Evidence map›Paper›PMID 40176174›Full record

ReviewTropical medicine and health2025

Reinvigorating AMR resilience: leveraging CRISPR-Cas technology potentials to combat the 2024 WHO bacterial priority pathogens for enhanced global health security-a systematic review.

Olalekan John Okesanya, Mohamed Mustaf Ahmed, Jerico Bautista Ogaya, Blessing Olawunmi Amisu, Bonaventure Michael Ukoaka, Olaniyi Abideen Adigun, Emery Manirambona, Olakulehin Adebusuyi, Zhinya Kawa Othman, Olanegan Gloria Oluwakemi and 9 more

Abstract readReview
In one paragraph

Review in Tropical medicine and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  7. Synthesis, characterization, andFrontiers in chemistry · 2026
    Article
  8. Review
  9. Review
  10. Article
  11. The extended mobility of plasmids.Nucleic acids research · 2025
    Review
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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

19 authors.

Olalekan John OkesanyaDepartment of Public Health and Maritime Transport, University of Thessaly, Volos, Greece.ORCID http://orcid.org/0000-0002-3809-4271
Mohamed Mustaf AhmedFaculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia. momustafahmed@simad.edu.so.ORCID http://orcid.org/0009-0006-5991-4052
Jerico Bautista OgayaDepartment of Medical Technology, Institute of Health Sciences and Nursing, Far Eastern University, Manila, Philippines.ORCID http://orcid.org/0009-0005-3595-8643
Blessing Olawunmi AmisuDepartment of Medical Laboratory Services, State Hospital, Ede, Osun State, Nigeria.ORCID http://orcid.org/0000-0002-6647-5696
Bonaventure Michael UkoakaCommunity and Clinical Research Division, First On-Call Initiative, Port Harcourt, Nigeria.ORCID http://orcid.org/0009-0000-9367-2612
Olaniyi Abideen AdigunDepartment of Medical Laboratory Science, Nigerian Defence Academy, Kaduna, Nigeria.ORCID http://orcid.org/0000-0002-2375-6375
Emery ManirambonaCollege of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.ORCID http://orcid.org/0000-0002-0579-3607
Olakulehin AdebusuyiFaculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.ORCID http://orcid.org/0000-0001-9282-432X
Zhinya Kawa OthmanDepartment of Pharmacy, Kurdistan Technical Institute, Sulaimani, Kurdistan Region, Iraq.ORCID http://orcid.org/0009-0008-3914-0867
Olanegan Gloria OluwakemiDepartment of Pharmacy, University of Ilorin, Ilorin, Nigeria.ORCID http://orcid.org/0009-0004-3997-4360
Oluwaseunayo Deborah AyandoDepartment of Public Health, Kwara State University, Malete, Nigeria.ORCID http://orcid.org/0000-0002-6996-281X
Maria Ivy Rochelle S TanDepartment of Nursing, University of the Philippines School of Health Sciences, Manila, Philippines.ORCID http://orcid.org/0000-0003-4057-161X
Nimat Bola IdrisDepartment of Public Health, Al-Hikmah University, Ilorin, Nigeria.ORCID http://orcid.org/0009-0007-5237-4249
Hassan Hakeem KayodeDepartment of Medical Laboratory Science, Oyo State Hospital Management Board, Oyo, Nigeria.ORCID http://orcid.org/0000-0002-8508-3006
Tolutope Adebimpe OsoDepartment of Medical Laboratory Science, Neuropsychiatric Hospital, Aro, Abeokuta, Ogun State, Nigeria.ORCID http://orcid.org/0000-0003-3587-9767
Musa AhmedDepartment of Medical Laboratory Science, Federal Teaching Hospital, Ido-Ekiti, Nigeria.ORCID http://orcid.org/0009-0009-8013-3244
M B N KouwenhovenDepartment of Physics, Xi'an Jiaotong-Liverpool University, Suzhou, China.ORCID http://orcid.org/0000-0002-1805-0570
Adamu Muhammad IbrahimDepartment of Immunology, School of Medical Laboratory Science, Usmanu Danfodiyo University, Sokoto, Nigeria.ORCID http://orcid.org/0000-0003-3657-7541
Don Eliseo Lucero-PrisnoDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-2179-6365

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobial resistance (AMR) poses a global health threat, particularly in low- and middle-income countries (LMICs). Clustered regularly interspaced short palindromic repeats (CRISPR)-Cas system technology offers a promising tool to combat AMR by targeting and disabling resistance genes in WHO bacterial priority pathogens. Thus, we systematically reviewed the potential of CRISPR-Cas technology to address AMR.

methodsThis systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was conducted using the Scopus and PubMed databases, focusing on publications from 2014 to June 2024. Keywords included "CRISPR/Cas," "antimicrobial resistance," and "pathogen." The eligibility criteria required original studies involving CRISPR/Cas systems that targeted AMR. Data were extracted from eligible studies, qualitatively synthesized, and assessed for bias using the Joanna Briggs Institute (JBI)-standardized tool.

resultsData from 48 eligible studies revealed diverse CRISPR-Cas systems, including CRISPR-Cas9, CRISPR-Cas12a, and CRISPR-Cas3, targeting various AMR genes, such as blaOXA-232, blaNDM, blaCTX-M, ermB, vanA, mecA, fosA3, blaKPC, and mcr-1, which are responsible for carbapenem, cephalosporin, methicillin, macrolide, vancomycin, colistin, and fosfomycin resistance. Some studies have explored the role of CRISPR in virulence gene suppression, including enterotoxin genes, tsst1, and iutA in Staphylococcus aureus and Klebsiella pneumoniae. Delivery mechanisms include bacteriophages, nanoparticles, electro-transformation, and conjugative plasmids, which demonstrate high efficiency in vitro and in vivo. CRISPR-based diagnostic applications have demonstrated high sensitivity and specificity, with detection limits as low as 2.7 × 10

conclusionsCRISPR-Cas technology has the potential to address AMR across priority WHO pathogens. While promising, challenges in optimizing in vivo delivery, mitigating potential resistance, and navigating ethical-regulatory barriers must be addressed to facilitate clinical translation.

Indexed as

Antimicrobial resistanceCRISPR–Cas technologyDelivery mechanismsDiagnostic applicationsGlobal health securityWHO bacterial priority pathogens

Identifiers

PMID40176174
PMCPMC11963374

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.