Evidence map›Paper›PMID 23242857›Full record

ArticleCurrent topics in microbiology and immunology2013

Antimicrobial efflux pumps and Mycobacterium tuberculosis drug tolerance: evolutionary considerations.

John D Szumowski, Kristin N Adams, Paul H Edelstein, Lalita Ramakrishnan

Abstract read
In one paragraph

Article in Current topics in microbiology and immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
24.7field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 80 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Beyond antibiotic resistance: thebioRxiv : the preprint server for biology · 2023
    Article
  5. Article
  6. Tuberculosis challenges: Resistance, co-infection, diagnosis, and treatment.European journal of microbiology & immunology · 2022
    Review
  7. Article
  8. The evolving biology ofFrontiers in cellular and infection microbiology · 2022
    Review
  9. Unraveling the mechanisms of intrinsic drug resistance inFrontiers in cellular and infection microbiology · 2022
    Review
  10. Review
  11. Investigating GhanaianAntibiotics (Basel, Switzerland) · 2021
    Article
  12. Review
  13. Targeting theFrontiers in microbiology · 2021
    Review
  14. Review
  15. Review
  16. Physicochemical properties andRSC medicinal chemistry · 2020
    Review
  17. Mannose receptor targeted bioadhesive chitosan nanoparticles of clofazimine for effective therapy of tuberculosis.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020
    Article
  18. Article
  19. Article
  20. Review
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

4 authors at 2 institutions in 1 country.

John D SzumowskiDepartment of Medicine (Division of Infectious Diseases), University of Washington, Seattle, WA, USA, jszumows@uw.edu.
Kristin N Adams
Paul H Edelstein
Lalita Ramakrishnan
University of Washington · USUniversity of Pennsylvania · US

Funding

HOST DEFENSE TRAINING IN ALLERGY AND INFECTIOUS DISEASEST32AI007044 · NIAID · UNIVERSITY OF WASHINGTON · PI DAVID Neal FREDRICKS · 1985 to 2026
$14.6M
GENETIC BASIS OF MYCOBACTERIAL INVASIONR01AI036396 · NIAID · UNIVERSITY OF WASHINGTON · PI RAMAKRISHNAN, LALITA · 1994 to 2014
$5.2M
Host-Responses to Mycobacterium Infection in ZebrafishR37AI054503 · NIAID · UNIVERSITY OF WASHINGTON · PI RAMAKRISHNAN, LALITA · 2012 to 2021
$3.1M
INTERDISCIPLINARY PROGRAM IN BACTERIAL PATHOGENESIST32AI055396 · NIAID · UNIVERSITY OF WASHINGTON · PI FANG, FERRIC C · 2003 to 2019
$2.8M
Linking the behavior of individual host cells to their transcriptional signaturesDP1MH099901 · NIMH · UNIVERSITY OF WASHINGTON · PI RAMAKRISHNAN, LALITA · 2012 to 2014
$2.3M
Multi-Drug Resistant Urinary Tract Infections in Ambulatory SettingsR18HS020002 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI LAUTENBACH, EBBING · 2010 to 2012
$1.5M
AHRQ HHS 5R18HS020002-03AHRQ HHS R18 HS020002NIAID NIH HHS R01 AI036396NIAID NIH HHS R37 AI054503NIAID NIH HHS T32 5T32AI007044-36NIAID NIH HHS T32 AI007044NIAID NIH HHS T32 AI055396NIAID NIH HHS T32 AI55396NIMH NIH HHS DP1 MH099901
6 · The paper itself

Abstract

The need for lengthy treatment to cure tuberculosis stems from phenotypic drug resistance, also known as drug tolerance, which has been previously attributed to slowed bacterial growth in vivo. We discuss recent findings that challenge this model and instead implicate macrophage-induced mycobacterial efflux pumps in antimicrobial tolerance. Although mycobacterial efflux pumps may have originally served to protect against environmental toxins, in the pathogenic mycobacteria, they appear to have been repurposed for intracellular growth. In this light, we discuss the potential of efflux pump inhibitors such as verapamil to shorten tuberculosis treatment by their dual inhibition of tolerance and growth.

Indexed as

Antitubercular AgentsATP-Binding Cassette TransportersBiological TransportCalcium Channel BlockersDrug Resistance, Multiple, BacterialDrug SynergismEvolution, MolecularGene ExpressionHumansMacrophagesMycobacterium tuberculosisTime FactorsTuberculosis, PulmonaryVerapamilVirulence FactorsAntitubercular AgentsATP-Binding Cassette TransportersCalcium Channel BlockersVerapamilVirulence Factors

Identifiers

PMID23242857
PMCPMC3859842
OpenAlexW2141290363

What OpenQuestion holds

Textmetadata
LicenceTDM
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.