Evidence map›Paper›PMID 40824964›Full record

ArticlePloS one2025

Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.

Markus H K Johansson, Thomas N Petersen, Sidsel Nag, Timmie M R Lagermann, Laura E K Birkedahl, Silva Tafaj, Susan Bradbury, Peter Collignon, Denise Daley, Victorien Dougnon and 64 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  3. Review
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  6. Review
  7. Article
  8. High clonal diversity, resistome, and virulome ofFrontiers in microbiology · 2026
    Article
  9. Article
  10. Article
  11. Comparative Analyses Suggest Genome Stability and Plasticity inInternational journal of molecular sciences · 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

74 authors.

Markus H K JohanssonNational Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.ORCID https://orcid.org/0000-0001-8485-9143
Thomas N PetersenNational Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Sidsel NagNational Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Timmie M R LagermannNational Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Laura E K BirkedahlNational Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Silva TafajMicrobiology Department, University Hospital "Shefqet Ndroqi", Tirana, Albania.ORCID https://orcid.org/0000-0003-3777-0095
Susan BradburyMicrobiology Department, Canberra Hospital, Garran, Australian Capital Territory, Australia.
Peter CollignonMicrobiology Department, Canberra Hospital, Garran, Australian Capital Territory, Australia.
Denise DaleyDepartment of Microbiology, PathWest Laboratory Medicine, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.
Victorien DougnonResearch Unit in Applied Microbiology and Pharmacology of Natural Substances, Polytechnic School of Abomey-Calavi, University of Abomey-Calavi, Abomey-Calavi, Cotonou, Benin.
Kafayath FabiyiResearch Unit in Applied Microbiology and Pharmacology of Natural Substances, Polytechnic School of Abomey-Calavi, University of Abomey-Calavi, Abomey-Calavi, Cotonou, Benin.
Boubacar CoulibalyDepartment of Laboratory, Nouna Health Research Centre, Nouna, Burkina Faso.
Réné DembéléTraining and Research Unit in Applied Sciences and Technologies/Biochemistry-microbiology, University of Dedougou, Dedougou, Boucle du Mouhon, Burkina Faso.ORCID https://orcid.org/0000-0002-9282-8555
Natama MagloireClinical Research Unit of Nanoro, National Institutes of Medical Research, Ouagadougou, Burkina Faso.
Isidore J OuindguetaUniversity of Joseph KI-ZERBO, Ouagadouogou, Burkina Faso.
Zenat Z HossainDepartment of Microbiology, University of Dhaka, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0002-6238-0323
Anowara BegoumDepartment of Microbiology, University of Dhaka, Dhaka, Bangladesh.
Deyan DonchevClinical Laboratory of Microbiology and Virology, University Hospital "Lozenetz", Sofia, Bulgaria.ORCID https://orcid.org/0000-0001-7447-7627
Mathew DiggleAlberta Precision Laboratories, Alberta, Canada.ORCID https://orcid.org/0000-0001-5773-0686
LeeAnn TurnbullAlberta Precision Laboratories, Alberta, Canada.
Simon LévesqueService de Microbiologie, Centre Integré Universitaire de Santé et de services sociaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.ORCID https://orcid.org/0000-0002-4356-9702
Livia BerlingerBioanalytica AG, Luzern, Switzerland.
Kirstine K SøgaardDivision of Clinical Bacteriology and Mycology, University Hospital Basel, Basel, Switzerland.
Paula D GuevaraMicrobiology Group, Instituto Nacional de Salud, Bogotá, Colombia.ORCID https://orcid.org/0000-0002-8252-5622
Carolina DuarteMicrobiology Group, Instituto Nacional de Salud, Bogotá, Colombia.
Panagiota MaikantiCharalampous, Microbiology Department, National Reference Laboratory for Antimicrobial Resistance Surveillance, Nicosia General Hospital, Strovolos, Nicosia, Cyprus.
Jana AmlerovaDepartment of Microbiology, University Hospital in Plzen, Plzen, Czech Republic.
Pavel DrevinekDepartment of Medical Microbiology, Motol University Hospital, Prague, Czech Republic.ORCID https://orcid.org/0000-0002-8994-5240
Jan TkadlecDepartment of Medical Microbiology, Motol University Hospital, Prague, Czech Republic.
Milica DilasOtto-von-Guericke University, Magdebourg, Germany.
Achim KaaschOtto-von-Guericke University, Magdebourg, Germany.ORCID https://orcid.org/0000-0002-6659-6738
Henrik T WesthKlinisk Mikrobiologisk Afdeling, Hvidovre Hospital, Hvidovre, Denmark.
Mohamed A BachtarziLaboratoire de Microbiologie Clinique, Centre Hospitalo-universitaire, Algiers, Algeria.
Wahiba AmhisLaboratoire de Microbiologie Clinique, Centre Hospitalo-universitaire, Algiers, Algeria.
Carolina E S SalazarNational Reference Center for Antimicrobial Resistance, National Institute of Public Health research "Dr. Leopoldo Izquieta Pérez", Quito, Pichicha, Ecuador.
