Evidence map›Paper›PMID 41321948›Full record

ReviewPeerJ2025

Efflux systems driving resistance and virulence across biological domains.

Pedro Eduardo Almeida da Silva, Andrea Von Groll, Ivy Ramis, Ana Julia Reis, Daniela Ramos, Miguel Viveiros

Abstract readReview
In one paragraph

Review in PeerJ, 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. Review
  2. Review
  3. Review
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

6 authors.

Pedro Eduardo Almeida da SilvaUniversidade Federal do Rio Grande, Rio Grande, RS, Brazil.
Andrea Von GrollUniversidade Federal do Rio Grande, Rio Grande, RS, Brazil.
Ivy RamisUniversidade Federal do Rio Grande, Rio Grande, RS, Brazil.
Ana Julia ReisUniversidade Federal do Rio Grande, Rio Grande, RS, Brazil.
Daniela RamosUniversidade Federal do Rio Grande, Rio Grande, RS, Brazil.
Miguel ViveirosInstituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, Portugal.

Funding

Brazilian National Council for Scientific and Technological Development (CNPq)CAPES (Coordination for the Improvement of Higher Education Personnel, Brazil)
6 · The paper itself

Abstract

Background: Efflux pumps (EPs) are key contributors to multidrug resistance (MDR) in bacteria, fungi, and cancer cells. These membrane proteins actively extrude a variety of therapeutic agents, reducing their intracellular concentration and thus compromising the efficacy of treatment. Beyond resistance, EPs are also involved in virulence, biofilm formation, immune evasion, and environmental persistence. Aim: This review aimed to provide a comprehensive and critical synthesis of the role of efflux pumps in antimicrobial and antitumoral resistance, as well as their contribution to virulence and persistence across biological domains. Methodology: A narrative review was conducted following a structured search strategy in PubMed, Scopus, and Web of Science using combinations of terms related to efflux systems, efflux pumps, resistance mechanisms, virulence factors, detection methods, and inhibitors. The review integrates data from Results: Efflux pumps from different families ( Conclusion: Efflux systems are central players in both drug resistance and pathogenicity. Although the development of effective EIs remains challenging, advances in molecular detection, gene editing, and drug design hold potential for translational breakthroughs. A deeper understanding of efflux dynamics across organisms is essential to develop adjuvant therapies and reduce the clinical impact of MDR.

Indexed as

BacteriaDrug Resistance, Multiple, BacterialMembrane Transport ProteinsBiofilmsFungiHumansVirulenceMembrane Transport ProteinsEfflux inhibitorsEfflux pumpsMultidrug resistanceTherapeutic strategiesVirulence factors

Identifiers

PMID41321948
PMCPMC12664331

What OpenQuestion holds

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LicenceCC BY
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.