Evidence map›Paper›PMID 40118837›Full record

ArticleNature communications2025

Emergence and global spread of a dominant multidrug-resistant clade within Acinetobacter baumannii.

Shengkai Li, Guilai Jiang, Shengke Wang, Min Wang, Yilei Wu, Jinzhi Zhang, Xiao Liu, Ling Zhong, Min Zhou, Shichang Xie and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing 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

41 citing papers in PubMed.

  1. Global spread of carbapenem-resistantOne health (Amsterdam, Netherlands) · 2026
    Article
  2. Article
  3. Article
  4. ISmLife · 2026
    Article
  5. Article
  6. Molecular and Structural Insights ofAntibiotics (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Convergent evolution of ST2 and ST164 mediates dissemination of the blaAnnals of clinical microbiology and antimicrobials · 2026
    Article
  13. Comparative genomic analysis ofJAC-antimicrobial resistance · 2026
    Article
  14. Redefining Antimicrobial Resistance inInternational journal of molecular sciences · 2026
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

16 authors.

Shengkai Li *MOE Key Laboratory of Geriatric Diseases and Immunology, Cancer Institute, Suzhou Medical College, Soochow University, Suzhou, China.ORCID http://orcid.org/0000-0002-7865-697X
Guilai Jiang *MOE Key Laboratory of Geriatric Diseases and Immunology, Cancer Institute, Suzhou Medical College, Soochow University, Suzhou, China.ORCID http://orcid.org/0009-0000-5441-9438
Shengke Wang *Key Laboratory of Laboratory Medicine, Ministry of Education, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China.
Min Wang *Department of Clinical Laboratory, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Yilei Wu *MOE Key Laboratory of Geriatric Diseases and Immunology, Cancer Institute, Suzhou Medical College, Soochow University, Suzhou, China.
Jinzhi ZhangDepartment of Critical Care Medicine, Zhejiang Provincial People's Hospital, Hangzhou, China.
Xiao LiuMOE Key Laboratory of Geriatric Diseases and Immunology, Cancer Institute, Suzhou Medical College, Soochow University, Suzhou, China.
Ling ZhongMOE Key Laboratory of Geriatric Diseases and Immunology, Cancer Institute, Suzhou Medical College, Soochow University, Suzhou, China.
Min ZhouDepartment of Immunology and Microbiology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-8718-8506
Shichang XieMOE Key Laboratory of Geriatric Diseases and Immunology, Cancer Institute, Suzhou Medical College, Soochow University, Suzhou, China.ORCID http://orcid.org/0009-0004-8319-7191
Yi RenIotabiome Biotechnology Inc., Suzhou, China.ORCID http://orcid.org/0000-0002-9170-8113
Ping HeDepartment of Immunology and Microbiology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-8005-8119
Yongliang LouKey Laboratory of Laboratory Medicine, Ministry of Education, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China. lyl@wmu.edu.cn.ORCID http://orcid.org/0000-0003-4198-0001
Heng LiMOE Key Laboratory of Geriatric Diseases and Immunology, Cancer Institute, Suzhou Medical College, Soochow University, Suzhou, China. hli@suda.edu.cn.ORCID http://orcid.org/0000-0003-1449-6003
Jimei DuKey Laboratory of Laboratory Medicine, Ministry of Education, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China. djm@wmu.edu.cn.ORCID http://orcid.org/0000-0002-6553-210X
Zhemin ZhouMOE Key Laboratory of Geriatric Diseases and Immunology, Cancer Institute, Suzhou Medical College, Soochow University, Suzhou, China. zmzhou@suda.edu.cn.ORCID http://orcid.org/0000-0001-9783-0366

Funding

Advanced Talents Foundation of Jiangsu University | Senior Talent Foundation of Jiangsu University (Jiangsu University Senior Talent Foundation) NCTIB2024JS0101National Natural Science Foundation of China (National Science Foundation of China) 32170003, 32370099National Natural Science Foundation of China (National Science Foundation of China) 82202465Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation) BK20211311Suzhou Municipal Science and Technology Bureau (Bureau of Science and Technology of Suzhou Municipality) SKY2021013
6 · The paper itself

Abstract

The proliferation of multi-drug resistant (MDR) bacteria is driven by the global spread of epidemic lineages that accumulate antimicrobial resistance genes (ARGs). Acinetobacter baumannii, a leading cause of nosocomial infections, displays resistance to most frontline antimicrobials and represents a significant challenge to public health. In this study, we conduct a comprehensive genomic analysis of over 15,000 A. baumannii genomes to identify a predominant epidemic super-lineage (ESL) accounting for approximately 70% of global isolates. Through hierarchical classification of the ESL into distinct lineages, clusters, and clades, we identified a stepwise evolutionary trajectory responsible for the worldwide expansion and transmission of A. baumannii over the last eight decades. We observed the rise and global spread of a previously unrecognized Clade 2.5.6, which emerged in East Asia in 2006. The epidemic of the clade is linked to the ongoing acquisition of ARGs and virulence factors facilitated by genetic recombination. Our results highlight the necessity for One Health-oriented research and interventions to address the spread of this MDR pathogen.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsDrug Resistance, Multiple, BacterialAnti-Bacterial AgentsCross InfectionGenome, BacterialHumansMicrobial Sensitivity TestsPhylogenyVirulence FactorsAnti-Bacterial AgentsVirulence Factors

Identifiers

PMID40118837
PMCPMC11928498

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.