Evidence map›Paper›PMID 41826686›Full record

ArticleNature microbiology2026

Plasmids promote antimicrobial resistance through insertion sequence-mediated gene inactivation.

Jorge Sastre-Dominguez, Paloma Rodera-Fernandez, Javier DelaFuente, Sandra Martínez-González, Susana Quesada, Marina Valencoso-Requena, Alicia Calvo-Villamañán, Coloma Costas, Ayari Fuentes-Hernández, Alfonso Santos-Lopez and 1 more

Abstract read
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In one paragraph

Article in Nature microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Phylogenetic Relationships and Structural Conservation ofInternational journal of molecular sciences · 2026
    Article
  6. 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

11 authors.

Jorge Sastre-Dominguez *Centro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain.ORCID http://orcid.org/0000-0001-9585-6765
Paloma Rodera-Fernandez *Centro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain.
Javier DelaFuenteCentro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain.ORCID http://orcid.org/0000-0002-8844-9704
Sandra Martínez-GonzálezCentro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain.
Susana QuesadaCentro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain.
Marina Valencoso-RequenaCentro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain.
Alicia Calvo-VillamañánCentro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain.ORCID http://orcid.org/0000-0001-7033-2834
Coloma CostasCentro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain.
Ayari Fuentes-HernándezCenter for Genomic Sciences, Universidad Nacional Autónoma de México, Cuernavaca, México.ORCID http://orcid.org/0000-0002-8157-342X
Alfonso Santos-LopezDepartamento de Biología Molecular, Facultad de Biología, Universidad Autónoma de Madrid, Madrid, Spain. alfonso.santosl@uam.es.ORCID http://orcid.org/0000-0002-9163-9947
Alvaro San MillanCentro Nacional de Biotecnología, Consejo Superior de Investigaciones Cientificas (CSIC), Madrid, Spain. asanmillan@cnb.csic.es.ORCID http://orcid.org/0000-0001-8544-0387

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 European Research Council (H2020 Excellent Science - European Research Council) ERC StG 757440-PLASREVOLUTIONEuropean Molecular Biology Organization (EMBO) EMBO postdoctoral fellowship (ALTF 322-2022)"la Caixa" Foundation (Caixa Foundation) LCF/BQ/PR22/11920001Ministry of Economy and Competitiveness | Agencia Estatal de Investigación (Spanish Agencia Estatal de Investigación) PID2023-152460NA-I00Ministry of Economy and Competitiveness | Agencia Estatal de Investigación (Spanish Agencia Estatal de Investigación) RYC2022-037765-INational Autonomous University of Mexico | Instituto de Ecología, Universidad Nacional Autónoma de México (INECOL, UNAM) Sabbatical program DGAPA-PASPA
6 · The paper itself

Abstract

Plasmids are mobile genetic elements that can rapidly spread across bacterial populations, promoting the dissemination of antimicrobial resistance (AMR) genes in bacteria. They are enriched in insertion sequences (IS), which are small transposable elements able to translocate between genetic locations. Here we combined experimental, bioinformatic and computational approaches to investigate the role of plasmids promoting AMR through IS-mediated gene inactivation. We find that plasmid pOXA-48, which encodes two IS1 elements, increases the rate of resistance acquisition to multiple antibiotics in clinical strains of Klebsiella pneumoniae through IS1-mediated gene disruption. Screening of genome databases confirmed that the inactivation of genes through plasmid-encoded IS elements is an extended mechanism of AMR evolution. Both our experiments and computational model revealed that conjugative plasmids can promote this route of AMR acquisition while invading complex bacterial communities. Overall, we show that conjugative plasmids contribute to AMR not only through the dissemination of resistance genes, but also through IS-mediated gene inactivation.

Indexed as

DNA Transposable ElementsDrug Resistance, BacterialGene SilencingKlebsiella pneumoniaePlasmidsAnti-Bacterial AgentsComputational BiologyConjugation, GeneticKlebsiella InfectionsAnti-Bacterial AgentsDNA Transposable Elements

Identifiers

What OpenQuestion holds

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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.