Evidence map›Paper›PMID 40589903›Full record

ArticleERJ open research2025

Predicting rifampicin resistance in

Charlotte I Lynch, Dylan Adlard, Philip W Fowler

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Subpopulations in clinical samples ofJAC-antimicrobial resistance · 2025
    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

3 authors.

Charlotte I LynchNuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0001-6619-6331
Dylan AdlardNuffield Department of Medicine, University of Oxford, Oxford, UK.
Philip W FowlerNuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0003-0912-4483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rifampicin remains a key antibiotic in the treatment of tuberculosis. Despite advances in cataloguing resistance-associated variants (RAVs), novel and rare mutations in the relevant gene, Methods: We built a Test+Train dataset comprising 219 susceptible mutations and 46 RAVs. Features derived from the structure of the RNA polymerase or the change in chemistry introduced by the mutation were considered; however, only a few, notably the distance from the rifampicin binding site, were found to be predictive on their own. Owing to the paucity of RAVs we used Monte Carlo cross-validation with 50 repeats to train four different machine learning models. Results: All four models behaved similarly with sensitivities and specificities in the range 0.84-0.88 and 0.94-0.97, although we preferred the ensemble of decision tree models as they are easy to inspect and understand. We showed that measuring distances from molecular dynamics simulations did not improve performance. Conclusions: It is possible to predict whether a mutation in

Identifiers

PMID40589903
PMCPMC12208608

What OpenQuestion holds

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LicenceCC BY
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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.