptides in the Treatment of Multidrug-Resistant Bacteria.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  13. Lactonic sophorolipids byRSC advances · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Mini reviews in medicinal chemistry · 2025
    Review
  20. Enhancement ofFrontiers in microbiology · 2025
    Article

30 more citing papers are in PubMed but not listed here.

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

17 authors at 6 institutions in 6 countries.

Alysha G Elliott *Centre for Superbug Solutions, Institute for Molecular Bioscience, The University of Queensland, Queensland, QLD, 4072, Australia.ORCID http://orcid.org/0000-0002-2983-0484
Johnny X Huang *Centre for Superbug Solutions, Institute for Molecular Bioscience, The University of Queensland, Queensland, QLD, 4072, Australia.ORCID http://orcid.org/0000-0003-3595-208X
Søren NeveOrphazyme, Ole Maaloesvej 3, 2200, Copenhagen, Denmark.
Johannes ZueggCentre for Superbug Solutions, Institute for Molecular Bioscience, The University of Queensland, Queensland, QLD, 4072, Australia.ORCID http://orcid.org/0000-0001-6240-6020
Ingrid A EdwardsCentre for Superbug Solutions, Institute for Molecular Bioscience, The University of Queensland, Queensland, QLD, 4072, Australia.ORCID http://orcid.org/0000-0003-2903-0089
Amy K CainWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-4230-6572
Christine J BoinettWellcome Sanger Institute, Hinxton, UK.
Lars BarquistHelmholtz Institute for RNA-based Infection Research (HIRI), Würzburg, Germany.ORCID http://orcid.org/0000-0003-4732-2667
Carina Vingsbo LundbergStatens Serum Institut, Copenhagen, Denmark.
Jason SteenSchool of Chemistry and Molecular Biosciences, The University of Queensland, Queensland, Qld, Australia.
Mark S ButlerCentre for Superbug Solutions, Institute for Molecular Bioscience, The University of Queensland, Queensland, QLD, 4072, Australia.ORCID http://orcid.org/0000-0001-6689-4236
Mehdi MobliCentre for Advanced Imaging, The University of Queensland, Queensland, Qld, Australia.ORCID http://orcid.org/0000-0003-2420-4262
Kaela M PorterAdenium Biotech ApS, Ole Maaloesvej 3, 2200, Copenhagen, Denmark.
Mark A T BlaskovichCentre for Superbug Solutions, Institute for Molecular Bioscience, The University of Queensland, Queensland, QLD, 4072, Australia.ORCID http://orcid.org/0000-0001-9447-2292
Sergio LociuroBioVersys AG, Hochbergerstrasse 60C, Technology Park, 4057, Basel, Switzerland.
Magnus StrandhAdenium Biotech ApS, Ole Maaloesvej 3, 2200, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-6878-1566
Matthew A CooperCentre for Superbug Solutions, Institute for Molecular Bioscience, The University of Queensland, Queensland, QLD, 4072, Australia. m.cooper@uq.edu.au.ORCID http://orcid.org/0000-0003-3147-3460
The University of Queensland · AUWellcome Sanger Institute · GBOrphazyme (Denmark) · DKStatens Serum Institut · DKUniversity of Würzburg · DEWeifang Medical University · CN

Funding

Medical Research Council G1100100Medical Research Council G1100100/1Wellcome TrustWellcome Trust WT098051Wellcome Trust WT104797/Z/14/Z
6 · The paper itself

Abstract

Peptide antibiotics are an abundant and synthetically tractable source of molecular diversity, but they are often cationic and can be cytotoxic, nephrotoxic and/or ototoxic, which has limited their clinical development. Here we report structure-guided optimization of an amphipathic peptide, arenicin-3, originally isolated from the marine lugworm Arenicola marina. The peptide induces bacterial membrane permeability and ATP release, with serial passaging resulting in a mutation in mlaC, a phospholipid transport gene. Structure-based design led to AA139, an antibiotic with broad-spectrum in vitro activity against multidrug-resistant and extensively drug-resistant bacteria, including ESBL, carbapenem- and colistin-resistant clinical isolates. The antibiotic induces a 3-4 log reduction in bacterial burden in mouse models of peritonitis, pneumonia and urinary tract infection. Cytotoxicity and haemolysis of the progenitor peptide is ameliorated with AA139, and the 'no observable adverse effect level' (NOAEL) dose in mice is ~10-fold greater than the dose generally required for efficacy in the infection models.

Indexed as

AnimalsAnti-Bacterial AgentsAntimicrobial Cationic PeptidesCarbapenemsCell Membrane PermeabilityColistinDisease Models, AnimalDrug DiscoveryDrug Resistance, Multiple, BacterialFemaleGram-Negative BacteriaHelminth ProteinsHumansMaleMiceMicrobial Sensitivity TestsAnti-Bacterial AgentsAntimicrobial Cationic PeptidesCarbapenemsColistinHelminth Proteins

Identifiers

PMID32576824
PMCPMC7311426
OpenAlexW3036170560

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.