Evidence map›Paper›PMID 39001778›Full record

ArticleThe Journal of antimicrobial chemotherapy2024

Penicillin-binding protein 3 sequence variations reduce susceptibility of Pseudomonas aeruginosa to β-lactams but inhibit cell division.

Karl A Glen, Iain L Lamont

Abstract read
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Article in The Journal of antimicrobial chemotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
  8. First nationwide survey onAntimicrobial agents and chemotherapy · 2025
    Article
  9. Review
  10. A unified annotation scheme for class D β-lactamases.Antimicrobial agents and chemotherapy · 2025
    Article
  11. Specific variants inMicrobiology spectrum · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Resistance mechanisms and therapeutic strategies forTherapeutic advances in infectious disease
    Review
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

2 authors.

Karl A GlenDepartment of Biochemistry, University of Otago, PO Box 56, Dunedin 9054, New Zealand.ORCID 0000-0002-9370-3893
Iain L LamontDepartment of Biochemistry, University of Otago, PO Box 56, Dunedin 9054, New Zealand.ORCID 0000-0002-7601-6354

Funding

University of Otago
6 · The paper itself

Abstract

backgroundβ-lactam antibiotics, which inhibit penicillin-binding protein 3 (PBP3) that is required for cell division, play a key role in treating P. aeruginosa infections. Some sequence variations in PBP3 have been associated with β-lactam resistance but the effects of variations on antibiotic susceptibility and on cell division have not been quantified. Antibiotic efflux can also reduce susceptibility.

objectivesTo quantify the effects of PBP3 variations on β-lactam susceptibility and cell morphology in P. aeruginosa.

methodsNineteen PBP3 variants were expressed from a plasmid in the reference strain P. aeruginosa PAO1 and genome engineering was used to construct five mutants expressing PBP3 variants from the chromosome. The effects of the variations on β-lactam minimum inhibitory concentration (MIC) and cell morphology were measured.

resultsSome PBP3 variations reduced susceptibility to a variety of β-lactam antibiotics including meropenem, ceftazidime, cefepime and ticarcillin with different variations affecting different antibiotics. None of the tested variations reduced susceptibility to imipenem or piperacillin. Antibiotic susceptibility was further reduced when PBP3 variants were expressed in mutant bacteria overexpressing the MexAB-OprM efflux pump, with some variations conferring clinical levels of resistance. Some PBP3 variations, and sub-MIC levels of β-lactams, reduced bacterial growth rates and inhibited cell division, causing elongated cells.

conclusionsPBP3 variations in P. aeruginosa can increase the MIC of multiple β-lactam antibiotics, although not imipenem or piperacillin. PBP3 variations, or the presence of sub-lethal levels of β-lactams, result in elongated cells indicating that variations reduce the activity of PBP3 and may reduce bacterial fitness.

Indexed as

Anti-Bacterial Agentsbeta-LactamsCell DivisionMicrobial Sensitivity TestsPenicillin-Binding ProteinsPseudomonas aeruginosabeta-Lactam ResistanceGenetic VariationPlasmidsAnti-Bacterial Agentsbeta-LactamsPenicillin-Binding Proteins

Identifiers

PMID39001778
PMCPMC11368433

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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.