Evidence map›Paper›PMID 37847672›Full record

ArticlePLoS biology2023

Multidrug-resistant E. coli encoding high genetic diversity in carbohydrate metabolism genes displace commensal E. coli from the intestinal tract.

Christopher H Connor, Amanda Z Zucoloto, John T Munnoch, Ian-Ling Yu, Jukka Corander, Paul A Hoskisson, Braedon McDonald, Alan McNally

Abstract read
In one paragraph

Article in PLoS biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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

26 citing papers in PubMed.

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  14. The role of bacterial metabolism in human gut colonization.International microbiology : the official journal of the Spanish Society for Microbiology · 2025
    Review
  15. Review
  16. Comprehensive antibiotic resistome comparison ofCurrent research in microbial sciences · 2025
    Article
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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

8 authors.

Christopher H ConnorInstitute of Microbiology and Infection, College of Medical and Dental Science, University of Birmingham, Birmingham, United Kingdom.
Amanda Z ZucolotoInternational Microbiome Centre, University of Calgary, Calgary, Canada.
John T MunnochStrathclyde Institute of Pharmaceutical and Biomedical Science, University of Strathclyde, Glasgow, United Kingdom.
Ian-Ling YuDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Jukka CoranderDepartment of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
Paul A HoskissonStrathclyde Institute of Pharmaceutical and Biomedical Science, University of Strathclyde, Glasgow, United Kingdom.
Braedon McDonaldInternational Microbiome Centre, University of Calgary, Calgary, Canada.
Alan McNallyInstitute of Microbiology and Infection, College of Medical and Dental Science, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-3099-630X

Funding

Wellcome Trust
6 · The paper itself

Abstract

Extra-intestinal pathogenic Escherichia coli (ExPEC) can cause a variety of infections outside of the intestine and are a major causative agent of urinary tract infections. Treatment of these infections is increasingly frustrated by antimicrobial resistance (AMR) diminishing the number of effective therapies available to clinicians. Incidence of multidrug resistance (MDR) is not uniform across the phylogenetic spectrum of E. coli. Instead, AMR is concentrated in select lineages, such as ST131, which are MDR pandemic clones that have spread AMR globally. Using a gnotobiotic mouse model, we demonstrate that an MDR E. coli ST131 is capable of out-competing and displacing non-MDR E. coli from the gut in vivo. This is achieved in the absence of antibiotic treatment mediating a selective advantage. In mice colonised with non-MDR E. coli strains, challenge with MDR E. coli either by oral gavage or co-housing with MDR E. coli colonised mice results in displacement and dominant intestinal colonisation by MDR E. coli ST131. To investigate the genetic basis of this superior gut colonisation ability by MDR E. coli, we assayed the metabolic capabilities of our strains using a Biolog phenotypic microarray revealing altered carbon metabolism. Functional pangenomic analysis of 19,571 E. coli genomes revealed that carriage of AMR genes is associated with increased diversity in carbohydrate metabolism genes. The data presented here demonstrate that independent of antibiotic selective pressures, MDR E. coli display a competitive advantage to colonise the mammalian gut and points to a vital role of metabolism in the evolution and success of MDR lineages of E. coli via carriage and spread.

Indexed as

Escherichia coliEscherichia coli InfectionsAnimalsAnti-Bacterial AgentsCarbohydrate MetabolismDrug Resistance, Multiple, BacterialGenetic VariationMammalsMicePhylogenyAnti-Bacterial Agents

Identifiers

PMID37847672
PMCPMC10581457

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.