Evidence map›Paper›PMID 36662820›Full record

ArticlePloS one2023

Different CprABC amino acid sequences affect nisin A susceptibility in Clostridioides difficile isolates.

Noriaki Ide, Miki Kawada-Matsuo, Mi Nguyen-Tra Le, Junzo Hisatsune, Hiromi Nishi, Toshinori Hara, Norikazu Kitamura, Seiya Kashiyama, Michiya Yokozaki, Hiroyuki Kawaguchi and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

13 authors at 3 institutions in 1 country.

Noriaki IdeDepartment of General Dentistry, Hiroshima University Hospital, Hiroshima, Japan.ORCID 0000-0002-9429-4438
Miki Kawada-MatsuoDepartment of Bacteriology, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.
Mi Nguyen-Tra LeDepartment of Bacteriology, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.ORCID 0000-0002-9394-6107
Junzo HisatsuneProject Research Center for Nosocomial Infectious Diseases, Hiroshima University, Hiroshima, Japan.
Hiromi NishiDepartment of General Dentistry, Hiroshima University Hospital, Hiroshima, Japan.
Toshinori HaraAntimicrobial Resistance Research Centre, National Institute of Infectious Diseases, Higashi Murayama, Japan.
Norikazu KitamuraAntimicrobial Resistance Research Centre, National Institute of Infectious Diseases, Higashi Murayama, Japan.
Seiya KashiyamaAntimicrobial Resistance Research Centre, National Institute of Infectious Diseases, Higashi Murayama, Japan.
Michiya YokozakiAntimicrobial Resistance Research Centre, National Institute of Infectious Diseases, Higashi Murayama, Japan.
Hiroyuki KawaguchiDepartment of General Dentistry, Hiroshima University Hospital, Hiroshima, Japan.
Hiroki OhgeAntimicrobial Resistance Research Centre, National Institute of Infectious Diseases, Higashi Murayama, Japan.
Motoyuki SugaiProject Research Center for Nosocomial Infectious Diseases, Hiroshima University, Hiroshima, Japan.
Hitoshi KomatsuzawaDepartment of Bacteriology, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.ORCID 0000-0002-9094-7649
Hiroshima University · JPNational Institute of Infectious Diseases · JPHiroshima University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical isolates of Clostridioides difficile sometimes exhibit multidrug resistance and cause diarrhea after antibiotic administration. Metronidazole and vancomycin are often used as therapeutic agents, but resistance to these antibiotics has been found clinically. Therefore, the development of alternative antimicrobial agents is needed. Nisin A, produced by Lactococcus lactis, has been demonstrated to be effective against C. difficile infection. In this study, we evaluated the susceptibility of 11 C. difficile clinical isolates to nisin A and found that they could be divided into 2 groups: high and low susceptibility. Since CprABC and DltDABC, which are responsible for nisin A efflux and cell surface charge, respectively, have been reported to be related to nisin A susceptibility, we investigated the expression of cprA and dltA among the 11 strains. cprA expression in all strains was induced by nisin A, but dltA expression was not. The expression levels of both genes did not correlate with nisin A susceptibility in these clinical isolates. To evaluate cell surface charge, we performed a cytochrome C binding assay and found no relationship between charge and nisin A susceptibility. Then, we determined the whole genome sequence of each clinical isolate and carried out phylogenetic analysis. The 11 isolates separated into two major clusters, which were consistent with the differences in nisin A susceptibility. Furthermore, we found common differences in several amino acids in the sequences of CprA, CprB, and CprC between the two clusters. Therefore, we speculated that the different amino acid sequences of CprABC might be related to nisin A susceptibility. In addition, C. difficile strains could be divided in the same two groups based on susceptibility to epidermin and mutacin III, which are structurally similar to nisin A. These results suggest that genotypic variations in C. difficile strains confer different susceptibilities to bacteriocins.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsClostridioides difficileClostridium InfectionsDrug Resistance, BacterialNisinAmino Acid SequenceHumansMicrobial Sensitivity TestsPhylogenyAnti-Bacterial AgentsBacterial ProteinsNisinnisin A

Identifiers

PMID36662820
PMCPMC9858009
OpenAlexW4317567860

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Registered trials

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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.