Evidence map›Paper›PMID 21602551›Full record

ArticleThe Journal of antimicrobial chemotherapy2011

Effectiveness of tuberculosis chemotherapy correlates with resistance to Mycobacterium tuberculosis infection in animal models.

Zahoor Ahmad, Mostafa M Fraig, Michael L Pinn, Sandeep Tyagi, Eric L Nuermberger, Jacques H Grosset, Petros C Karakousis

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Article
  3. One Size Fits All? Not inFrontiers in cellular and infection microbiology · 2021
    Review
  4. Article
  5. Delamanid Kills Dormant MycobacteriaAntimicrobial agents and chemotherapy · 2017
    Article
  6. Review
  7. Article
  8. Article
  9. Review
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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

7 authors at 2 institutions in 1 country.

Zahoor AhmadDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Mostafa M Fraig
Michael L Pinn
Sandeep Tyagi
Eric L Nuermberger
Jacques H Grosset
Petros C Karakousis
Johns Hopkins University · USUniversity of Louisville · US

Funding

Regulatory networks involved in Mycobacterium tuberculosis persistenceR01AI083125 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KARAKOUSIS, PETROS C · 2009 to 2013
$2.7M
Modeling latent TB InfectionK08AI064229 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KARAKOUSIS, PETROS C · 2005 to 2009
$679k
NIAID NIH HHS AI064229NIAID NIH HHS AI083125
6 · The paper itself

Abstract

objectivesIt is widely believed that persistent Mycobacterium tuberculosis inhabits necrotic lung granulomas in humans and that the microenvironmental conditions encountered therein render the bacilli phenotypically tolerant to antibiotics, accounting for the long duration required for successful treatment of tuberculosis (TB). To validate this belief, we directly compared the activity of rifampicin/isoniazid/pyrazinamide (RHZ) against chronic TB infection in guinea pigs, which exhibit caseous granulomas histologically resembling human caseous foci, and in mice, which lack necrotic granulomas.

methodsGuinea pigs and mice were aerosol-infected with M. tuberculosis CDC1551 and twice weekly treatment with RHZ was started 4 weeks later. Culture-positive relapse was assessed in subgroups of guinea pigs after 3 months and 4 months of treatment.

resultsAll guinea pig lungs exhibited histological evidence of granulomas with central caseation, while mouse lungs exhibited cellular lesions at the initiation of antibiotic treatment. Guinea pig lungs became culture-negative after 2 months of RHZ given twice weekly at human-equivalent doses. Relapse rates in guinea pigs were 0% (0/10) both after 3 months and 4 months of treatment. In contrast, all mouse lungs remained culture-positive after 4 months of equivalent RHZ exposures.

conclusionsCaseous necrosis does not reduce the sterilizing activity of the standard antituberculosis regimen of RHZ. Our findings have important implications for the use of alternative animal models in testing novel TB drug regimens and for modelling M. tuberculosis persistence.

Indexed as

Drug Resistance, BacterialAnimalsAntitubercular AgentsDisease Models, AnimalDrug TherapyFemaleGuinea PigsMiceMice, Inbred BALB CMycobacterium tuberculosisRecurrenceRodent DiseasesTuberculosisAntitubercular Agents

Identifiers

PMID21602551
PMCPMC3112031
OpenAlexW2118359175

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.