Evidence map›Paper›PMID 16847086›Full record

ReviewClinical microbiology reviews2006

Tuberculosis chemotherapy: the influence of bacillary stress and damage response pathways on drug efficacy.

Digby F Warner, Valerie Mizrahi

Open access · greenAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
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

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 141 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Spatiotemporal perspectives on tuberculosis chemotherapy.Current opinion in microbiology · 2023
    Review
  6. Article
  7. Article
  8. Are all antibiotic persisters created equal?Frontiers in cellular and infection microbiology · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Revisiting the methods for detectingAccess microbiology · 2021
    Review
  14. Evolution of Drug-ResistantFrontiers in microbiology · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Phase variation inProceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  19. Review
  20. Article

11 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 1 country.

Digby F WarnerMolecular Mycobacteriology Research Unit, Centre of Excellence for Biomedical TB Research, School of Pathology, University of the Witwatersrand and NHLS, P.O. Box 1038, Johannesburg 2000, South Africa. digby.warner@nhls.ac.za
Valerie Mizrahi
National Health Laboratory Service · ZAUniversity of the Witwatersrand · ZA

Funding

Wellcome TrustWellcome Trust 065578
6 · The paper itself

Abstract

The global tuberculosis (TB) control effort is focused on interrupting transmission of the causative agent, Mycobacterium tuberculosis, through chemotherapeutic intervention in active infectious disease. The insufficiency of this approach is manifest in the inexorable annual increase in TB infection and mortality rates and the emergence of multidrug-resistant isolates. Critically, the limited efficacy of the current frontline anti-TB drug combination suggests that heterogeneity of host and bacillary physiologies might impair drug activity. This review explores the possibility that strategies enabling adaptation of M. tuberculosis to hostile in vivo conditions might contribute to the subversion of anti-TB chemotherapy. In particular, evidence that infecting bacilli are exposed to environmental and host immune-mediated DNA-damaging insults suggests a role for error-prone DNA repair synthesis in the generation of chromosomally encoded antibiotic resistance mutations. The failure of frontline anti-TB drugs to sterilize a population of susceptible bacilli is independent of genetic resistance, however, and instead implies the operation of alternative tolerance mechanisms. Specifically, it is proposed that the emergence of persister subpopulations might depend on the switch to an altered metabolic state mediated by the stringent response alarmone, (p)ppGpp, possibly involving some or all of the many toxin-antitoxin modules identified in the M. tuberculosis genome.

Indexed as

Antitubercular AgentsDNA DamageDrug Resistance, BacterialHeat-Shock ResponseHumansMycobacterium tuberculosisTreatment OutcomeTuberculosisAntitubercular Agents

Identifiers

PMID16847086
PMCPMC1539104
OpenAlexW2160521376

What OpenQuestion holds

Textmetadata
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.