Evidence map›Paper›PMID 19923475›Full record

ArticleJournal of clinical microbiology2010

Sputum Mycobacterium tuberculosis mRNA as a marker of bacteriologic clearance in response to antituberculosis therapy.

L Li, C S Mahan, M Palaci, L Horter, L Loeffelholz, J L Johnson, R Dietze, S M Debanne, M L Joloba, A Okwera and 2 more

Registry-linked trialOpen access · greenAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00396084 (Randomized, Open Label, Multiple Dose Phase I Study of the Early Bactericidal Activity of Linezolid, Gatifloxacin, Levofloxacin, and Moxifloxacin in HIV-non-infected Adults With Initial Episodes of Sputum Smear-Positive Pulmonary Tuberculosis), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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.

NCT00396084 phase1 / phase2completednot on this map

Randomized, Open Label, Multiple Dose Phase I Study of the Early Bactericidal Activity of Linezolid, Gatifloxacin, Levofloxacin, and Moxifloxacin in HIV-non-infected Adults With Initial Episodes of Sputum Smear-Positive Pulmonary Tuberculosis

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2004 to 2007Enrolled70ConditionsTuberculosisArmsGatifloxacin, Isoniazid, Levofloxacin, Linezolid, Moxifloxacin
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Time to detection of the growth of Mycobacterium tuberculosis in MGIT 960 for determining the early bactericidal activity of antituberculosis agents.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2010
    Trial
  3. Review
  4. Article
  5. The impact ofFrontiers in public health · 2022
    Review
  6. Article
  7. Detection, survival and infectious potential ofThe European respiratory journal · 2019
    Review
  8. Heat Inactivation Renders Sputum Safe and PreservesJournal of clinical microbiology · 2019
    Article
  9. Article
  10. Assessment of treatment response in tuberculosis.Expert review of respiratory medicine · 2016
    Review
  11. Article
  12. Editorial commentary: dead or alive: can viability staining predict response to tuberculosis treatment?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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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

12 authors at 8 institutions in 3 countries.

L LiUniversity of Arkansas for Medical Sciences, Department of Pathology, 4301 W. Markham, Little Rock, AR 72205, USA.
C S Mahan
M Palaci
L Horter
L Loeffelholz
J L Johnson
R Dietze
S M Debanne
M L Joloba
A Okwera
W H Boom
K D Eisenach
Case Western Reserve University · USUniversidade Federal do Espírito Santo · BRUniversity of Arkansas for Medical Sciences · USMakerere University · UGMetroHealth · USNormandale Community College · USUniversity Hospitals Case Medical Center · USUniversity School · US

Funding

Tuberculosis Prevention Research Unit /TBRU/-266095383N01AI095383 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2000 to 2005
$5.6M
NIAID NIH HHS N01 AI070022NIAID NIH HHS N01 AI095383NIAID NIH HHS N01-AI-70022NIAID NIH HHS N01-AI95383PHS HHS HHSN266200700022C
6 · The paper itself

Abstract

mRNA is a marker of cell viability. Quantifying Mycobacterium tuberculosis mRNA in sputum is a promising tool for monitoring response to antituberculosis therapy and evaluating the efficacy of individual drugs. mRNA levels were measured in sputum specimens from patients with tuberculosis (TB) receiving monotherapy in an early bactericidal activity study of fluoroquinolones and in those receiving a standard rifampin-based regimen in an interleukin-2 (IL-2) trial. In the early bactericidal activity study, sputum for quantitative culture and mRNA analysis was collected for 2 days before and daily during 7 days of study drug administration. In the IL-2 trial, sputum was collected for quantitative culture, Bactec 460 liquid culture, and mRNA analysis throughout the intensive treatment phase. RNA was isolated from digested sputum and tested in quantitative reverse transcription-PCR assays for several gene targets. mRNA for the glyoxylate cycle enzyme isocitrate lyase declined at similar rates in patients receiving isoniazid, gatifloxicin, levofloxacin, and moxifloxacin monotherapy. Isocitrate lyase mRNA correlated highly with CFU in sputum prior to therapy and during 7 days of monotherapy in all treatment arms. Isocitrate lyase mRNA was detectable in sputum of culture-positive TB patients receiving a rifampin-based regimen for 1 month. At 2 months, sputum for isocitrate mRNA correlated more closely with growth in liquid culture than did growth on solid culture medium. Data suggest that isocitrate lyase mRNA is a reliable marker of M. tuberculosis viability.

Indexed as

Antitubercular AgentsColony Count, MicrobialDrug MonitoringHumansMicrobial ViabilityMycobacterium tuberculosisReverse Transcriptase Polymerase Chain ReactionRNA, BacterialRNA, MessengerSputumStatistics as TopicTuberculosis, PulmonaryYoung AdultAntitubercular AgentsRNA, BacterialRNA, Messenger

Identifiers

PMID19923475
PMCPMC2812283
OpenAlexW2130656168

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.