Evidence map›Paper›PMID 34318749›Full record

ArticleeLife2021

High potency of sequential therapy with only β-lactam antibiotics.

Aditi Batra, Roderich Roemhild, Emilie Rousseau, Sören Franzenburg, Stefan Niemann, Hinrich Schulenburg

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Clinical microbiology reviews · 2025
    Review
  6. Article
  7. Specific variants inMicrobiology spectrum · 2025
    Article
  8. Antibiotic killing of drug-induced bacteriostatic cells.Antimicrobial agents and chemotherapy · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Genome and transcriptomic analysis of the adaptation ofComputational and structural biotechnology journal · 2024
    Review
  18. Article
  19. One Health in Medical Education: A Proposed Framework.Hawai'i journal of health & social welfare · 2024
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Aditi Batra *Department of Evolutionary Ecology and Genetics, University of Kiel, Kiel, Germany.
Roderich Roemhild *Department of Evolutionary Ecology and Genetics, University of Kiel, Kiel, Germany.ORCID 0000-0001-9480-5261
Emilie RousseauBorstel Research Centre, National Reference Center for Mycobacteria, Borstel, Germany.
Sören FranzenburgCompetence Centre for Genomic Analysis Kiel, University of Kiel, Kiel, Germany.
Stefan NiemannBorstel Research Centre, National Reference Center for Mycobacteria, Borstel, Germany.ORCID 0000-0002-6604-0684
Hinrich SchulenburgDepartment of Evolutionary Ecology and Genetics, University of Kiel, Kiel, Germany.ORCID 0000-0002-1413-913X
Christian-Albrechts-Universität zu Kiel · DEResearch Center Borstel - Leibniz Lung Center · DEInstitute of Science and Technology Austria · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evolutionary adaptation is a major source of antibiotic resistance in bacterial pathogens. Evolution-informed therapy aims to constrain resistance by accounting for bacterial evolvability. Sequential treatments with antibiotics that target different bacterial processes were previously shown to limit adaptation through genetic resistance trade-offs and negative hysteresis. Treatment with homogeneous sets of antibiotics is generally viewed to be disadvantageous as it should rapidly lead to cross-resistance. We here challenged this assumption by determining the evolutionary response of

Indexed as

beta-Lactam ResistanceBiological EvolutionAnti-Bacterial Agentsbeta-LactamsPopulation DynamicsPseudomonas aeruginosaAnti-Bacterial Agentsbeta-Lactamsantibiotic resistancecellular hysteresiscollateral sensitivityevolutionary biologyevolutionary medicinepseudomonas aeruginosasequential therapy

Identifiers

PMID34318749
PMCPMC8456660
OpenAlexW3185153979

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.