Evidence map›Paper›PMID 36042245›Full record

ArticleNature communications2022

Tackling recalcitrant Pseudomonas aeruginosa infections in critical illness via anti-virulence monotherapy.

Vijay K Singh, Marianna Almpani, Damien Maura, Tomoe Kitao, Livia Ferrari, Stefano Fontana, Gabriella Bergamini, Elisa Calcaterra, Chiara Pignaffo, Michele Negri and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.5field-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

25 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. A novel approach to combatMicrobiology spectrum · 2026
    Article
  5. Article
  6. Frontiers in immunology · 2026
    Article
  7. Broadly Defined Antibiotic Adjuvants forThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Review
  8. Multidrug-resistantVirulence · 2025
    Review
  9. Anti-QS Strategies AgainstMicroorganisms · 2025
    Review
  10. Review
  11. MvfR ShapesCells · 2025
    Article
  12. Review
  13. Article
  14. Quorum Sensing and its Inhibition inCurrent drug targets · 2025
    Review
  15. Review
  16. Revealing the impact ofFrontiers in immunology · 2025
    Article
  17. 'Wild Type'.Microbiology (Reading, England) · 2024
    Review
  18. Article
  19. Review
  20. Review
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

18 authors at 5 institutions in 4 countries.

Vijay K Singh *Department of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID 0000-0003-4872-4545
Marianna Almpani *Department of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, 02114, USA.
Damien Maura *Department of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, 02114, USA.
Tomoe KitaoDepartment of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID 0000-0003-1366-4861
Livia FerrariTranslational Biology Department, Aptuit (Verona) S.rl, an Evotec Company, 37135 Via A. Fleming 4, Verona, Italy.
Stefano FontanaDMPK Department, Aptuit (Verona) S.rl, an Evotec Company, 37135 Via A. Fleming 4, Verona, Italy.
Gabriella BergaminiTranslational Biology Department, Aptuit (Verona) S.rl, an Evotec Company, 37135 Via A. Fleming 4, Verona, Italy.
Elisa CalcaterraTranslational Biology Department, Aptuit (Verona) S.rl, an Evotec Company, 37135 Via A. Fleming 4, Verona, Italy.
Chiara PignaffoDMPK Department, Aptuit (Verona) S.rl, an Evotec Company, 37135 Via A. Fleming 4, Verona, Italy.
Michele NegriIn vitro Chemotherapy Laboratory, Aptuit (Verona) S.r.l., an Evotec Company, 37135 Via A. Fleming 4, Verona, Italy.
Thays de Oliveira PereiraCentre Armand-Frappier Santé Biotechnologie, Institut National de la Recherche Scientifique (INRS), Laval, Quebec, H7V 1B7, Canada.
Frances SkinnerDepartment of Chemistry, University of Massachusetts Lowell, Lowell, MA, 01854, USA.ORCID 0000-0002-4615-2048
Manos GkikasDepartment of Chemistry, University of Massachusetts Lowell, Lowell, MA, 01854, USA.ORCID 0000-0002-3753-6760
Danielle AndreottiGlobal Synthetic Chemistry Department, Aptuit (Verona) S.r.l., an Evotec Company, 37135 Via A. Fleming 4, Verona, Italy.
Antonio FeliciDepartment of Microbiology Discovery, In Vitro Biology, Aptuit (Verona) S.r.l., an Evotec Company, 37135 Via A. Fleming 4, Verona, Italy.
Eric DézielCentre Armand-Frappier Santé Biotechnologie, Institut National de la Recherche Scientifique (INRS), Laval, Quebec, H7V 1B7, Canada.
Francois LépineCentre Armand-Frappier Santé Biotechnologie, Institut National de la Recherche Scientifique (INRS), Laval, Quebec, H7V 1B7, Canada.
Laurence G RahmeDepartment of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, 02114, USA. rahme@molbio.mgh.harvard.edu.ORCID 0000-0002-5374-4332
Aptuit (Italy) · ITHarvard University · USInstitut National de la Recherche Scientifique · CAUniversity of Massachusetts Lowell · USShriners Hospitals for Children - Erie · US

Funding

Molecular and Metabolic inter-kingdom actions of a bacterial quorum sensing signal in promotion of host tolerance/resilience.R01AI134857 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RAHME, LAURENCE G · 2018 to 2022
$3.4M
A comprehensive investigation of Pseudomonas quorum sensing regulatory relationships and the consequences on quorum sensing inhibitors in complex communitiesR01AI177555 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI LAURENCE G RAHME · 2023 to 2026
$3.4M
NIAID NIH HHS R01 AI134857NIAID NIH HHS R01 AI177555
6 · The paper itself

Abstract

Intestinal barrier derangement allows intestinal bacteria and their products to translocate to the systemic circulation. Pseudomonas aeruginosa (PA) superimposed infection in critically ill patients increases gut permeability and leads to gut-driven sepsis. PA infections are challenging due to multi-drug resistance (MDR), biofilms, and/or antibiotic tolerance. Inhibition of the quorum-sensing transcriptional regulator MvfR(PqsR) is a desirable anti-PA anti-virulence strategy as MvfR controls multiple acute and chronic virulence functions. Here we show that MvfR promotes intestinal permeability and report potent anti-MvfR compounds, the N-Aryl Malonamides (NAMs), resulting from extensive structure-activity-relationship studies and thorough assessment of the inhibition of MvfR-controlled virulence functions. This class of anti-virulence non-native ligand-based agents has a half-maximal inhibitory concentration in the nanomolar range and strong target engagement. Using a NAM lead in monotherapy protects murine intestinal barrier function, abolishes MvfR-regulated small molecules, ameliorates bacterial dissemination, and lowers inflammatory cytokines. This study demonstrates the importance of MvfR in PA-driven intestinal permeability. It underscores the utility of anti-MvfR agents in maintaining gut mucosal integrity, which should be part of any successful strategy to prevent/treat PA infections and associated gut-derived sepsis in critical illness settings. NAMs provide for the development of crucial preventive/therapeutic monotherapy options against untreatable MDR PA infections.

Indexed as

Pseudomonas InfectionsSepsisAnimalsAnti-Bacterial AgentsBacterial ProteinsBiofilmsCritical IllnessHumansMicePseudomonas aeruginosaQuorum SensingVirulenceAnti-Bacterial AgentsBacterial Proteins

Identifiers

PMID36042245
PMCPMC9428149
OpenAlexW4293567538

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.