Linus Sandegren
Professor at Department of Medical Biochemistry and Microbiology; Infection and Immunity; Linus Sandegren
- Telephone:
- +46 18 471 43 65
- E-mail:
- Linus.Sandegren@imbim.uu.se
- Visiting address:
- BMC
Husargatan 3
752 37 UPPSALA - Postal address:
- Box 582
751 23 UPPSALA
Professor Acting deputy at Department of Medical Biochemistry and Microbiology; Administration
- E-mail:
- linus.sandegren@imbim.uu.se
- Visiting address:
- BMC
Husargatan 3
752 37 UPPSALA - Postal address:
- Box 582
751 23 UPPSALA
Project Coordinator at Uppsala Antibiotic Center
- E-mail:
- linus.sandegren@imbim.uu.se
- Visiting address:
- BMC, SciLifeLab Entrance C11, Room E10:4210
752 37 Uppsala - Postal address:
- BMC, Box 582, Husargatan 3
751 23 Uppsala
Download contact information for Linus Sandegren at Uppsala Antibiotic Center
Visiting professor at Department of Cell and Molecular Biology; Microbiology and immunology
- E-mail:
- linus.sandegren@imbim.uu.se
- Visiting address:
- Husargatan 3
752 37 Uppsala - Postal address:
- Box 596
751 24 Uppsala
Keywords
- bioinformatics
- microbiology
- antibiotic resistance
- molecular evolution
- experimental evolution
- antibiotic
- bacterial genetics
- infection biology
- bacteriology
- bacterial evolution
- uppsala antibiotic center
Research
Dynamics of plasmid-borne antibiotic resistance
We study fundamental aspects of how resistance plasmids are maintained and disseminated between pathogenic bacteria and how they serve as platforms for evolution of antibiotic resistance. The main focus is to understand how factors such as stability, mobility, positive selection and fitness cost influence the evolutionary success of plasmids. The experimental systems used are based on clinically isolated multi-resistance plasmids encoding extended spectrum β-lactamases (ESBLs) in enteric bacteria (Escherichia coli and Klebsiella pneumoniae) that pose an increasing clinical problem by providing bacteria with resistance to the most used antibiotics today, β-lactams such as penicillins and cephalosporins.
Four main themes are of particular interest in these studies:
- What impact do low levels of antibiotics have on spread, selection and maintenance of multi-resistance plasmids?
- What plasmid factors cause a fitness-cost on the host cell and can the fitness-cost of plasmid carriage be alleviated by the bacterium in the absence of antibiotics?
- How common are gene amplifications during treatment, how do they affect the efficacy of antibiotics and does the dynamics of gene amplification on plasmids accelerate evolution of new resistance?
- How is resistance development and plasmid dynamics influenced by bacterial growth in biofilms compared to planktonic growth?
From these studies we gain new knowledge of how bacterial cells and plasmids co-evolve and how selection of new resistance can accelerate through gene amplification at different antibiotic concentrations. Such knowledge can be used to design antibiotic treatment regimens that limit selection of resistance and minimize the potential for new resistance to evolve.

Publications
Recent publications
DOGMA: de novo assembly of densely labelled optical DNA maps using a matrix profile approach
Part of PLOS ONE, 2025
- DOI for DOGMA: de novo assembly of densely labelled optical DNA maps using a matrix profile approach
- Download full text (pdf) of DOGMA: de novo assembly of densely labelled optical DNA maps using a matrix profile approach
Part of JAC - Antimicrobial Resistance, 2025
- DOI for Evaluation of ceftazidime/avibactam in combination with colistin against KPC-2-producing Klebsiella pneumoniae in static and dynamic time-kill experiments
- Download full text (pdf) of Evaluation of ceftazidime/avibactam in combination with colistin against KPC-2-producing Klebsiella pneumoniae in static and dynamic time-kill experiments
A CRISPR-Cas9 system protecting E. coli against acquisition of antibiotic resistance genes
Part of Scientific Reports, 2025
- DOI for A CRISPR-Cas9 system protecting E. coli against acquisition of antibiotic resistance genes
- Download full text (pdf) of A CRISPR-Cas9 system protecting E. coli against acquisition of antibiotic resistance genes
Part of Biosensors and Bioelectronics: X, 2024
- DOI for Reduced amplification by phi29 DNA polymerase in the presence of unbound oligos during reaction in RCA
- Download full text (pdf) of Reduced amplification by phi29 DNA polymerase in the presence of unbound oligos during reaction in RCA
Part of Antimicrobial Agents and Chemotherapy, 2024
