Evidence map›Paper›PMID 32969787›Full record

ArticleMicrobial genomics2020

Exploration into the origins and mobilization of di-hydrofolate reductase genes and the emergence of clinical resistance to trimethoprim.

Miquel Sánchez-Osuna, Pilar Cortés, Montserrat Llagostera, Jordi Barbé, Ivan Erill

Open access · goldAbstract read
In one paragraph

Article in Microbial genomics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

29 citing papers in PubMed, 41 citations in OpenAlex.

  1. Mutation analysis of dihydrofolate reductase (Iranian journal of microbiology · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Trimethoprim resistance inJournal of medical microbiology · 2025
    Article
  10. Outsmarting Nightmare: Drug Resistance inThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  11. Article
  12. Article
  13. A review of the mechanisms that confer antibiotic resistance in pathotypes ofFrontiers in cellular and infection microbiology · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. UropathogenicMicroorganisms · 2023
    Review
  19. Identification and characterization of two novel ISAntimicrobial agents and chemotherapy · 2023
    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

5 authors at 2 institutions in 2 countries.

Miquel Sánchez-OsunaDepartament de Genètica i de Microbiologia, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Pilar CortésDepartament de Genètica i de Microbiologia, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Montserrat LlagosteraDepartament de Genètica i de Microbiologia, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Jordi BarbéDepartament de Genètica i de Microbiologia, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Ivan ErillDepartment of Biological Sciences, University of Maryland, Baltimore County, Baltimore, MD, USA.
Universitat Autònoma de Barcelona · ESUniversity of Maryland, Baltimore County · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trimethoprim is a synthetic antibacterial agent that targets folate biosynthesis by competitively binding to the di-hydrofolate reductase enzyme (DHFR). Trimethoprim is often administered synergistically with sulfonamide, another chemotherapeutic agent targeting the di-hydropteroate synthase (DHPS) enzyme in the same pathway. Clinical resistance to both drugs is widespread and mediated by enzyme variants capable of performing their biological function without binding to these drugs. These mutant enzymes were assumed to have arisen after the discovery of these synthetic drugs, but recent work has shown that genes conferring resistance to sulfonamide were present in the bacterial pangenome millions of years ago. Here, we apply phylogenetics and comparative genomics methods to study the largest family of mobile trimethoprim-resistance genes (

Indexed as

Acinetobacter baumanniiAnti-Bacterial AgentsBiological EvolutionEscherichia coliFolic AcidHumansMicrobial Sensitivity TestsSulfonamidesTetrahydrofolate DehydrogenaseTrimethoprimTrimethoprim ResistanceAnti-Bacterial AgentsFolic AcidSulfonamidesTetrahydrofolate DehydrogenaseTrimethoprimantibioticschemotherapeutic agentevolutionphylogeneticsresistancesulfonamidestrimethoprim

Identifiers

PMID32969787
PMCPMC7725336
OpenAlexW3088319051

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.