Evidence map›Paper›PMID 37723338›Full record

ArticleThe ISME journal2023

Regulatory fine-tuning of mcr-1 increases bacterial fitness and stabilises antibiotic resistance in agricultural settings.

Lois Ogunlana, Divjot Kaur, Liam P Shaw, Pramod Jangir, Timothy Walsh, Stephan Uphoff, R C MacLean

Abstract read
In one paragraph

Article in The ISME journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. A functionally selectedApplied and environmental microbiology · 2026
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  4. Review
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  7. Molecular Epidemiology ofMicroorganisms · 2026
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  8. Review
  9. Article
  10. Review
  11. Domestic travel as a driver for the dissemination ofAntimicrobial agents and chemotherapy · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Host-dependent effects ofFrontiers in microbiology · 2026
    Article
  17. Article
  18. Article
  19. A functionally selectedbioRxiv : the preprint server for biology · 2025
    Article
  20. 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

7 authors.

Lois OgunlanaDepartment of Biology, University of Oxford, 11a Mansfield Road, Oxford, OX1 3SZ, UK.
Divjot Kaur *Department of Biology, University of Oxford, 11a Mansfield Road, Oxford, OX1 3SZ, UK.
Liam P Shaw *Department of Biology, University of Oxford, 11a Mansfield Road, Oxford, OX1 3SZ, UK.
Pramod JangirDepartment of Biology, University of Oxford, 11a Mansfield Road, Oxford, OX1 3SZ, UK.
Timothy WalshDepartment of Biology, University of Oxford, 11a Mansfield Road, Oxford, OX1 3SZ, UK.
Stephan UphoffDepartment of Biochemistry, University of Oxford, South Parks Road, Oxford, OX1 3QU, UK.
R C MacLeanDepartment of Biology, University of Oxford, 11a Mansfield Road, Oxford, OX1 3SZ, UK. craig.maclean@biology.ox.ac.uk.ORCID 0000-0002-7941-813X

Funding

Biotechnology and Biological Sciences Research Council BB/M011224/1Department of HealthMedical Research Council MR/S013768/1Medical Research Council MR/S013768/2Wellcome Trust 106918/Z/15ZWellcome Trust 203141/Z/16/ZWellcome Trust 206159/Z/17/ZWellcome Trust 220422/Z/20/Z
6 · The paper itself

Abstract

Antibiotic resistance tends to carry fitness costs, making it difficult to understand how resistance can be maintained in the absence of continual antibiotic exposure. Here we investigate this problem in the context of mcr-1, a globally disseminated gene that confers resistance to colistin, an agricultural antibiotic that is used as a last resort for the treatment of multi-drug resistant infections. Here we show that regulatory evolution has fine-tuned the expression of mcr-1, allowing E. coli to reduce the fitness cost of mcr-1 while simultaneously increasing colistin resistance. Conjugative plasmids have transferred low-cost/high-resistance mcr-1 alleles across an incredible diversity of E. coli strains, further stabilising mcr-1 at the species level. Regulatory mutations were associated with increased mcr-1 stability in pig farms following a ban on the use of colistin as a growth promoter that decreased colistin consumption by 90%. Our study shows how regulatory evolution and plasmid transfer can combine to stabilise resistance and limit the impact of reducing antibiotic consumption.

Indexed as

ColistinEscherichia coli ProteinsAnimalsAnti-Bacterial AgentsBacteriaDrug Resistance, BacterialEscherichia coliMicrobial Sensitivity TestsPlasmidsSwineAnti-Bacterial AgentsColistinEscherichia coli Proteins

Identifiers

PMID37723338
PMCPMC10579358

What OpenQuestion holds

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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.