Evidence map›Paper›PMID 35476512›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

Allele-specific collateral and fitness effects determine the dynamics of fluoroquinolone resistance evolution.

Apostolos Liakopoulos, Linda B S Aulin, Matteo Buffoni, Efthymia Fragkiskou, J G C van Hasselt, Daniel E Rozen

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.9field-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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Microbiology spectrum · 2025
    Article
  6. Review
  7. Heterogeneous Phenotypic Responses of Antibiotic-ResistantAntibiotics (Basel, Switzerland) · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Variability in Adaptive Resistance ofAntibiotics (Basel, Switzerland) · 2022
    Article
  13. Article
  14. Article
  15. 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

6 authors at 1 institution in 1 country.

Apostolos LiakopoulosDepartment of Microbial Biotechnology and Health, Institute of Biology, Leiden University, 2333 BE Leiden, The Netherlands.ORCID 0000-0002-3240-8444
Linda B S AulinLeiden Academic Centre for Drug Research, Leiden University, 2333 CC Leiden, The Netherlands.ORCID 0000-0003-4840-5704
Matteo BuffoniDepartment of Microbial Biotechnology and Health, Institute of Biology, Leiden University, 2333 BE Leiden, The Netherlands.ORCID 0000-0002-6746-290X
Efthymia FragkiskouDepartment of Microbial Biotechnology and Health, Institute of Biology, Leiden University, 2333 BE Leiden, The Netherlands.ORCID 0000-0002-4126-9407
J G C van HasseltLeiden Academic Centre for Drug Research, Leiden University, 2333 CC Leiden, The Netherlands.ORCID 0000-0002-1664-7314
Daniel E RozenDepartment of Microbial Biotechnology and Health, Institute of Biology, Leiden University, 2333 BE Leiden, The Netherlands.ORCID 0000-0002-7772-0239
Leiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Collateral sensitivity (CS), which arises when resistance to one antibiotic increases sensitivity toward other antibiotics, offers treatment opportunities to constrain or reverse the evolution of antibiotic resistance. The applicability of CS-informed treatments remains uncertain, in part because we lack an understanding of the generality of CS effects for different resistance mutations, singly or in combination. Here, we address this issue in the gram-positive pathogen Streptococcus pneumoniae by measuring collateral and fitness effects of clinically relevant gyrA and parC alleles and their combinations that confer resistance to fluoroquinolones. We integrated these results in a mathematical model that allowed us to evaluate how different in silico combination treatments impact the dynamics of resistance evolution. We identified common and conserved CS effects of different gyrA and parC alleles; however, the spectrum of collateral effects was unique for each allele or allelic pair. This indicated that allelic identity can impact the evolutionary dynamics of resistance evolution during monotreatment and combination treatment. Our model simulations, which included the experimentally derived antibiotic susceptibilities and fitness effects, and antibiotic-specific pharmacodynamics revealed that both collateral and fitness effects impact the population dynamics of resistance evolution. Overall, we provide evidence that allelic identity and interactions can have a pronounced impact on collateral effects to different antibiotics and suggest that these need to be considered in models examining CS-based therapies.

Indexed as

Drug Resistance, BacterialFluoroquinolonesAllelesAnti-Bacterial AgentsMicrobial Sensitivity TestsAnti-Bacterial AgentsFluoroquinolones

Identifiers

PMID35476512
PMCPMC9170170
OpenAlexW4225546439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.