Evidence map›Paper›PMID 38297970›Full record

ArticleThe Journal of infectious diseases2024

The Purine Biosynthesis Repressor, PurR, Contributes to Vancomycin Susceptibility of Methicillin-resistant Staphylococcus aureus in Experimental Endocarditis.

Yan Q Xiong, Yi Li, Mariya I Goncheva, Ahmed M Elsayed, Fengli Zhu, Liang Li, Wessam Abdelhady, Ronald S Flannagan, Michael R Yeaman, Arnold S Bayer and 1 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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  3. Baloxavir Exhibits Antibacterial Activity AgainstInternational journal of molecular sciences · 2026
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  10. Microorganisms · 2025
    Review
  11. Article
  12. Review
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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

11 authors at 4 institutions in 2 countries.

Yan Q XiongThe Lundquist Institute for Biomedical Innovation, Harbor-University of California Los Angeles Medical Center, Torrance, California, USA.
Yi LiThe Lundquist Institute for Biomedical Innovation, Harbor-University of California Los Angeles Medical Center, Torrance, California, USA.
Mariya I GonchevaDepartment of Microbiology and Immunology, University of Western Ontario, London, Ontario, Canada.
Ahmed M ElsayedThe Lundquist Institute for Biomedical Innovation, Harbor-University of California Los Angeles Medical Center, Torrance, California, USA.
Fengli ZhuThe Lundquist Institute for Biomedical Innovation, Harbor-University of California Los Angeles Medical Center, Torrance, California, USA.
Liang LiThe Lundquist Institute for Biomedical Innovation, Harbor-University of California Los Angeles Medical Center, Torrance, California, USA.
Wessam AbdelhadyThe Lundquist Institute for Biomedical Innovation, Harbor-University of California Los Angeles Medical Center, Torrance, California, USA.
Ronald S FlannaganDepartment of Microbiology and Immunology, University of Western Ontario, London, Ontario, Canada.
Michael R YeamanThe Lundquist Institute for Biomedical Innovation, Harbor-University of California Los Angeles Medical Center, Torrance, California, USA.
Arnold S BayerThe Lundquist Institute for Biomedical Innovation, Harbor-University of California Los Angeles Medical Center, Torrance, California, USA.
David E HeinrichsDepartment of Microbiology and Immunology, University of Western Ontario, London, Ontario, Canada.
Los Angeles Medical Center · USThe Lundquist Institute · USWestern University · CAUniversity of California, Los Angeles · US

Funding

The role of purine biosynthesis and stringent response in persistent MRSA endovascular infectionsR01AI139244 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI XIONG, YAN Q. · 2019 to 2023
$2.2M
CIHR PJT-168842NIAID NIH HHS R01 AI139244NIH HHS R01 AI139244
6 · The paper itself

Abstract

backgroundStaphylococcus aureus is the most common cause of life-threatening endovascular infections, including infective endocarditis (IE). These infections, especially when caused by methicillin-resistant strains (MRSA), feature limited therapeutic options and high morbidity and mortality rates.

methodsHerein, we investigated the role of the purine biosynthesis repressor, PurR, in virulence factor expression and vancomycin (VAN) treatment outcomes in experimental IE due to MRSA.

resultsThe PurR-mediated repression of purine biosynthesis was confirmed by enhanced purF expression and production of an intermediate purine metabolite in purR mutant strain. In addition, enhanced expression of the transcriptional regulators, sigB and sarA, and their key downstream virulence genes (eg, fnbA, and hla) was demonstrated in the purR mutant in vitro and within infected cardiac vegetations. Furthermore, purR deficiency enhanced fnbA/fnbB transcription, translating to increased fibronectin adhesion versus the wild type and purR-complemented strains. Notably, the purR mutant was refractory to significant reduction in target tissues MRSA burden following VAN treatment in the IE model.

conclusionsThese findings suggest that the purine biosynthetic pathway intersects the coordination of virulence factor expression and in vivo persistence during VAN treatment, and may represent an avenue for novel antimicrobial development targeting MRSA.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsEndocarditis, BacterialMethicillin-Resistant Staphylococcus aureusPurinesRepressor ProteinsStaphylococcal InfectionsVancomycinAnimalsDisease Models, AnimalGene Expression Regulation, BacterialHumansMiceMicrobial Sensitivity TestsVirulence FactorsAnti-Bacterial AgentsBacterial ProteinspurinePurinesPurR protein, BacteriaRepressor ProteinsVancomycinVirulence Factorsand endocarditisMRSApurine biosynthesisVAN persistence

Identifiers

PMID38297970
PMCPMC11175694
OpenAlexW4391445879

What OpenQuestion holds

Textmetadata
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.