Evidence map›Paper›PMID 37749219›Full record

ArticleThe Journal of antibiotics2023

When less is more: shortening the Lpp protein leads to increased vancomycin resistance in Escherichia coli.

Hannah Wykes, Vuong Van Hung Le, Catrina Olivera, Jasna Rakonjac

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antibiotics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Virulence and Antimicrobial Resistance Traits ofAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Review
  4. Article
  5. Phase-Specific Antibiotic Resistance Mechanisms in anbioRxiv : the preprint server for biology · 2025
    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

4 authors at 2 institutions in 2 countries.

Hannah WykesSchool of Natural Sciences, Massey University, Palmerston North, New Zealand.
Vuong Van Hung LeSchool of Natural Sciences, Massey University, Palmerston North, New Zealand. van.le@bio.ku.dk.ORCID 0000-0002-9576-5246
Catrina OliveraSchool of Natural Sciences, Massey University, Palmerston North, New Zealand.
Jasna RakonjacSchool of Natural Sciences, Massey University, Palmerston North, New Zealand. J.Rakonjac@massey.ac.nz.ORCID 0000-0002-6756-4682
Massey University · NZUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vancomycin is a naturally occurring cell-wall-targeting glycopeptide antibiotic. Due to the low potency of this antibiotic against Gram-negative pathogens, such as Escherichia coli, there is a limited knowledge about interactions between vancomycin and this group of bacteria. Here, we show that an in-frame 63 bp deletion of the lpp gene caused a fourfold increase in vancomycin resistance in E. coli. The resulting protein, LppΔ21, is 21 amino acids shorter than the wild-type Lpp, a helical structural lipoprotein that controls the width of the periplasmic space through its length. The mutant remains susceptible to synergistic growth inhibition by combination of furazolidone and vancomycin; with furazolidone decreasing the vancomycin MIC by eightfold. These findings have clinical relevance, given that the vancomycin concentration required to select the lpp mutation is reachable during typical vancomycin oral administration for treating Clostridioides difficile infections. Combination therapy with furazolidone, however, is likely to prevent emergence and outgrowth of the lpp-mutated Gram-negative coliforms, avoiding exacerbation of the patient's condition during the treatment.

Indexed as

Escherichia coli ProteinsVancomycinAnti-Bacterial AgentsBacterial Outer Membrane ProteinsEscherichia coliFurazolidoneHumansLipoproteinsMicrobial Sensitivity TestsVancomycin ResistanceAnti-Bacterial AgentsBacterial Outer Membrane ProteinsEscherichia coli ProteinsFurazolidoneLipoproteinsLpp protein, E coliVancomycin

Identifiers

PMID37749219
PMCPMC10678296
OpenAlexW4387007976

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.