ArticleNPJ systems biology and applications2025
Minimal gene signatures enable high-accuracy prediction of antibiotic resistance in Pseudomonas aeruginosa.
Article in NPJ systems biology and applications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Computational paradigms for antimicrobial resistance prediction: integrating multi-omics, structural modeling, and foundation artificial intelligence systems.Briefings in bioinformatics · 2026Pooled it
- [Advances in the Application of Artificial Intelligence in Clinical Microbiological Testing].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026Review
- Antibiotic resistance inFrontiers in microbiology · 2026Review
- Utilizing whole genome sequencing data for machine learning driven prediction of antibiotic resistance inFrontiers in microbiology · 2026Article
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5 authors.
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Abstract
Antimicrobial resistance (AMR) in Pseudomonas aeruginosa poses a critical global health challenge, with current diagnostics relying on slow, culture-based methods. Here, we present a ML framework leveraging transcriptomic data to predict antibiotic resistance with high accuracy. We applied a genetic algorithm to 414 clinical isolates to identify minimal, highly predictive gene sets (~35-40 genes) distinguishing resistant from susceptible strains for meropenem, ciprofloxacin, tobramycin, and ceftazidime. Automated ML classifiers trained on these sets achieved accuracies of 96-99% on test data (F1 scores: 0.93-0.99), surpassing clinical deployment thresholds. Multiple distinct, non-overlapping gene subsets exhibited comparable performance, suggesting that resistance acquisition is associated with changes in the expression of diverse regulatory and metabolic genes. Comparison with known resistance markers from CARD and operon annotations revealed a substantial number of previously unannotated clusters, highlighting significant knowledge gaps in current AMR understanding. Mapping these genes onto independently modulated gene sets (iModulons) revealed transcriptional adaptations across diverse genetic regions. Overall, this study presents a streamlined machine-learning workflow for transcriptomic data and offers a pathway toward rapid diagnostics and personalized treatment strategies against AMR.
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Registered trials
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.