Evidence map›Paper›PMID 21483832›Full record

ArticlePloS one2011

Mycobacterium tuberculosis induces an atypical cell death mode to escape from infected macrophages.

Jinhee Lee, Teresa Repasy, Kadamba Papavinasasundaram, Christopher Sassetti, Hardy Kornfeld

Abstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing 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

80 citing papers in PubMed.

  1. Article
  2. Identification ofMicrobiology spectrum · 2025
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  4. Zinc-limitedInfection and immunity · 2025
    Article
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  7. Article
  8. Article
  9. Virulence Factors ofPathogens (Basel, Switzerland) · 2023
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Chemical-genetic interaction mapping links carbon metabolism and cell wall structure to tuberculosis drug efficacy.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  15. Review
  16. The Flp type IV pilus operon ofFrontiers in cellular and infection microbiology · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. Frontiers in immunology · 2021
    Article

20 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

5 authors.

Jinhee LeeDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America.
Teresa Repasy
Kadamba Papavinasasundaram
Christopher Sassetti
Hardy Kornfeld

Funding

PILOT AND FEASIBILITY PROGRAMP30DK032520 · NIDDK · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI CZECH, MICHAEL P · 1986 to 2010
$14.6M
ANTIMYCOBACTERIAL MECHANISMS OF APOPTOSIS IN THE LUNGR01HL064884 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KORNFELD, HARDY · 2001 to 2010
$4.1M
Tuberculosis Pathogenesis and Drug ResponseR01AI064282 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SASSETTI, CHRISTOPHER M · 2007 to 2017
$3.9M
Howard Hughes Medical InstituteNHLBI NIH HHS HL064884NHLBI NIH HHS R01 HL064884NIAID NIH HHS AI064282NIAID NIH HHS R01 AI064282NIDDK NIH HHS DK32520NIDDK NIH HHS P30 DK032520
6 · The paper itself

Abstract

backgroundMacrophage cell death following infection with Mycobacterium tuberculosis plays a central role in tuberculosis disease pathogenesis. Certain attenuated strains induce extrinsic apoptosis of infected macrophages but virulent strains of M. tuberculosis suppress this host response. We previously reported that virulent M. tuberculosis induces cell death when bacillary load exceeds ∼20 per macrophage but the precise nature of this demise has not been defined. METHODOLOGY/PRINCIPAL

findingsWe analyzed the characteristics of cell death in primary murine macrophages challenged with virulent or attenuated M. tuberculosis complex strains. We report that high intracellular bacillary burden causes rapid and primarily necrotic death via lysosomal permeabilization, releasing hydrolases that promote Bax/Bak-independent mitochondrial damage and necrosis. Cell death was independent of cathepsins B or L and notable for ultrastructural evidence of damage to lipid bilayers throughout host cells with depletion of several host phospholipid species. These events require viable bacteria that can respond to intracellular cues via the PhoPR sensor kinase system but are independent of the ESX1 system. CONCLUSIONS/SIGNIFICANCE: Cell death caused by virulent M. tuberculosis is distinct from classical apoptosis, pyroptosis or pyronecrosis. Mycobacterial genes essential for cytotoxicity are regulated by the PhoPR two-component system. This atypical death mode provides a mechanism for viable bacilli to exit host macrophages for spreading infection and the eventual transition to extracellular persistence that characterizes advanced pulmonary tuberculosis.

Indexed as

AnimalsApoptosisbcl-2-Associated X Proteinbcl-2 Homologous Antagonist-Killer ProteinCathepsinsCells, CulturedChromatography, High Pressure LiquidHomeodomain ProteinsHydrogen-Ion ConcentrationMacrophagesMembrane Potential, MitochondrialMiceMicroscopy, Electron, ScanningMicroscopy, Electron, TransmissionMycobacterium tuberculosisNecrosisbcl-2-Associated X Proteinbcl-2 Homologous Antagonist-Killer ProteinCathepsinsEsx1 protein, mouseHomeodomain ProteinsProto-Oncogene ProteinsTranscription Factors

Identifiers

PMID21483832
PMCPMC3069075

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Registered trials

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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.