Evidence map›Paper›PMID 39932323›Full record

ArticleMicrobiology spectrum2025

Mutations leading to ceftolozane/tazobactam and imipenem/cilastatin/relebactam resistance during

Glenn J Rapsinski, Alecia B Rokes, Daria Van Tyne, Vaughn S Cooper

Abstract read
In one paragraph

Article in Microbiology spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Specific variants inMicrobiology spectrum · 2025
    Article
  6. 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

4 authors.

Glenn J RapsinskiDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-4545-966X
Alecia B RokesDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Daria Van TyneDivision of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-7284-0103
Vaughn S CooperDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-7726-0765

Funding

Drug resistance enablers and their role in antibiotic treatment failureU19AI158076 · NIAID · BROAD INSTITUTE, INC. · PI VAN OPIJNEN, TIM · 2022 to 2025
$10.0M
Molecular Basis of Pediatric DiseaseK12HD052892 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TERENCE S. DERMODY · 2007 to 2026
$6.5M
Using strain history to improve prediction of the evolution of antimicrobial resistance in Acinetobacter baumanniiF31AI172279 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROKES, ALECIA BARBARA · 2023 to 2024
$97k
HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 5K12 HD052892-17HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) 1F31AI172279-01A1HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) 7U19AI158076-03NIAID NIH HHS F31 AI172279NIAID NIH HHS U19 AI158076NICHD NIH HHS K12 HD052892University of Pittsburgh School of Medicine Department of MedicineUPMC Children's Hospital of Pittsburgh CHP Scholars
6 · The paper itself

Abstract

Identifying resistance mechanisms to novel antimicrobials informs treatment strategies during infection and antimicrobial development. Studying resistance that develops during the treatment of an infection can provide the most clinically relevant mutations conferring resistance, but cross-sectional studies frequently identify multiple candidate resistance mutations without resolving the driver mutation. We performed whole-genome sequencing of longitudinal IMPORTANCE: Antibiotic resistance is a significant challenge for physicians trying to treat infections. The development of novel antibiotics to treat resistant infections has not been prioritized for decades, limiting treatment options for infections caused by many high-priority pathogens. Cross-resistance, when one mutation provides resistance to multiple antibiotics, is most problematic. Mutations that cause cross-resistance need to be considered when developing new antibiotics to guide developers toward drugs with different targets, and thus a better likelihood of efficacy. This work was undertaken to determine the mutation that caused resistance to three antibiotics for highly resistant

Indexed as

Anti-Bacterial AgentsDrug Resistance, Multiple, BacterialPseudomonas aeruginosaPseudomonas InfectionsAzabicyclo CompoundsBacterial ProteinsCeftazidimeCephalosporinsCilastatinCilastatin, Imipenem Drug CombinationDrug CombinationsHumansImipenemMicrobial Sensitivity TestsMutationTazobactamAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial ProteinsCeftazidimeceftolozane, tazobactam drug combinationCephalosporinsCilastatinCilastatin, Imipenem Drug CombinationDrug CombinationsImipenemrelebactamTazobactamantibiotic resistancedrug resistance evolutionPseudomonas aeruginosa

Identifiers

PMID39932323
PMCPMC11878083

What OpenQuestion holds

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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.