Evidence map›Paper›PMID 40287593›Full record

Articlenpj antimicrobials and resistance2025

Emergence of transferable daptomycin resistance in Gram-positive bacteria.

Tessa Marciniak, Lukas Kirchner, Silver A Wolf, Birgit Walther, Thorsten Bischler, Justin Nyasinga, Revathi Gunturu, Torsten Semmler, Tom Gräfenhan, Andrew Whitelaw and 3 more

Abstract read
In one paragraph

Article in npj antimicrobials and resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Emergence of vancomycin-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  5. 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

13 authors.

Tessa Marciniak *Institute of Molecular Infection Biology, University of Wurzburg, Wurzburg, Germany.
Lukas Kirchner *Institute for Pharmacy and Food Chemistry, University of Wurzburg, Wurzburg, Germany.
Silver A WolfGenome Competence Centre (MF1), Robert Koch Institute, Berlin, Germany.
Birgit WaltherMicrobiological Risks (II 1.4), German Environment Agency, Berlin, Germany.
Thorsten BischlerCore Unit Systems Medicine, University of Wurzburg, Wurzburg, Germany.
Justin NyasingaThe Aga Khan University Hospital, Nairobi, Kenya.
Revathi GunturuThe Aga Khan University Hospital, Nairobi, Kenya.
Torsten SemmlerGenome Competence Centre (MF1), Robert Koch Institute, Berlin, Germany.
Tom GräfenhanCore Unit Systems Medicine, University of Wurzburg, Wurzburg, Germany.
Andrew WhitelawDivision of Medical Microbiology, Stellenbosch University, Cape Town and National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa.
Oliver Scherf-ClavelDepartment of Pharmacy, Clinical Pharmacy and Pharmacotherapy, Ludwig-Maximilians-University, Munich, Germany.
Ulrike HolzgrabeInstitute for Pharmacy and Food Chemistry, University of Wurzburg, Wurzburg, Germany.
Wilma ZiebuhrInstitute of Molecular Infection Biology, University of Wurzburg, Wurzburg, Germany. wilma.ziebuhr@uni-wuerzburg.de.

Funding

Bundesministerium für Bildung und Forschung 01KI2009EBundesministerium für Bildung und Forschung 01KI2009FDeutsche Forschungsgemeinschaft ZI665/3-2
6 · The paper itself

Abstract

Daptomycin (DAP) is a last-resort antibiotic to treat infections by multiresistant Gram-positive pathogens, including methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci. DAP resistance and clinical treatment failure has been associated with adaptive chromosomal mutations, but so far not with transmissible resistance traits. Here we report for the first time an acquired DAP-R determinant (named drc) that we detected in a livestock-associated Mammaliicoccus sciuri isolate. drc consists of a two-gene operon (drcAB) that is controlled by an adjacent two-component system (drcRS). The DrcAB proteins, which mediate DAP inactivation, are similar to BceAB-like antimicrobial peptide transporters of Gram-positives, but are distinct from currently known systems. The mobile drc locus is functional in various bacterial backgrounds, including MRSA. It circulates primarily among Gram-positives in the environment, but also in commensal staphylococci and enterococci, suggesting a risk of transmission into pathogens and emphasizing the importance of low and apathogenic microorganisms as resistance gene reservoirs.

Identifiers

PMID40287593
PMCPMC12033364

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.