Evidence map›Paper›PMID 34119627›Full record

ReviewMicrobial pathogenesis2021

Genetic basis of molecular mechanisms in β-lactam resistant gram-negative bacteria.

Hafiz Iftikhar Hussain, Amjad Islam Aqib, Mohamed N Seleem, Muhammad Abubakar Shabbir, Haihong Hao, Zahid Iqbal, Muhammad Fakhar-E-Alam Kulyar, Tean Zaheer, Kun Li

Open access · greenAbstract readReview
In one paragraph

Review in Microbial pathogenesis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 1 pooled it
4.0field-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

74 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Review
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  7. Article
  8. Article
  9. Oral and plasma microbiome in the context of acute febrile illness.medRxiv : the preprint server for health sciences · 2026
    Article
  10. Review
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  18. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
  19. Current Insights into Antibiotic Resistance in UropathogenicAntibiotics (Basel, Switzerland) · 2025
    Review
  20. Article

14 more citing papers are in PubMed but not listed here.

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

9 authors at 6 institutions in 3 countries.

Hafiz Iftikhar HussainDepartment of Pathology, Cholistan University of Veterinary and Animal Sciences, Bahawalpur, 63100, Pakistan.
Amjad Islam AqibDepartment of Medicine, Cholistan University of Veterinary and Animal Sciences, Bahawalpur, 63100, Pakistan. Electronic address: amjadislamaqib@cuvas.edu.pk.
Mohamed N SeleemDepartment of Comparative Pathobiology, Purdue University College of Veterinary Medicine, USA.
Muhammad Abubakar ShabbirInstitute of Microbiology, University of Veterinary and Animal Sciences, Lahore, 54000, Pakistan.
Haihong HaoMOA Laboratory for Risk Assessment of Quality and Safety of Livestock and Poultry Products, Huazhong Agricultural University, 430070, Wuhan, China.
Zahid IqbalDepartment of Pharmacology, International Cancer Center, Shenzhen University Health Science Center, Shenzhen, 518055, China. Electronic address: solvia_zad@yahoo.com.
Muhammad Fakhar-E-Alam KulyarCollege of Veterinary Medicine, Huazhong Agricultural University, Wuhan, 430070, China.
Tean ZaheerDepartment of Parasitology, University of Agriculture, Faisalabad, 38000, Pakistan.
Kun LiInstitute of Traditional Chinese Veterinary Medicine, College of Veterinary Medicine, Nanjing Agricultural University, Nanjing, 210095, China; MOE Joint International Research Laboratory of Animal Health and Food Safety, College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, PR China. Electronic address: lik2014@sina.com.
University of Veterinary and Animal Sciences · PKHuazhong Agricultural University · CNNanjing Agricultural University · CNPurdue University West Lafayette · USShenzhen University Health Science Center · CNUniversity of Faisalabad · PK

Funding

Rapid AST through Metabolic Imaging at Single Cell LevelR01AI141439 · NIAID · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI Ji-Xin Cheng · 2019 to 2026
$4.7M
NIAID NIH HHS R01 AI141439
6 · The paper itself

Abstract

Antibiotic-resistant bacteria are considered one of the major global threats to human and animal health. The most harmful among the resistant bacteria are β-lactamase producing Gram-negative species (β-lactamases). β-lactamases constitute a paradigm shift in the evolution of antibiotic resistance. Therefore, it is imperative to present a comprehensive review of the mechanisms responsible for developing antimicrobial resistance. Resistance due to β-lactamases develops through a variety of mechanisms, and the number of resistant genes are involved that can be transferred between bacteria, mostly via plasmids. Over time, these new molecular-based resistance mechanisms have been progressively disclosed. The present review article provides information on the recent findings regarding the molecular mechanisms of resistance to β-lactams in Gram-negative bacteria, including CTX-M-type ESBLs with methylase activity, plasmids harbouring phages with β-lactam resistance genes, the co-presence of β-lactam resistant genes of unique combinations and the presence of β-lactam and non-β-lactam antibiotic-resistant genes in the same bacteria. Keeping in view, the molecular level resistance development, multifactorial and coordinated measures may be taken to counter the challenge of rapidly increasing β-lactam resistance.

Indexed as

beta-Lactamasesbeta-Lactam ResistanceGram-Negative Bacteriabeta-Lactamsbeta-Lactamasesbeta-LactamsAntibiotic resistanceGram negative bacteriaMolecular mechanismsPublic Healthβ-lactamase

Identifiers

PMID34119627
PMCPMC8445154
OpenAlexW3170942901

What OpenQuestion holds

Textmetadata
LicenceTDM
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.