- DOI for Impact of porin deficiency on the synergistic potential of colistin in combination with β-lactam/β-lactamase inhibitors against ESBL- and carbapenemase-producing Klebsiella pneumoniae
- Download full text (pdf) of Impact of porin deficiency on the synergistic potential of colistin in combination with β-lactam/β-lactamase inhibitors against ESBL- and carbapenemase-producing Klebsiella pneumoniae
All publications
Articles in journal
DOGMA: de novo assembly of densely labelled optical DNA maps using a matrix profile approach
Part of PLOS ONE, 2025
- DOI for DOGMA: de novo assembly of densely labelled optical DNA maps using a matrix profile approach
- Download full text (pdf) of DOGMA: de novo assembly of densely labelled optical DNA maps using a matrix profile approach
Part of JAC - Antimicrobial Resistance, 2025
- DOI for Evaluation of ceftazidime/avibactam in combination with colistin against KPC-2-producing Klebsiella pneumoniae in static and dynamic time-kill experiments
- Download full text (pdf) of Evaluation of ceftazidime/avibactam in combination with colistin against KPC-2-producing Klebsiella pneumoniae in static and dynamic time-kill experiments
A CRISPR-Cas9 system protecting E. coli against acquisition of antibiotic resistance genes
Part of Scientific Reports, 2025
- DOI for A CRISPR-Cas9 system protecting E. coli against acquisition of antibiotic resistance genes
- Download full text (pdf) of A CRISPR-Cas9 system protecting E. coli against acquisition of antibiotic resistance genes
Part of Biosensors and Bioelectronics: X, 2024
- DOI for Reduced amplification by phi29 DNA polymerase in the presence of unbound oligos during reaction in RCA
- Download full text (pdf) of Reduced amplification by phi29 DNA polymerase in the presence of unbound oligos during reaction in RCA
Part of Antimicrobial Agents and Chemotherapy, 2024
- DOI for Impact of porin deficiency on the synergistic potential of colistin in combination with β-lactam/β-lactamase inhibitors against ESBL- and carbapenemase-producing Klebsiella pneumoniae
- Download full text (pdf) of Impact of porin deficiency on the synergistic potential of colistin in combination with β-lactam/β-lactamase inhibitors against ESBL- and carbapenemase-producing Klebsiella pneumoniae
Part of Microbiology Spectrum, p. 1-14, 2024
- DOI for Molecular characteristics, fitness, and virulence of high-risk and non-high-risk clones of carbapenemase-producing Klebsiella pneumoniae
- Download full text (pdf) of Molecular characteristics, fitness, and virulence of high-risk and non-high-risk clones of carbapenemase-producing Klebsiella pneumoniae
Part of Applied and Environmental Microbiology, 2023
Strain-level bacterial typing directly from patient samples using optical DNA mapping
Part of Communications Medicine, 2023
- DOI for Strain-level bacterial typing directly from patient samples using optical DNA mapping
- Download full text (pdf) of Strain-level bacterial typing directly from patient samples using optical DNA mapping
Metallo-β-Lactamase Inhibitor Phosphonamidate Monoesters
Part of ACS Omega, p. 4550-4562, 2022
- DOI for Metallo-β-Lactamase Inhibitor Phosphonamidate Monoesters
- Download full text (pdf) of Metallo-β-Lactamase Inhibitor Phosphonamidate Monoesters
Part of Antimicrobial Agents and Chemotherapy, 2022
Part of Antibiotics, 2022
- DOI for Evaluation of In Vitro Activity of Double-Carbapenem Combinations against KPC-2-, OXA-48-and NDM-Producing Escherichia coli and Klebsiella pneumoniae
- Download full text (pdf) of Evaluation of In Vitro Activity of Double-Carbapenem Combinations against KPC-2-, OXA-48-and NDM-Producing Escherichia coli and Klebsiella pneumoniae
The Role of Antibiotic Resistance Genes in the Fitness Cost of Multiresistance Plasmids
Part of mBio, 2022
- DOI for The Role of Antibiotic Resistance Genes in the Fitness Cost of Multiresistance Plasmids
- Download full text (pdf) of The Role of Antibiotic Resistance Genes in the Fitness Cost of Multiresistance Plasmids
Part of Biosensors and Bioelectronics: X, 2022
- DOI for Naked-eye detection of antibiotic resistance gene sul1 based on aggregation of magnetic nanoparticles and DNA amplification products
- Download full text (pdf) of Naked-eye detection of antibiotic resistance gene sul1 based on aggregation of magnetic nanoparticles and DNA amplification products
Part of Scientific Reports, 2022
- DOI for A simple cut and stretch assay to detect antimicrobial resistance genes on bacterial plasmids by single-molecule fluorescence microscopy
