Evidence map›Paper›PMID 39333122›Full record

ArticleNature communications2024

Private benefit of β-lactamase dictates selection dynamics of combination antibiotic treatment.

Helena R Ma, Helen Z Xu, Kyeri Kim, Deverick J Anderson, Lingchong You

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. How social is social resistance?Essays in biochemistry · 2026
    Review
  2. Article
  3. Contributions of intra- and extracellular antibiotic degradation to collective [Formula: see text]-lactam survival.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. A foundation model for microbial growth dynamics.bioRxiv : the preprint server for biology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

5 authors.

Helena R MaDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.ORCID 0000-0003-3659-7948
Helen Z XuDepartment of Biology, Duke University, Durham, NC, USA.ORCID 0009-0001-5766-9130
Kyeri KimDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.ORCID 0000-0003-1503-9090
Deverick J AndersonDivision of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Lingchong YouDepartment of Biomedical Engineering, Duke University, Durham, NC, USA. you@duke.edu.ORCID 0000-0003-3725-4007

Funding

Post-antibiotic effect and design of optimal antibiotic dosing protocolsR01GM098642 · NIGMS · DUKE UNIVERSITY · PI YOU, LINGCHONG · 2011 to 2025
$3.6M
Tradeoffs between fitness costs and transfer rates in horizontal gene transferR01AI125604 · NIAID · DUKE UNIVERSITY · PI LINGCHONG YOU · 2017 to 2026
$3.3M
Targeted control of self-transmissible plasmids by using engineered interfering plasmidsR01EB031869 · NIBIB · DUKE UNIVERSITY · PI YOU, LINGCHONG · 2021 to 2024
$1.5M
National Science Foundation (NSF) DGE 1644868NIAID NIH HHS R01 AI125604NIBIB NIH HHS R01 EB031869NIGMS NIH HHS R01 GM098642United States - Israel Binational Science Foundation (BSF) 2021192U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AI125604U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01EB031869U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01GM098642
6 · The paper itself

Abstract

β-lactam antibiotics have been prescribed for most bacterial infections since their discovery. However, resistance to β-lactams, mediated by β-lactamase (Bla) enzymes such as extended spectrum β-lactamases (ESBLs), has become widespread. Bla inhibitors can restore the efficacy of β-lactams against resistant bacteria, an approach which preserves existing antibiotics despite declining industry investment. However, the effects of combination treatment on selection for β-lactam resistance are not well understood. Bla production confers both private benefits for resistant cells and public benefits which faster-growing sensitive cells can also exploit. These benefits may be differentially impacted by Bla inhibitors, leading to non-intuitive selection dynamics. In this study, we demonstrate strain-to-strain variation in effective combination doses, with complex growth dynamics in mixed populations. Using modeling, we derive a criterion for the selection outcome of combination treatment, dependent on the burden and effective private benefit of Bla production. We then use engineered strains and natural isolates to show that strong private benefits of Bla are associated with increased selection for resistance. Finally, we demonstrate that this parameter can be coarsely estimated using high-throughput phenotyping of clonal populations. Our analysis shows that quantifying the phenotypic responses of bacteria to combination treatment can facilitate resistance-minimizing optimization of treatment.

Indexed as

Anti-Bacterial Agentsbeta-Lactamasesbeta-Lactamase Inhibitorsbeta-Lactam Resistancebeta-LactamsDrug Therapy, CombinationEscherichia coliHumansMicrobial Sensitivity TestsSelection, GeneticAnti-Bacterial Agentsbeta-Lactamase Inhibitorsbeta-Lactamasesbeta-Lactams

Identifiers

PMID39333122
PMCPMC11436977

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Registered trials

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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.