Evidence map›Paper›PMID 33004811›Full record

ArticleNature communications2020

Piperacillin/tazobactam resistance in a clinical isolate of Escherichia coli due to IS26-mediated amplification of bla

Alasdair T M Hubbard, Jenifer Mason, Paul Roberts, Christopher M Parry, Caroline Corless, Jon van Aartsen, Alex Howard, Issra Bulgasim, Alice J Fraser, Emily R Adams and 2 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 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
3.7field-weighted citation impact, top 5% 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

54 citing papers in PubMed, 85 citations in OpenAlex.

  1. ISmLife · 2026
    Article
  2. Article
  3. Article
  4. Piperacillin-tazobactam resistance inAntimicrobial agents and chemotherapy · 2026
    Article
  5. Article
  6. Heterogeneous multicopy of blaNature communications · 2026
    Article
  7. Within patient horizontal gene transfer dynamics of a blaEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Emergence of carbapenem-resistantMicrobiology spectrum · 2025
    Article
  13. Article
  14. Shifts inMicrobiology spectrum · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Microbiology (Reading, England) · 2025
    Review
  20. Article
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

12 authors at 3 institutions in 2 countries.

Alasdair T M HubbardDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK. alasdair.hubbard@lstmed.ac.uk.ORCID http://orcid.org/0000-0001-6668-9179
Jenifer MasonLiverpool University Hospital Foundation Trust, Prescot Street, Liverpool, L7 8XP, UK.
Paul RobertsLiverpool University Hospital Foundation Trust, Prescot Street, Liverpool, L7 8XP, UK.ORCID http://orcid.org/0000-0002-5609-1138
Christopher M ParryAlder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, L12 2AP, UK.
Caroline CorlessLiverpool University Hospital Foundation Trust, Prescot Street, Liverpool, L7 8XP, UK.
Jon van AartsenLiverpool University Hospital Foundation Trust, Prescot Street, Liverpool, L7 8XP, UK.ORCID http://orcid.org/0000-0002-3732-5912
Alex HowardLiverpool University Hospital Foundation Trust, Prescot Street, Liverpool, L7 8XP, UK.
Issra BulgasimDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Alice J FraserDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Emily R AdamsDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Adam P RobertsDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.ORCID http://orcid.org/0000-0002-0760-3088
Thomas EdwardsDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK. thomas.edwards@lstmed.ac.uk.ORCID http://orcid.org/0000-0003-4058-4461
Liverpool School of Tropical Medicine · GBUniversity of Nagasaki · JPUniversity of Wolverhampton · GB

Funding

Department of Health NIHR200632Medical Research Council MR/S004793/1
6 · The paper itself

Abstract

A phenotype of Escherichia coli and Klebsiella pneumoniae, resistant to piperacillin/tazobactam (TZP) but susceptible to carbapenems and 3rd generation cephalosporins, has emerged. The resistance mechanism associated with this phenotype has been identified as hyperproduction of the β-lactamase TEM. However, the mechanism of hyperproduction due to gene amplification is not well understood. Here, we report a mechanism of gene amplification due to a translocatable unit (TU) excising from an IS26-flanked pseudo-compound transposon, PTn6762, which harbours bla

Indexed as

Anti-Bacterial Agentsbeta-LactamasesChromosomes, BacterialDNA, BacterialDNA Transposable ElementsDrug Resistance, Multiple, BacterialDrug Therapy, CombinationEscherichia coliEscherichia coli InfectionsEscherichia coli ProteinsGene AmplificationGene Expression Regulation, BacterialGenome, BacterialHumansMicrobial Sensitivity TestsPiperacillinAnti-Bacterial Agentsbeta-Lactamasesbeta-lactamase TEM-1DNA, BacterialDNA Transposable ElementsEscherichia coli ProteinsPiperacillinRNA, Ribosomal, 16STazobactam

Identifiers

PMID33004811
PMCPMC7530762
OpenAlexW3089639860

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.