- Download full text (pdf) of A simple cut and stretch assay to detect antimicrobial resistance genes on bacterial plasmids by single-molecule fluorescence microscopy
Modular 3D-Printed Peg Biofilm Device for Flexible Setup of Surface-Related Biofilm Studies
Part of Frontiers in Cellular and Infection Microbiology, 2022
- DOI for Modular 3D-Printed Peg Biofilm Device for Flexible Setup of Surface-Related Biofilm Studies
- Download full text (pdf) of Modular 3D-Printed Peg Biofilm Device for Flexible Setup of Surface-Related Biofilm Studies
Part of Science of the Total Environment, 2022
- DOI for Genomically diverse carbapenem resistant Enterobacteriaceae fromwild birds provide insight into global patterns of spatiotemporal dissemination
- Download full text (pdf) of Genomically diverse carbapenem resistant Enterobacteriaceae fromwild birds provide insight into global patterns of spatiotemporal dissemination
A Parallelized Nanofluidic Device for High-Throughput Optical DNA Mapping of Bacterial Plasmids
Part of Micromachines, 2021
- DOI for A Parallelized Nanofluidic Device for High-Throughput Optical DNA Mapping of Bacterial Plasmids
- Download full text (pdf) of A Parallelized Nanofluidic Device for High-Throughput Optical DNA Mapping of Bacterial Plasmids
Part of PLOS ONE, 2021
- DOI for Detection of structural variations in densely-labelled optical DNA barcodes: A hidden Markov model approach
- Download full text (pdf) of Detection of structural variations in densely-labelled optical DNA barcodes: A hidden Markov model approach
Part of Antimicrobial Agents and Chemotherapy, 2021
Cultivation-Free Typing of Bacteria Using Optical DNA Mapping
Part of ACS - Infectious Diseases, p. 1076-1084, 2020
- DOI for Cultivation-Free Typing of Bacteria Using Optical DNA Mapping
- Download full text (pdf) of Cultivation-Free Typing of Bacteria Using Optical DNA Mapping
Part of Journal of Infectious Diseases, p. 1011-1020, 2020
- DOI for Dynamics of Extensive Drug Resistance Evolution of Mycobacterium tuberculosis in a Single Patient During 9 Years of Disease and Treatment
- Download full text (pdf) of Dynamics of Extensive Drug Resistance Evolution of Mycobacterium tuberculosis in a Single Patient During 9 Years of Disease and Treatment
Part of Antimicrobial Agents and Chemotherapy, 2020
- DOI for Efficacy of Antibiotic Combinations against Multidrug-Resistant Pseudomonas aeruginosa in Automated Time-Lapse Microscopy and Static Time-Kill Experiments
- Download full text (pdf) of Efficacy of Antibiotic Combinations against Multidrug-Resistant Pseudomonas aeruginosa in Automated Time-Lapse Microscopy and Static Time-Kill Experiments
Low sub-minimal inhibitory concentrations of antibiotics generate new types of resistance
Part of Sustainable Chemistry and Pharmacy, p. 46-48, 2019
Part of Scientific Reports, 2019
- DOI for Genome and plasmid diversity of Extended-Spectrum beta-Lactamase-producing Escherichia coli ST131-tracking phylogenetic trajectories with Bayesian inference
- Download full text (pdf) of Genome and plasmid diversity of Extended-Spectrum beta-Lactamase-producing Escherichia coli ST131-tracking phylogenetic trajectories with Bayesian inference
Part of mBio, 2019
- DOI for Optical DNA Mapping Combined with Cas9-Targeted Resistance Gene Identification for Rapid Tracking of Resistance Plasmids in a Neonatal Intensive Care Unit Outbreak
- Download full text (pdf) of Optical DNA Mapping Combined with Cas9-Targeted Resistance Gene Identification for Rapid Tracking of Resistance Plasmids in a Neonatal Intensive Care Unit Outbreak
Part of Antimicrobial Agents and Chemotherapy, 2019
Part of Environmental Microbiology Reports, p. 576-582, 2018
- DOI for Long-term carriage and rapid transmission of extended spectrum beta-lactamase-producing E. coli within a flock of Mallards in the absence of antibiotic selection
- Download full text (pdf) of Long-term carriage and rapid transmission of extended spectrum beta-lactamase-producing E. coli within a flock of Mallards in the absence of antibiotic selection
Part of PLOS ONE, 2018
- DOI for Facilitated sequence assembly using densely labeled optical DNA barcodes: A combinatorial auction approach
- Download full text (pdf) of Facilitated sequence assembly using densely labeled optical DNA barcodes: A combinatorial auction approach
Part of PLOS ONE, 2017
- DOI for A bla(OXA-181)-harbouring multi-resistant ST147 Klebsiella pneumoniae isolate from Pakistan that represent an intermediate stage towards pan-drug resistance
