Evidence map›Paper›PMID 37897520›Full record

ReviewEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2023

Co-regulation of biofilm formation and antimicrobial resistance in Acinetobacter baumannii: from mechanisms to therapeutic strategies.

Sérgio G Mendes, Sofia I Combo, Thibault Allain, Sara Domingues, Andre G Buret, Gabriela J Da Silva

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

48 citing papers in PubMed, 46 citations in OpenAlex.

  1. Virulence · 2026
    Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Research Progress on the Quorum Sensing System ofPathogens (Basel, Switzerland) · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Redefining Antimicrobial Resistance inInternational journal of molecular sciences · 2026
    Review
  12. Observational
  13. Review
  14. Membrane-Focused Strategies AgainstAntibiotics (Basel, Switzerland) · 2026
    Review
  15. New Insights intoPathogens (Basel, Switzerland) · 2026
    Review
  16. Ciprofloxacin resistance enhances biofilm formation and modulates virulence in Acinetobacter baumannii: Insights into the role of efflux pumps and quorum sensing.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  17. Article
  18. Article
  19. Antimicrobial Resistance inPathogens (Basel, Switzerland) · 2026
    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

6 authors at 2 institutions in 2 countries.

Sérgio G MendesDepartments of Biological Sciences, Inflammation Research Network, University of Calgary, 2500 University Dr. N.W, Calgary, T2N 1N4, Canada.ORCID https://orcid.org/0000-0002-9077-483X
Sofia I ComboDepartments of Biological Sciences, Inflammation Research Network, University of Calgary, 2500 University Dr. N.W, Calgary, T2N 1N4, Canada.ORCID https://orcid.org/0000-0002-5297-7337
Thibault AllainDepartments of Biological Sciences, Inflammation Research Network, University of Calgary, 2500 University Dr. N.W, Calgary, T2N 1N4, Canada.ORCID https://orcid.org/0000-0002-4282-1865
Sara DominguesFaculty of Pharmacy, University of Coimbra, 3000-548, Coimbra, Portugal.ORCID https://orcid.org/0000-0002-8879-5113
Andre G BuretDepartments of Biological Sciences, Inflammation Research Network, University of Calgary, 2500 University Dr. N.W, Calgary, T2N 1N4, Canada.ORCID https://orcid.org/0000-0002-1205-5936
Gabriela J Da SilvaDepartments of Biological Sciences, Inflammation Research Network, University of Calgary, 2500 University Dr. N.W, Calgary, T2N 1N4, Canada. gjsilva@ci.uc.pt.
University of Calgary · CAUniversity of Coimbra · PT

Funding

Fundação para a Ciência e a Tecnologia 2021.06289.BD
6 · The paper itself

Abstract

In recent years, multidrug-resistant Acinetobacter baumannii has emerged globally as a major threat to the healthcare system. It is now listed by the World Health Organization as a priority one for the need of new therapeutic agents. A. baumannii has the capacity to develop robust biofilms on biotic and abiotic surfaces. Biofilm development allows these bacteria to resist various environmental stressors, including antibiotics and lack of nutrients or water, which in turn allows the persistence of A. baumannii in the hospital environment and further outbreaks. Investigation into therapeutic alternatives that will act on both biofilm formation and antimicrobial resistance (AMR) is sorely needed. The aim of the present review is to critically discuss the various mechanisms by which AMR and biofilm formation may be co-regulated in A. baumannii in an attempt to shed light on paths towards novel therapeutic opportunities. After discussing the clinical importance of A. baumannii, this critical review highlights biofilm-formation genes that may be associated with the co-regulation of AMR. Particularly worthy of consideration are genes regulating the quorum sensing system AbaI/AbaR, AbOmpA (OmpA protein), Bap (biofilm-associated protein), the two-component regulatory system BfmRS, the PER-1 β-lactamase, EpsA, and PTK. Finally, this review discusses ongoing experimental therapeutic strategies to fight A. baumannii infections, namely vaccine development, quorum sensing interference, nanoparticles, metal ions, natural products, antimicrobial peptides, and phage therapy. A better understanding of the mechanisms that co-regulate biofilm formation and AMR will help identify new therapeutic targets, as combined approaches may confer synergistic benefits for effective and safer treatments.

Indexed as

Acinetobacter baumanniiAnti-Bacterial AgentsBiofilmsDrug Resistance, BacterialDrug Resistance, Multiple, BacterialHumansQuorum SensingAnti-Bacterial AgentsAcinetobacter baumanniiAntimicrobial resistanceBiofilmCo-infectionCOVID-19Quorum sensing

Identifiers

PMID37897520
PMCPMC10651561
OpenAlexW4388001922

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.