Evidence map›Paper›PMID 38978096›Full record

ArticleAnnals of clinical microbiology and antimicrobials2024

Fitness costs of Tn1546-type transposons harboring the vanA operon by plasmid type and structural diversity in Enterococcus faecium.

Dokyun Kim, Da Young Kang, Min Hyuk Choi, Jun Sung Hong, Hyun Soo Kim, Young Ree Kim, Young Ah Kim, Young Uh, Kyeong Seob Shin, Jeong Hwan Shin and 3 more

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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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

8 citing papers in PubMed.

  1. Pairwise Growth Dynamics of EnvironmentalAntibiotics (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Article
  4. Methicillin-ResistantMicroorganisms · 2026
    Review
  5. Article
  6. Genomic Epidemiology of Vancomycin-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  7. Article
  8. 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

13 authors.

Dokyun KimDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Gangnam Severance Hospita, l, Yonsei University College of Medicine, 211 Eonju-Ro, Gangnam-Gu, Seoul, 06273, South Korea.
Da Young KangDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Gangnam Severance Hospita, l, Yonsei University College of Medicine, 211 Eonju-Ro, Gangnam-Gu, Seoul, 06273, South Korea.
Min Hyuk ChoiDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Gangnam Severance Hospita, l, Yonsei University College of Medicine, 211 Eonju-Ro, Gangnam-Gu, Seoul, 06273, South Korea.
Jun Sung HongDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Gangnam Severance Hospita, l, Yonsei University College of Medicine, 211 Eonju-Ro, Gangnam-Gu, Seoul, 06273, South Korea.
Hyun Soo KimDepartment of Laboratory Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, South Korea.
Young Ree KimDepartment of Laboratory Medicine, Jeju National University College of Medicine, Jeju, South Korea.
Young Ah KimDepartment of Laboratory Medicine, National Health Insurance Service, Ilsan Hospital, Goyang, South Korea.
Young UhDepartment of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, South Korea.
Kyeong Seob ShinDepartment of Laboratory Medicine, Chungbuk National University College of Medicine, Cheongju, South Korea.
Jeong Hwan ShinDepartment of Laboratory Medicine and Paik Institute for Clinical Research, Inje University College of Medicine, Busan, South Korea.
Soo Hyun KimDepartment of Laboratory Medicine, Chonnam National University Medical School, Gwangju, South Korea.
Jong Hee ShinDepartment of Laboratory Medicine, Chonnam National University Medical School, Gwangju, South Korea.
Seok Hoon JeongDepartment of Laboratory Medicine and Research Institute of Bacterial Resistance, Gangnam Severance Hospita, l, Yonsei University College of Medicine, 211 Eonju-Ro, Gangnam-Gu, Seoul, 06273, South Korea. kscpjsh@yuhs.ac.

Funding

Korea Disease Control and Prevention Agency 2017E4400102Korea Disease Control and Prevention Agency 2023-10-001Korea Disease Control and Prevention Agency 2023-10-002
6 · The paper itself

Abstract

backgroundThis study analyzed the genetic traits and fitness costs of vancomycin-resistant Enterococcus faecium (VREfm) blood isolates carrying Tn1546-type transposons harboring the vanA operon.

methodsAll E. faecium blood isolates were collected from eight general hospitals in South Korea during one-year study period. Antimicrobial susceptibility testing and vanA and vanB PCR were performed. Growth rates of E. faecium isolates were determined. The vanA-positive isolates were subjected to whole genome sequencing and conjugation experiments.

resultsAmong 308 E. faecium isolates, 132 (42.9%) were positive for vanA. All Tn1546-type transposons harboring the vanA operon located on the plasmids, but on the chromosome in seven isolates. The plasmids harboring the vanA operon were grouped into four types; two types of circular, nonconjugative plasmids (Type A, n = 50; Type B, n = 46), and two types of putative linear, conjugative plasmids (Type C, n = 16; Type D, n = 5). Growth rates of vanA-positive E. faecium isolates were significantly lower than those of vanA-negative isolates (P < 0.001), and reduction in growth rate under vancomycin pressure was significantly larger in isolates harboring putative linear plasmids than in those harboring circular plasmids (P = 0.020).

conclusionsThe possession of vanA operon was costly to bacterial hosts in antimicrobial-free environment, which provide evidence for the importance of reducing vancomycin pressure for prevention of VREfm dissemination. Fitness burden to bacterial hosts was varied by type and size of the vanA operon-harboring plasmid.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsCarbon-Oxygen LigasesDNA Transposable ElementsEnterococcus faeciumMicrobial Sensitivity TestsOperonPlasmidsConjugation, GeneticGenetic FitnessGram-Positive Bacterial InfectionsHumansRepublic of KoreaVancomycinVancomycin ResistanceVancomycin-Resistant EnterococciAnti-Bacterial AgentsBacterial ProteinsCarbon-Oxygen LigasesDNA Transposable ElementsVanA ligase, BacteriaVancomycinEnterococcus faeciumFitness costTeicoplaninTn1546Vancomycin

Identifiers

PMID38978096
PMCPMC11229256

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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.