José E VillacisCentro de Investigación para la Salud en América Latina (CISeAL), Pontificia Universidad Católica del Ecuador, Quinto, Pichincha, Ecuador.
Mária A D LúzonDepartment of Pathology and Experimental Therapy, Universitat de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0003-3107-9586
Dàmaris B PalauMicrobiology Department, Hospital de Bellvitge, Barcelona, Spain.ORCID https://orcid.org/0000-0002-3689-3360
Claire DuployezInstitute of Microbiology, Centre Hospitalier Universitaire de Lille, Lille, France.
Maxime PalucheBacteriology laboratory, Centre hospitalier de Valenciennes, Valenciennes, France.ORCID https://orcid.org/0000-0003-1976-4660
Solomon Asante-SefaSekondi Public Health Laboratory, Ghana Health Service, Effia Nkwanta Regional Hospital, Effia Nkwanta Regional Hospital, Ghana.ORCID https://orcid.org/0000-0002-8383-4910
Mie MøllerDronning Ingrids Hospital, Nuuk, Greenland.
Margaret IpChinese University of Hong Kong, Shatin, Hong Kong.ORCID https://orcid.org/0000-0003-1291-6537
Ivana MarekovićDepartment of Clinical and Molecular Microbiology, University Hospital Centre Zagreb, Zagreb, Croatia.
Agnes Pál-SonnevendMedical Microbiology and Immunology, University of Pecs Medical School, Pecs, Hungary.
Clementiza E CocuzzaDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Asta DambrauskieneLaboratory Medicine Department, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania.
Alexandre MacanzeCentro de Investigação em Saéude de Manhiça, Manhiça, Mozambique.
Anelsio CossaCentro de Investigação em Saéude de Manhiça, Manhiça, Mozambique.
Inácio MandomandoCentro de Investigação em Saéude de Manhiça, Manhiça, Mozambique.
Philip Nwajiobi-PrincewillNational Hospital Abuja, Abuja, Nigeria.
Iruka N OkekeFaculty of Pharmacy, University of Ibadan, Ibadan, Oyo State, Nigeria.ORCID https://orcid.org/0000-0002-1694-7587
Aderemi O KehindeCollege of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Ini AdebiyiFaculty of Pharmacy, University of Ibadan, Ibadan, Oyo State, Nigeria.ORCID https://orcid.org/0000-0002-6181-0918
Ifeoluwa AkintayoCollege of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Oluwafemi PopoolaCollege of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Anthony OnipedeObafemi Awolowo University, Ile-Ife, Nigeria.
Anita BlomfeldtDepartment of Microbiology and Infection Control, Akershus University Hospital, Lørenskog, Norway.
Nora E NyquistDepartment of Microbiology and Infection Control, Akershus University Hospital, Lørenskog, Norway.ORCID https://orcid.org/0000-0002-5332-5496
Kiri BockerSouthern Community Laboratories, University of Otago, Otago, Dunedin, New Zealand.
James UssherSouthern Community Laboratories, University of Otago, Otago, Dunedin, New Zealand.ORCID https://orcid.org/0000-0001-9222-7680
Amjad AliDepartment of Industrial Biotechnology, Atta-ur-Rahman School of Applied Biosciences, National University of Sciences and Technology (NUST), Islamabad, Pakistan.
Nimat UllahDepartment of Industrial Biotechnology, Atta-ur-Rahman School of Applied Biosciences, National University of Sciences and Technology (NUST), Islamabad, Pakistan.ORCID https://orcid.org/0000-0002-7138-1272
Habibullah KhanMolecular Diagnostic Section, Khyber Teaching Hospital (KTH), Peshawar, Pakistan.
Natalie W GustafsonDepartamento de Bacteriologia, Laboratorio Central de Salud Publico, Asunción, Paraguay.
Ikhlas JarrarBasic Medical Sciences Department, Arab American University, Jenin, Palestine.
Arif Al-HamadDivision of Clinical Microbiology, Qatif Central Hospital, Al-Qatif, Eastern Province, Saudi Arabia.
Viravarn LuviraDepartment of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Wantana PaveenkittipornDepartment of Medical Sciences, National Institute of Health, Sariburi, Thailand.
Irmak BaranMedical Microbiology Department, Karadeniz Technical University Farabi Hospital, Trabzon, Ortahisar, Turkey.ORCID https://orcid.org/0000-0001-6729-948X
James C L MwansaLusaka Apex Medical School, Lusaka, Zambia.
Linda SikakwaLevy Mwanawasa Teaching Hospital, Lusaka, Zambia.
Kaunda YambaUniversity Teaching Hospital, Lusaka, Zambia.
Frank M AarestrupNational Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAntimicrobial-resistant bacteria are a major global health threat. Mobile genetic elements (MGEs) have been crucial for spreading resistance to new bacterial species, including human pathogens. Understanding how MGEs promote resistance could be essential for prevention. Here we present an investigation of MGEs and their association with resistance genes in pathogenic bacteria collected from 59 diagnostic units during 2020, representing a snapshot of clinical infections from 35 counties worldwide.

