Evidence map›Paper›PMID 34228538›Full record

ArticleAntimicrobial agents and chemotherapy2021

Enhanced Antibacterial Activity of Repurposed Mitomycin C and Imipenem in Combination with the Lytic Phage vB_KpnM-VAC13 against Clinical Isolates of Klebsiella pneumoniae.

Olga Pacios, Laura Fernández-García, Ines Bleriot, Lucía Blasco, Mónica González-Bardanca, María López, Felipe Fernández-Cuenca, Jesús Oteo, Álvaro Pascual, Luis Martínez-Martínez and 4 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  10. Article
  11. StudiesAntimicrobial agents and chemotherapy · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Phage-antibiotic combinations againstFrontiers in microbiology · 2025
    Article
  16. Eradication ofACS infectious diseases · 2024
    Article
  17. Mitomycin C as an Anti-Persister Strategy againstAntibiotics (Basel, Switzerland) · 2024
    Article
  18. Review
  19. Phages produce persisters.Microbial biotechnology · 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

14 authors at 5 institutions in 1 country.

Olga PaciosMicrobiology Department, Research Institute Biomedical A Coruña (INIBIC), Hospital A Coruña (CHUAC), University of A Coruña (UDC), A Coruña, Spain.
Laura Fernández-GarcíaMicrobiology Department, Research Institute Biomedical A Coruña (INIBIC), Hospital A Coruña (CHUAC), University of A Coruña (UDC), A Coruña, Spain.
Ines BleriotMicrobiology Department, Research Institute Biomedical A Coruña (INIBIC), Hospital A Coruña (CHUAC), University of A Coruña (UDC), A Coruña, Spain.
Lucía BlascoMicrobiology Department, Research Institute Biomedical A Coruña (INIBIC), Hospital A Coruña (CHUAC), University of A Coruña (UDC), A Coruña, Spain.
Mónica González-BardancaMicrobiology Department, Research Institute Biomedical A Coruña (INIBIC), Hospital A Coruña (CHUAC), University of A Coruña (UDC), A Coruña, Spain.
María LópezMicrobiology Department, Research Institute Biomedical A Coruña (INIBIC), Hospital A Coruña (CHUAC), University of A Coruña (UDC), A Coruña, Spain.
Felipe Fernández-CuencaUGC Enfermedades Infecciosas, Microbiología Clínica y Medicina Preventiva, Instituto de Biomedicina de Sevilla (IBIS), Hospital Universitario Virgen Macarenagrid.411375.5/CSIC/Universidad de Sevilla, Seville, Spain.
Jesús OteoNational Centre for Microbiology, Spanish Network for Research in Infectious Diseases, Institute of Health Carlos III, Madrid, Spain.
Álvaro PascualUGC Enfermedades Infecciosas, Microbiología Clínica y Medicina Preventiva, Instituto de Biomedicina de Sevilla (IBIS), Hospital Universitario Virgen Macarenagrid.411375.5/CSIC/Universidad de Sevilla, Seville, Spain.
Luis Martínez-MartínezUGC Microbiología, Hospital Reina Sofía, Departamento de Microbiología, Universidad de Córdoba, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.
Pilar Domingo-CalapInstitute for Integrative Systems Biology (I2SysBio), Universitat de València-CSIC, Valencia, Spain.
Germán BouMicrobiology Department, Research Institute Biomedical A Coruña (INIBIC), Hospital A Coruña (CHUAC), University of A Coruña (UDC), A Coruña, Spain.
María TomásMicrobiology Department, Research Institute Biomedical A Coruña (INIBIC), Hospital A Coruña (CHUAC), University of A Coruña (UDC), A Coruña, Spain.
Study Group on Mechanisms of Action and Resistance to Antimicrobials (GEMARA) on behalf of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC)
Universidade da Coruña · ESHospital Universitario Virgen Macarena · ESInstituto de Salud Carlos III · ESInstituto Maimónides de Investigación Biomédica de Córdoba · ESUniversitat de València · ES

Funding

Elucidation of Commensal Bacteria Mechanisms Required for Host ProtectionR01GM103593 · NIGMS · ROCKEFELLER UNIVERSITY · PI HANG, HOWARD C · 2013 to 2020
$2.8M
Translation of commensal bacteria mechanism for immunotherapyR01CA245292 · NCI · SCRIPPS RESEARCH INSTITUTE, THE · PI HANG, HOWARD C · 2020 to 2024
$2.7M
NCI NIH HHS R01 CA245292NIGMS NIH HHS R01 GM103593
6 · The paper itself

Abstract

Klebsiella pneumoniae is an opportunistic Gram-negative pathogen that employs different strategies (resistance and persistence) to counteract antibiotic treatments. This study aimed to search for new means of combatting imipenem-resistant and persister strains of K. pneumoniae by repurposing the anticancer drug mitomycin C as an antimicrobial agent and by combining the drug and the conventional antibiotic imipenem with the lytic phage vB_KpnM-VAC13. Several clinical K. pneumoniae isolates were characterized, and an imipenem-resistant isolate (harboring OXA-245 β-lactamase) and a persister isolate were selected for study. The mitomycin C and imipenem MICs for both isolates were determined by the broth microdilution method. Time-kill curve data were obtained by optical density at 600 nm (OD

Indexed as

BacteriophagesKlebsiella InfectionsAnti-Bacterial Agentsbeta-LactamasesHumansImipenemKlebsiella pneumoniaeMicrobial Sensitivity TestsMitomycinAnti-Bacterial Agentsbeta-LactamasesImipenemMitomycinbacteriophage therapydrug repurposingKlebsiella pneumoniaepersistenceresistancesynergy

Identifiers

PMID34228538
PMCPMC8370222
OpenAlexW3178731735

What OpenQuestion holds

Textmetadata
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.