Evidence map›Paper›PMID 33258450›Full record

ArticleeLife2020

An adjunctive therapy administered with an antibiotic prevents enrichment of antibiotic-resistant clones of a colonizing opportunistic pathogen.

Valerie J Morley, Clare L Kinnear, Derek G Sim, Samantha N Olson, Lindsey M Jackson, Elsa Hansen, Grace A Usher, Scott A Showalter, Manjunath P Pai, Robert J Woods and 1 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.5field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Drug repurposing of Nifuratel against methicillin-resistantFrontiers in cellular and infection microbiology · 2025
    Article
  5. Review
  6. Article
  7. Nanomaterials for Delivering Antibiotics in the Therapy of Pneumonia.International journal of molecular sciences · 2022
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. 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

11 authors at 2 institutions in 1 country.

Valerie J MorleyCenter for Infectious Disease Dynamics, Department of Biology, The Pennsylvania State University, University Park, United States.ORCID 0000-0001-6805-7562
Clare L KinnearDivision of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, United States.ORCID 0000-0002-4126-7540
Derek G SimCenter for Infectious Disease Dynamics, Department of Biology, The Pennsylvania State University, University Park, United States.
Samantha N OlsonCenter for Infectious Disease Dynamics, Department of Biology, The Pennsylvania State University, University Park, United States.
Lindsey M JacksonCenter for Infectious Disease Dynamics, Department of Biology, The Pennsylvania State University, University Park, United States.ORCID 0000-0002-0559-9433
Elsa HansenCenter for Infectious Disease Dynamics, Department of Biology, The Pennsylvania State University, University Park, United States.
Grace A UsherDepartment of Biochemistry and Molecular Biology, The Pennsylvania State University, University Park, United States.ORCID 0000-0002-8303-9992
Scott A ShowalterDepartment of Biochemistry and Molecular Biology, The Pennsylvania State University, University Park, United States.
Manjunath P PaiDepartment of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, United States.
Robert J WoodsDivision of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, United States.
Andrew F ReadCenter for Infectious Disease Dynamics, Department of Biology, The Pennsylvania State University, University Park, United States.ORCID 0000-0001-7604-7903
Pennsylvania State University · USUniversity of Michigan · US

Funding

Dynamical modeling of hospital transmission and antibiotic resistance evolution in a multidrug resistant nosocomial pathogenR01AI143852 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOODS, ROBERT J · 2019 to 2023
$2.9M
Population Dynamics of Rotavirus: A Combined Theoretical, Bioinformatic and Laboratory Based ApproachK08AI119182 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOODS, ROBERT J · 2016 to 2020
$960k
NIAID NIH HHS K08 AI119182NIAID NIH HHS L30 AI113834NIAID NIH HHS R01 AI143852NIH HHS R01 AI143852
6 · The paper itself

Abstract

A key challenge in antibiotic stewardship is figuring out how to use antibiotics therapeutically without promoting the evolution of antibiotic resistance. Here, we demonstrate proof of concept for an adjunctive therapy that allows intravenous antibiotic treatment without driving the evolution and onward transmission of resistance. We repurposed the FDA-approved bile acid sequestrant cholestyramine, which we show binds the antibiotic daptomycin, as an 'anti-antibiotic' to disable systemically-administered daptomycin reaching the gut. We hypothesized that adjunctive cholestyramine could enable therapeutic daptomycin treatment in the bloodstream, while preventing transmissible resistance emergence in opportunistic pathogens colonizing the gastrointestinal tract. We tested this idea in a mouse model of

Indexed as

Drug Resistance, BacterialAnimalsAnti-Bacterial AgentsChemotherapy, AdjuvantCholestyramine ResinDaptomycinDrug InteractionsEnterococcus faeciumFemaleGastrointestinal DiseasesGram-Positive Bacterial InfectionsMiceMice, Inbred C57BLAnti-Bacterial AgentsCholestyramine ResinDaptomycinantimicrobial resistanceantimicrobial stewardshipdaptomycinEnterococcus faeciumevolutionary biologyevolutionary medicinemouse

Identifiers

PMID33258450
PMCPMC7707840
OpenAlexW3109423071

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.