Evidence map›Paper›PMID 34045458›Full record

ArticleNature communications2021

Compensatory evolution of Pseudomonas aeruginosa's slow growth phenotype suggests mechanisms of adaptation in cystic fibrosis.

Ruggero La Rosa, Elio Rossi, Adam M Feist, Helle Krogh Johansen, Søren Molin

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

49 citing papers in PubMed, 69 citations in OpenAlex.

  1. Characterization of two exoUBMC microbiology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Within-host adaptation mutations associated with persistent colonization ofFrontiers in cellular and infection microbiology · 2026
    Article
  6. BioMed research international · 2026
    Review
  7. Article
  8. Article
  9. Insights on pathoadaptation of sequentialMicrobiology spectrum · 2025
    Article
  10. Biofilm Formation ofMicroorganisms · 2025
    Review
  11. Article
  12. Diversification ofMicroorganisms · 2025
    Article
  13. Article
  14. Article
  15. Chronic wounds and adaptiveCurrent research in microbial sciences · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. mSystems · 2024
    Article
  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

5 authors at 3 institutions in 3 countries.

Ruggero La RosaThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Lyngby, Denmark. rugros@biosustain.dtu.dk.ORCID http://orcid.org/0000-0002-6705-3989
Elio RossiDepartment of Clinical Microbiology 9301, Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-2042-608X
Adam M FeistThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Lyngby, Denmark.
Helle Krogh JohansenThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Lyngby, Denmark.ORCID http://orcid.org/0000-0003-0268-3717
Søren MolinThe Novo Nordisk Foundation Center for Biosustainability, Technical University of Denmark, Lyngby, Denmark.
Novo Nordisk Foundation · DKUniversity of Copenhagen · DKUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term infection of the airways of cystic fibrosis patients with Pseudomonas aeruginosa is often accompanied by a reduction in bacterial growth rate. This reduction has been hypothesised to increase within-patient fitness and overall persistence of the pathogen. Here, we apply adaptive laboratory evolution to revert the slow growth phenotype of P. aeruginosa clinical strains back to a high growth rate. We identify several evolutionary trajectories and mechanisms leading to fast growth caused by transcriptional and mutational changes, which depend on the stage of adaptation of the strain. Return to high growth rate increases antibiotic susceptibility, which is only partially dependent on reversion of mutations or changes in the transcriptional profile of genes known to be linked to antibiotic resistance. We propose that similar mechanisms and evolutionary trajectories, in reverse direction, may be involved in pathogen adaptation and the establishment of chronic infections in the antibiotic-treated airways of cystic fibrosis patients.

Indexed as

Evolution, MolecularAdaptation, PhysiologicalAnti-Bacterial AgentsBacterial ProteinsCell ProliferationCystic FibrosisDirected Molecular EvolutionDNA, BacterialDNA Mutational AnalysisDrug Resistance, MicrobialGene Expression Regulation, BacterialGenetic FitnessGenome, BacterialHumansLungMicrobial Sensitivity TestsAnti-Bacterial AgentsBacterial ProteinsDNA, Bacterial

Identifiers

PMID34045458
PMCPMC8160344
OpenAlexW3165007076

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.