Evidence map›Paper›PMID 20566858›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2010

Mycobacterium tuberculosis persistence mutants identified by screening in isoniazid-treated mice.

Neeraj Dhar, John D McKinney

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
3.7field-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

76 citing papers in PubMed, 127 citations in OpenAlex.

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  15. Antibiotics (Basel, Switzerland) · 2023
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  16. Article
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  20. Article

16 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 1 institution in 1 country.

Neeraj DharGlobal Health Institute, Swiss Federal Institute of Technology EPFL, 1015 Lausanne, Switzerland. neeraj.dhar@epfl.ch
John D McKinney
École Polytechnique Fédérale de Lausanne · CH

Funding

Mycobacterium tuberculosis carbon metabolism in vivoR01HL088906 · NHLBI · ROCKEFELLER UNIVERSITY · PI MCKINNEY, JOHN D. · 2006 to 2010
$1.5M
NHLBI NIH HHS 5 RO1 HL088906NHLBI NIH HHS R01 HL088906
6 · The paper itself

Abstract

Tuberculosis (TB) is notoriously difficult to cure, requiring administration of multiple antibiotics for 6 mo or longer. Conventional anti-TB drugs inhibit biosynthetic processes involved in cell growth and division, such as DNA replication, RNA transcription, protein translation, and cell wall biogenesis. Although highly effective against bacteria cultured in vitro under optimal growth conditions, these antibiotics are less effective against bacteria grown in vivo in the tissues of a mammalian host. The factors that contribute to the antibiotic tolerance of bacteria grown in vivo are unknown, although altered metabolism and sluggish growth are hypothesized to play a role. To address this question, we identified mutations in Mycobacterium tuberculosis that impaired or enhanced persistence in mice treated with isoniazid (INH), a front-line anti-TB drug. Disruption of cydC, encoding a putative ATP-binding cassette transporter subunit, accelerated bacterial clearance in INH-treated mice without affecting growth or survival in untreated mice. Conversely, transposon insertions within the rv0096-rv0101 gene cluster attenuated bacterial growth and survival in untreated mice but paradoxically prevented INH-mediated killing of bacteria in treated mice. These contrasting phenotypes were dependent on the interaction of the bacteria with the tissue environment because both mutants responded normally to INH when grown in macrophages ex vivo or in axenic cultures in vitro. Our findings have important implications because persistence-impairing mutations would be missed by conventional genetic screens to identify candidate drug targets. Conversely, persistence-enhancing mutations would be missed by standard diagnostic methods, which are performed on bacteria grown in vitro, to detect drug resistance.

Indexed as

MutationAnimalsAntitubercular AgentsATP-Binding Cassette TransportersBacterial ProteinsCells, CulturedDrug Resistance, BacterialGenetic Complementation TestGTP-Binding ProteinsIsoniazidMacrophagesMiceMice, Inbred C57BLMice, KnockoutMicrobial Sensitivity TestsMycobacterium tuberculosisAntitubercular AgentsATP-Binding Cassette TransportersBacterial ProteinsGTP-Binding ProteinsIfi1 protein, mouseIsoniazidNitric Oxide Synthase Type IINos2 protein, mouse

Identifiers

PMID20566858
PMCPMC2901468
OpenAlexW1979530643

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.