Evidence map›Paper›PMID 41193734›Full record

ArticleCurrent genetics2025

Genomic surveillance of vancomycin-resistant Enterococcus faecium: a study on Resistome, Plasmidome, and mobilome profiling.

Shalini Mathpal, Avani Panickar, Tushar Joshi, Sudha Ramaiah, Anand Anbarasu

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Article in Current genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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

5 authors.

Shalini MathpalMedical and Biological Computing Laboratory, School of Biosciences and Technology, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India.
Avani PanickarMedical and Biological Computing Laboratory, School of Biosciences and Technology, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India.
Tushar JoshiMedical and Biological Computing Laboratory, School of Biosciences and Technology, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India.
Sudha RamaiahMedical and Biological Computing Laboratory, School of Biosciences and Technology, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India. sudhaanand@vit.ac.in.
Anand AnbarasuMedical and Biological Computing Laboratory, School of Biosciences and Technology, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India.

Funding

Indian Council of Medical Research IRIS ID: 2021-11889; AMR/Adhoc/290/2022-ECD-II
6 · The paper itself

Abstract

Vancomycin-resistant enterococci (VRE) are critical nosocomial pathogens, classified as high priority by the World Health Organization (WHO) due to rising antibiotic resistance. Among these, Vancomycin-resistant Enterococcus faecium (VREfm) presents a significant clinical challenge, frequently detected in healthcare-associated infections and exhibiting resistance to multiple antibiotics. This study presents a genomic surveillance analysis of 63 Enterococcus faecium (E. faecium) isolates obtained from the public database from India during the period January 2017 to December 2021. These isolates were confirmed as VREfm, making them valuable for understanding the key resistance genes and mutations commonly associated with strains. Genomic analysis revealed diverse plasmid replicons such as pRE25, pRUM, and pIP501, often coexisting in single isolates, indicating active horizontal gene transfer. Multiple antimicrobial resistance genes, such as vanHAX, ermB, optrA, and blaOXA-232, were identified along with insertion sequences (IS3, ISL3, IS256), integrons, and transposons (Tn1546, Tn917). Mutations in GyrA, ParC, and PBP5 proteins associated with fluoroquinolone and β-lactam antibiotics were also detected in each isolate. Amino acid substitutions associated with daptomycin resistance were identified in the encoded proteins of the liaR (LiaR-W73C), liaS (LiaS-T120A), cls (Cls-T298S), and rpoB (RpoB-S491F) genes. Three novel deleterious amino acid substitutions were also observed in Cls-R424S, RpoB-M475V, and RpoC-T634K, encoded by the cls, rpoB, and rpoC genes, respectively, that may impact protein function. Overall, this genomic survey provides a framework for hypothesis-driven studies exploring resistance evolution and gene mobility in E. faecium.

Indexed as

Enterococcus faeciumGenome, BacterialPlasmidsVancomycin-Resistant EnterococciAnti-Bacterial AgentsDNA Transposable ElementsDrug Resistance, Multiple, BacterialGenomicsHumansMicrobial Sensitivity TestsMutationAnti-Bacterial AgentsDNA Transposable ElementsEnterococcusGenomicsMissense mutationsPlasmidsVancomycin

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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.