Evidence map›Paper›PMID 38226801›Full record

ArticleMicrobiology spectrum2024

Sub-inhibitory antibiotic treatment selects for enhanced metabolic efficiency.

Sai Varun Aduru, Karolina Szenkiel, Anika Rahman, Mehrose Ahmad, Maya Fabozzi, Robert P Smith, Allison J Lopatkin

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.5field-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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. The Adaptations ofThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Article
  3. A foundation model for microbial growth dynamics.bioRxiv : the preprint server for biology · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. The metabolic burden associated with plasmid acquisition: An assessment of the unrecognized benefits to host cells.BioEssays : news and reviews in molecular, cellular and developmental biology · 2025
    Review
  9. Article
  10. 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 at 4 institutions in 1 country.

Sai Varun AduruDepartment of Chemical Engineering, University of Rochester, Rochester, New York, USA.ORCID 0009-0005-7041-2822
Karolina SzenkielDepartment of Biology, Barnard College, New York, New York, USA.
Anika RahmanDepartment of Biology, Barnard College, New York, New York, USA.
Mehrose AhmadDepartment of Biology, Barnard College, New York, New York, USA.
Maya FabozziDepartment of Biology, Barnard College, New York, New York, USA.
Robert P SmithCell Therapy Institute, Kiran Patel College of Allopathic Medicine, Nova Southeastern University, Fort Lauderdale, Florida, USA.ORCID 0000-0003-2744-7390
Allison J LopatkinDepartment of Chemical Engineering, University of Rochester, Rochester, New York, USA.ORCID 0000-0003-0018-9205
Barnard College · USNova Southeastern University · USUniversity of Rochester · USUniversity of Rochester Medical Center · US

Funding

Determinants underlying horizontal gene transfer-mediated pathogen successR35GM150871 · NIGMS · UNIVERSITY OF ROCHESTER · PI Allison Lopatkin · 2023 to 2026
$1.7M
Does growth efficiency determine the inoculum effect?R15AI159902 · NIAID · NOVA SOUTHEASTERN UNIVERSITY · PI SMITH, ROBERT P · 2022 to 2022
$462k
Establishing a mechanistic basis for the plasmid acquisition costR15GM143694 · NIGMS · BARNARD COLLEGE · PI LOPATKIN, ALLISON · 2021 to 2021
$238k
NIAID NIH HHS R15 AI159902NIGMS NIH HHS R15 GM143694NIGMS NIH HHS R35 GM150871
6 · The paper itself

Abstract

Bacterial growth and metabolic rates are often closely related. However, under antibiotic selection, a paradox in this relationship arises: antibiotic efficacy decreases when bacteria are metabolically dormant, yet antibiotics select for resistant cells that grow fastest during treatment. That is, antibiotic selection counterintuitively favors bacteria with fast growth but slow metabolism. Despite this apparent contradiction, antibiotic resistant cells have historically been characterized primarily in the context of growth, whereas the extent of analogous changes in metabolism is comparatively unknown. Here, we observed that previously evolved antibiotic-resistant strains exhibited a unique relationship between growth and metabolism whereby nutrient utilization became more efficient, regardless of the growth rate. To better understand this unexpected phenomenon, we used a simplified model to simulate bacterial populations adapting to sub-inhibitory antibiotic selection through successive bottlenecking events. Simulations predicted that sub-inhibitory bactericidal antibiotic concentrations could select for enhanced metabolic efficiency, defined based on nutrient utilization: drug-adapted cells are able to achieve the same biomass while utilizing less substrate, even in the absence of treatment. Moreover, simulations predicted that restoring metabolic efficiency would re-sensitize resistant bacteria exhibiting metabolic-dependent resistance; we confirmed this result using adaptive laboratory evolutions of

Indexed as

Anti-Bacterial AgentsEscherichia coliDrug Resistance, MicrobialAnti-Bacterial Agentsantibiotic resistanceantibiotic selectionbacterial evolutionmathematical modelingmetabolism

Identifiers

PMID38226801
PMCPMC10846238
OpenAlexW4390909533

What OpenQuestion holds

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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.