Evidence map›Paper›PMID 33539564›Full record

ArticleLetters in applied microbiology2021

Cell wall thickness and the molecular mechanism of heterogeneous vancomycin-intermediate Staphylococcus aureus.

J Cui, H Zhang, Z Mo, M Yu, Z Liang

Open access · hybridAbstract read
In one paragraph

Article in Letters in applied microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

20 citing papers in PubMed, 29 citations in OpenAlex.

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  11. Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2025
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  16. Machine learning assisted identification of antibiotic-resistantMicrochemical journal : devoted to the application of microtechniques in all branches of science · 2024
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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

5 authors at 2 institutions in 1 country.

J CuiDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
H ZhangDepartment of Respiratory disease, Beijing Luhe Hospital Affiliated to Capital Medical University, Beijing, China.
Z MoDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
M YuDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Z LiangDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.ORCID https://orcid.org/0000-0003-3520-2297
Chinese PLA General Hospital · CNBeijing Luhe Hospital Affiliated to Capital Medical University · CN

Funding

Chinese Military Medical Innovation Project 16CXZ041
6 · The paper itself

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) with reduced sensitivity to vancomycin (VAN) has caused many clinical cases of VAN treatment failure, but the molecular mechanism underlying the reduced sensitivity to VAN is still unclear. We isolated a heterogeneous VAN-intermediate Staphylococcus aureus (hVISA), which was also a MRSA strain with reduced sensitivity to VAN. To investigate the molecular mechanism underlying the reduced sensitivity to VAN exhibited by the hVISA strain, we compared the hVISA strain with a VAN-sensitive MRSA strain, known as the N315 strain. The images captured by transmission electron microscopy showed that the cell wall of the hVISA strain was significantly thicker than that of the N315 strain (36·72 ± 1·04 nm vs 28·15 ± 1·25 nm, P < 0·05), and the results of real-time quantitative PCR analysis suggested that the expression levels of the cell wall thickness related genes (glmS, vraR/S, sgtB, murZ and PBP4) of the hVISA strain were significantly higher than those of the N315 strain (P < 0·05). In conclusion, this study indicated that the upregulation of the expression of the genes related to cell wall synthesis might be the molecular mechanism underlying the cell wall thickening of the hVISA strain and might be related to its resistance to VAN.

Indexed as

Anti-Bacterial AgentsCell WallGene Expression Regulation, BacterialHumansMethicillinMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsStaphylococcal InfectionsUp-RegulationVancomycinVancomycin ResistanceVancomycin-Resistant Staphylococcus aureusAnti-Bacterial AgentsMethicillinVancomycincell wall thicknesshVISAmolecular mechanismMRSART-PCRTEM

Identifiers

PMID33539564
PMCPMC8248079
OpenAlexW3128025614

What OpenQuestion holds

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Registered trials

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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.