Evidence map›Paper›PMID 40444324›Full record

ArticleThe Journal of infectious diseases2025

Functional Genomics of Antibiotic Susceptibility in Enterococcus faecalis From Infective Endocarditis.

Yanhong Li, Madison E Stellfox, Kirsten M Evans, Emma G Mills, Kevin M Squires, Ava J Dorazio, Ryan K Shields, Daria Van Tyne

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Yanhong LiDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Madison E StellfoxDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-1478-5190
Kirsten M EvansDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0009-0002-5103-3438
Emma G MillsDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Kevin M SquiresDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Ava J DorazioDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0009-0007-8148-8835
Ryan K ShieldsDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Daria Van TyneDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-7284-0103

Funding

Genetic and phenotypic adaptations of vancomycin-resistant Enterococcus faecium during recurrent bloodstream infectionK08AI185312 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Madison Elaine Stellfox · 2024 to 2026
$513k
Deciphering the genetic basis of differential antibiotic efficacy in Enterococcus faecalis endocarditisR21AI164018 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VAN TYNE, DARIA N · 2022 to 2023
$436k
Department of Medicine at the University of Pittsburgh School of MedicineNIAID NIH HHS K08 AI185312NIAID NIH HHS R21 AI164018NIH HHS R21AI164018Pitt-Tsinghua Partnership Program
6 · The paper itself

Abstract

Enterococcus faecalis is an opportunistic pathogen that causes infective endocarditis. Despite in vitro synergy of the recommended combination ampicillin-ceftriaxone (AC), E faecalis infective endocarditis (EFIE) mortality remains high. We characterized 119 isolates from patients with EFIE in our health system from 2018 to 2023 genomically and phenotypically. Three genetic lineages (ST6, ST40, and ST179) accounted for 41% of all infections. ST6 isolates were less susceptible to ceftriaxone and AC in dual-antibiotic checkerboard assays, but also exhibited decreased survival in dual-antibiotic killing assays using humanized AC exposures. ST6 isolates encoded a known genetic disruption affecting pbp4 as well as mutation of a putative hydrolase called phnP. Functional studies confirmed that both alterations contributed to altered AC susceptibility. Finally, we found that ampicillin plus daptomycin showed robust growth inhibition and killing against EFIE isolates with decreased AC susceptibility. These findings enhance our understanding of EFIE and may guide better therapeutic strategies.

Indexed as

Anti-Bacterial AgentsEndocarditisEndocarditis, BacterialEnterococcus faecalisGram-Positive Bacterial InfectionsAmpicillinCeftriaxoneDaptomycinGenomicsHumansMaleMicrobial Sensitivity TestsAmpicillinAnti-Bacterial AgentsCeftriaxoneDaptomycinantibiotic resistanceceftriaxoneendocarditisEnterococcus faecalisphnP

Identifiers

PMID40444324
PMCPMC12318496

What OpenQuestion holds

Textmetadata
LicenceTDM
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.