Evidence map›Paper›PMID 35311534›Full record

ArticlemBio2022

MgrB-Dependent Colistin Resistance in Klebsiella pneumoniae Is Associated with an Increase in Host-to-Host Transmission.

Andrew S Bray, Richard D Smith, Andrew W Hudson, Giovanna E Hernandez, Taylor M Young, Hannah E George, Robert K Ernst, M Ammar Zafar

Open access · goldAbstract read
In one paragraph

Article in mBio, 2022. 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
3.2field-weighted citation impact, top 6% 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, 45 citations in OpenAlex.

  1. Global prevalence of mutation in theFrontiers in microbiology · 2024
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  4. Carbapenem-ResistantMicroorganisms · 2026
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  13. Sugar Import SuppressesbioRxiv : the preprint server for biology · 2025
    Article
  14. Sequential antibiotic exposure restores antibiotic susceptibility.The Journal of antimicrobial chemotherapy · 2025
    Article
  15. Article
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  17. Article
  18. Mechanisms of bacterial host-to-host transmission.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  19. Article
  20. Mobile genetic elements inJournal of bacteriology · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Andrew S BrayDepartment of Microbiology and Immunology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Richard D SmithDepartment of Microbial Pathogenesis, University of Maryland, Baltimore, Baltimore, Maryland, USA.ORCID 0000-0002-1908-3083
Andrew W HudsonDepartment of Microbiology and Immunology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Giovanna E HernandezDepartment of Microbiology and Immunology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Taylor M YoungDepartment of Microbiology and Immunology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Hannah E GeorgeWake Forest Universitygrid.241167.7, Winston Salem, North Carolina, USA.
Robert K ErnstDepartment of Microbial Pathogenesis, University of Maryland, Baltimore, Baltimore, Maryland, USA.ORCID 0000-0001-5016-8694
M Ammar ZafarDepartment of Microbiology and Immunology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.ORCID 0000-0002-3737-0422
Wake Forest University · USUniversity of Maryland, Baltimore · US

Funding

TRAINING PROGRAM IN IMMUNOLOGY AND PATHOGENESIST32AI007401 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Martha Ann Alexander-Miller · 1991 to 2026
$4.4M
Colistin-resistant Acinetobacter baumanniiR01AI104895 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DOI, YOHEI, ERNST, ROBERT K · 2014 to 2024
$4.2M
NIAID NIH HHS R01 AI104895NIAID NIH HHS T32 AI007401
6 · The paper itself

Abstract

Due to its high transmissibility, Klebsiella pneumoniae is one of the leading causes of nosocomial infections. Here, we studied the biological cost of colistin resistance, an antibiotic of last resort, in this opportunistic pathogen using a murine model of gut colonization and transmission. Colistin resistance in K. pneumoniae is commonly the result of the inactivation of the small regulatory protein MgrB. Without a functional MgrB, the two-component system PhoPQ is constitutively active, leading to an increase in lipid A modifications and subsequent colistin resistance. Using an isogenic

Indexed as

ColistinKlebsiella InfectionsAnimalsBacterial ProteinsDisease Models, AnimalDrug Resistance, BacterialKlebsiella pneumoniaeMiceBacterial ProteinsColistinantimicrobial peptidesgastrointestinal infectionhost-to-host transmissioninfection controlstress adaptationtwo-component regulatory systems

Identifiers

PMID35311534
PMCPMC9040857
OpenAlexW4220891174

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.