Evidence map›Paper›PMID 42210696›Full record

ArticleAntimicrobial agents and chemotherapy2026

Standardized numbering and alignment of the KPC family of β-lactamases.

Florencia Brunetti, Steven H Marshall, Christopher R Bethel, Andrea M Hujer, Kristine M Hujer, Shozeb Haider, Karen Bush, Patricia A Bradford, Barry Kreiswirth, James Spencer and 24 more

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

34 authors.

Florencia BrunettiInstituto de Investigaciones en Bacteriología y Virología Molecular (IBaViM), Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina.
Steven H MarshallResearch Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
Christopher R BethelResearch Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
Andrea M HujerDepartment of Medicine, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.ORCID 0009-0001-3543-1826
Kristine M HujerDepartment of Medicine, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Shozeb HaiderUCL School of Pharmacy, University College London, London, United Kingdom.ORCID 0000-0003-2650-2925
Karen BushBiology Department, Indiana University, Bloomington, Indiana, USA.ORCID 0000-0002-7843-2474
Patricia A BradfordAntimicrobial Development Specialists, Nyack, New Yorl, USA.
Barry KreiswirthCenter for Discovery and Innovation, Hackensack Meridian Health Inc, Nutley, New Jersey, USA.
James SpencerSchool of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-4602-0571
Yoshikazu IshiiThe Center for Planetary Health and Innovation Science (PHIS), The IDEC Institute, Hiroshima University, Hiroshima, Japan.
Jean-Denis DocquierDipartimento di Biotecnologie Mediche, Università di Siena, Siena, Italy.ORCID 0000-0001-9483-4476
Gian Maria RossoliniDepartment of Experimental and Clinical Medicine, University of Florence, and Microbiology and Virology Unit, Careggi University Hospital, Florence, Italy.ORCID 0000-0002-9386-0434
Laurent PoirelMedical and Molecular Microbiology, Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.ORCID 0000-0001-5160-5286
Mariagrazia PerilliDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Gianfranco AmicosanteDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Moreno GalleniLaboratory of Enzymology and Protein Folding, Centre for Protein Engineering, InBioS, University of Liege, Liege, Belgium.ORCID 0000-0003-0992-0391
Alejandro J VilaInstituto de Biología Molecular y Celular de Rosario (CONICET IBR -UNR), Rosario, Argentina.ORCID 0000-0002-7978-3233
Gabriel GutkindInstituto de Investigaciones en Bacteriología y Virología Molecular (IBaViM), Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina.ORCID 0000-0003-1999-9785
Timothy PalzkillVerna and Marrs McLean Department of Biochemistry and Molecular Pharmacology, Baylor College of Medicine, Houston, Texas, USA.
Alessandra CarattoliDepartment of Molecular Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-6120-6526
Catherine L TookeDepartment of Life Sciences, University of Bath, Bath, United Kingdom.
Philip HinchliffeSchool of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom.ORCID 0000-0001-8611-4743
Christopher J SchofieldChemistry Research Laboratory, Department of Chemistry and the Ineos Oxford Institute for Antimicrobial Research, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-0290-6565
Bogdan I IorgaUniversité Paris-Saclay, CNRS, Institut de Chimie des Substances Naturelles, Gif-sur-Yvette, France.ORCID 0000-0003-0392-1350
Thierry NaasTeam ReSIST, Université Paris-Saclay, Gif-sur-Yvette, France.
Yu ChenDepartment of Molecular Medicine, University of South Florida, Tampa, Florida, USA.
Cesar AriasDepartment of Medicine, Weill Cornell Medical College, New York, New York, USA.ORCID 0000-0001-9054-9774
Andrea EndimianiInstitute for Infectious Diseases (IFIK), University of Bern, Bern, Switzerland.ORCID 0000-0003-3186-5421
Krisztina Papp-WallaceResearch Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.ORCID 0000-0002-9976-7898
Ryan K ShieldsDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-9794-5665
Pranita D TammaDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-4143-6324
Robert A BonomoResearch Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.ORCID 0000-0002-3299-894X
Pablo PowerInstituto de Investigaciones en Bacteriología y Virología Molecular (IBaViM), Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina.ORCID 0000-0002-7051-9954

Funding

Agencia Nacional de Promoción Científica y Tecnológica PICT-2021-I-A-0771Consejo Nacional de Investigaciones Científicas y Técnicas 11220200100191COConsejo Nacional de Investigaciones Científicas y Técnicas PIP 2021-2023National Institute of Allergy and Infectious Diseases R01AI160371Universidad de Buenos Aires UBACYTU.S. Department of Veterans Affairs RD001474
6 · The paper itself

Abstract

The KPC family of serine β-lactamases comprises more than 260 members. Some variants are associated with ceftazidime-avibactam resistance in clinical isolates, often linked to substitutions and/or insertions/deletions (i.e., INDELs) in three distinct loops of the KPC sequence: (i) the 164-179 loop (i.e., the Ω loop); (ii) the 237-243 loop; and (iii) the 267-275 loop. Inconsistencies in residue numbering across published reports, however, complicate the accurate annotation of KPC variants. We retrieved 267 KPC variant sequences from the Beta-Lactamase Database (BLDB) in September 2025 and analyzed sequence differences between variants using combined nucleotide and structure-guided alignment algorithms, supported by AlphaFold3 modeling in ambiguous cases. Variants were classified into four groups to comprehensively review sequence changes across the KPC family: substitutions only (

Indexed as

beta-LactamasesAmino Acid SequenceAnti-Bacterial AgentsAzabicyclo CompoundsBacterial ProteinsCeftazidimeDrug CombinationsMicrobial Sensitivity TestsSequence AlignmentThird Generation CephalosporinsAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsBacterial Proteinsbeta-LactamasesCeftazidimeDrug CombinationsThird Generation Cephalosporinsbeta-lactamase nomenclatureKPC carbapenemaseKPC INDEL variantsKPC variants

Identifiers

PMID42210696
PMCPMC13321812

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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.