- Download full text (pdf) of A bla(OXA-181)-harbouring multi-resistant ST147 Klebsiella pneumoniae isolate from Pakistan that represent an intermediate stage towards pan-drug resistance
Part of Journal of Antimicrobial Chemotherapy, p. 1188-1198, 2016
Part of Scientific Reports, 2016
- DOI for Direct identification of antibiotic resistance genes on single plasmid molecules using CRISPR/Cas9 in combination with optical DNA mapping
- Download full text (pdf) of Direct identification of antibiotic resistance genes on single plasmid molecules using CRISPR/Cas9 in combination with optical DNA mapping
Part of Scientific Reports, 2016
- DOI for Rapid identification of intact bacterial resistance plasmids via optical mapping of single DNA molecules
- Download full text (pdf) of Rapid identification of intact bacterial resistance plasmids via optical mapping of single DNA molecules
Part of Journal of Antimicrobial Chemotherapy, p. 2521-2533, 2016
Fitness of Escherichia coli mutants with reduced susceptibility to tigecycline
Part of Journal of Antimicrobial Chemotherapy, p. 1307-1313, 2016
Potential of tetracycline resistance proteins to evolve tigecycline resistance
Part of Antimicrobial Agents and Chemotherapy, p. 789-796, 2016
- DOI for Potential of tetracycline resistance proteins to evolve tigecycline resistance
- Download full text (pdf) of Potential of tetracycline resistance proteins to evolve tigecycline resistance
Fast size-determination of intact bacterial plasmids using nanofluidic channels
Part of Lab on a Chip, p. 2739-2743, 2015
Part of Molecular biology and evolution, p. 1526-1535, 2014
Selection of Orphan Rhs Toxin Expression in Evolved Salmonella enterica Serovar Typhimurium
Part of PLOS Genetics, 2014
- DOI for Selection of Orphan Rhs Toxin Expression in Evolved Salmonella enterica Serovar Typhimurium
- Download full text (pdf) of Selection of Orphan Rhs Toxin Expression in Evolved Salmonella enterica Serovar Typhimurium
Part of Microbial Drug Resistance, p. 466-471, 2014
Silver resistance genes are overrepresented among Escherichia coli isolates with CTX-M production
Part of Applied and Environmental Microbiology, p. 6863-6869, 2014
Selection of a multidrug resistance plasmid by sublethal levels of antibiotics and heavy metals
Part of mBio, 2014
Part of Lab on a Chip, p. 3409-3418, 2014
Pathoadaptive Mutations in Salmonella enterica Isolated after Serial Passage in Mice
Part of PLOS ONE, 2013
- DOI for Pathoadaptive Mutations in Salmonella enterica Isolated after Serial Passage in Mice
- Download full text (pdf) of Pathoadaptive Mutations in Salmonella enterica Isolated after Serial Passage in Mice
Part of PLOS ONE, 2013
- DOI for Plasmidome-Analysis of ESBL-Producing Escherichia coli Using Conventional Typing and High-Throughput Sequencing
- Download full text (pdf) of Plasmidome-Analysis of ESBL-Producing Escherichia coli Using Conventional Typing and High-Throughput Sequencing
Part of Journal of Antimicrobial Chemotherapy, p. 51-59, 2013
Mechanisms and fitness costs of tigecycline resistance in Escherichia coli
Part of Journal of Antimicrobial Chemotherapy, p. 2809-2819, 2013
Part of Journal of Antimicrobial Chemotherapy, p. 1319-1326, 2013
Part of Journal of Antimicrobial Chemotherapy, p. 74-83, 2012
Antimicrobial Drug-Resistant Escherichia coli in Wild Birds and Free-range Poultry, Bangladesh
Part of Emerging Infectious Diseases, p. 2055-2058, 2012
Selection of Resistant Bacteria at Very Low Antibiotic Concentrations
Part of PLoS pathogens, 2011
Part of PLoS ONE, 2011
Part of Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS), p. 302-8, 2008
Nitrofurantoin resistance mechanism and fitness cost in Escherichia coli
Part of Journal of Antimicrobial Chemotherapy, p. 495-503, 2008
Articles, review/survey
Characterization of ESBL disseminating plasmids
Part of INFECTIOUS DISEASES, p. 18-25, 2016
Selection of antibiotic resistance at very low antibiotic concentrations
Part of Upsala Journal of Medical Sciences, p. 103-107, 2014
Bacterial gene amplification: implications for the evolution of antibiotic resistance
Part of Nature Reviews Microbiology, p. 578-588, 2009
Conference papers
Circle to circle amplification for detection of antibiotic resistance genes
Part of Uppsala Antibiotic Days: a multidisciplinary conference, p. 37, 2022
A microfluidic approach for dynamic investigation of the antibiotic susceptibility of bacteria
Part of MME 2013 24th Micromechanics and Microsystems Europe Conference, 2013