methodsWe analysed 3,095 whole-genome sequenced clinical bacterial isolates from over 100 species to study the relationship between resistance genes and MGEs. The mobiliome of Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, and Klebsiella pneumoniae were further examined for geographic differences, as these species were prevalent in all countries. Genes potentially mobilized by MGEs were identified by finding DNA segments containing MGEs and ARGs preserved in multiple species. Network analysis was used to investigate potential MGE interactions, host range, and transmission pathways.

resultsThe prevalence and diversity of MGEs and resistance genes varied among species, with E. coli and S. aureus carrying more diverse elements. MGE composition differed between bacterial lineages, indicating strong vertical inheritance. 102 MGEs associated with resistance were found in multiple species, and four of these elements seemed to be highly transmissible as they were found in different phyla. We identified 21 genomic regions containing resistance genes potentially mobilized by MGEs, highlighting their importance in transmitting genes to clinically significant bacteria.

conclusionResistance genes are spread through various MGEs, including plasmids and transposons. Our findings suggest that multiple factors influence MGE prevalence and their transposability, thereby shaping the MGE population and transmission pathways. Some MGEs have a wider host range, which could make them more important for mobilizing genes. We also identified 103 resistance genes potentially mobilised by MGEs, which could increase their transmissibility to unrelated bacteria.

Indexed as

BacteriaDrug Resistance, BacterialInterspersed Repetitive SequencesAnti-Bacterial AgentsEscherichia coliGenes, BacterialGenome, BacterialHumansStaphylococcus aureusWhole Genome SequencingAnti-Bacterial Agents

Identifiers

PMID40824964
PMCPMC12360581

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