Evidence map›Paper›PMID 39393813›Full record

ArticleThe Journal of infectious diseases2025

ICESp1109, a Novel Hybrid Integrative Conjugative Element of Macrolide-Resistant Streptococcus pyogenes Serotype M77 Collected Between 2003 and 2017 in Poland.

Jan Gawor, Karolina Żuchniewicz, Matthew Ojeda Saavedra, Stephen B Beres, Marlena Kiedrowska, Izabela Wróbel-Pawelczyk, Aleksandra Kozińska, Robert Gromadka, James M Musser, Izabela Sitkiewicz and 1 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Characterization of a novel composite ICE inFrontiers in microbiology · 2026
    Article
  2. Increase of macrolide resistance amongAntimicrobial agents and chemotherapy · 2025
    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

11 authors.

Jan GaworInstitute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland.ORCID 0000-0003-3800-2557
Karolina ŻuchniewiczInstitute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland.ORCID 0000-0002-7097-4025
Matthew Ojeda SaavedraLaboratory of Molecular and Translational Human Infectious Disease Research, Center for Infectious Diseases, Department of Pathology and Genomic Medicine, Houston Methodist Research Institute and Houston Methodist Hospital, Houston, Texas, USA.ORCID 0000-0002-2044-4560
Stephen B BeresLaboratory of Molecular and Translational Human Infectious Disease Research, Center for Infectious Diseases, Department of Pathology and Genomic Medicine, Houston Methodist Research Institute and Houston Methodist Hospital, Houston, Texas, USA.ORCID 0000-0003-3041-0185
Marlena KiedrowskaDepartment of Epidemiology and Clinical Microbiology, National Institute of Medicines.ORCID 0000-0003-2318-3375
Izabela Wróbel-PawelczykDepartment of Epidemiology and Clinical Microbiology, National Institute of Medicines.ORCID 0000-0002-4726-5984
Aleksandra KozińskaDepartment of Epidemiology and Clinical Microbiology, National Institute of Medicines.ORCID 0000-0001-6949-4860
Robert GromadkaInstitute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland.ORCID 0000-0002-9941-6692
James M MusserLaboratory of Molecular and Translational Human Infectious Disease Research, Center for Infectious Diseases, Department of Pathology and Genomic Medicine, Houston Methodist Research Institute and Houston Methodist Hospital, Houston, Texas, USA.ORCID 0000-0002-7765-4956
Izabela SitkiewiczDepartment of Biochemistry and Microbiology, Warsaw University of Life Sciences, Warsaw, Poland.ORCID 0000-0001-8228-9917
Izabela Kern-ZdanowiczInstitute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland.ORCID 0000-0002-3452-8167

Funding

National Science Center 2017/27/B/NZ7/00040)
6 · The paper itself

Abstract

backgroundThe antibiotic resistance determinants and associated mobile genetic elements (MGEs) were detected among Streptococcus pyogenes (group A streptococci [GAS]) clinical isolates of an M77 serotype collected in Poland between 2003 and 2017.

methodsThe genomes of 136 M77 GAS isolates were sequenced using short- and selected with long-read approach; whole genome sequences were analyzed to determine the genetic context of macrolide resistance determinants.

resultsThe analysed strains were collected from in- and outpatients. Sequencing data analysis revealed that all strains carried the tet(O) gene. They were classified as a single sequence type, ST63. The unique erythromycin-resistance determinant, the erm(TR), was detected in 76.5% (n = 104) of isolates. It was found predominantly (n = 74) within a novel hybrid integrative conjugative element composed of the ICESp1108-like sequence and ICESp2906 variant, which was then named ICESp1109. However, in strains isolated before 2008, erm(TR) was located within ICESp2905 (n = 27) and in 3 strains - within stand-alone ICESp1108-like sequences.

conclusionsBased on phylogenetic analysis results, the clonal dissemination of the macrolide-resistant S. pyogenes M77/ST63 strain with hybrid ICESp1109 was observed between 2008 and 2017. ICESp1109 is the novel hybrid ICE in gram-positive bacteria.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialInterspersed Repetitive SequencesMacrolidesStreptococcal InfectionsStreptococcus pyogenesAdultChildChild, PreschoolConjugation, GeneticFemaleGenome, BacterialHumansMaleMicrobial Sensitivity TestsMiddle AgedAnti-Bacterial AgentsMacrolidesgenome sequencingintegrative conjugative elementM77/ST63macrolide resistanceStreptococcus pyogenes

Identifiers

PMID39393813
PMCPMC11911784

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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.