Evidence map›Paper›PMID 23975742›Full record

ArticleThe Journal of antimicrobial chemotherapy2014

Leishmania panamensis infection and antimonial drugs modulate expression of macrophage drug transporters and metabolizing enzymes: impact on intracellular parasite survival.

Maria Adelaida Gómez, Adriana Navas, Ricardo Márquez, Laura Jimena Rojas, Deninson Alejandro Vargas, Victor Manuel Blanco, Roni Koren, Dan Zilberstein, Nancy Gore Saravia

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 29 citations in OpenAlex.

  1. DNA Methylation in macrophages infected withEmerging microbes & infections · 2025
    Article
  2. Article
  3. Article
  4. Article
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  6. Cytotoxicity of Essential OilMolecules (Basel, Switzerland) · 2021
    Article
  7. Immuno-pharmacokinetics of Meglumine Antimoniate in Patients With Cutaneous Leishmaniasis Caused by Leishmania (Viannia).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  8. Article
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  10. Review
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  15. Observational
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  20. Chronic arsenic exposure and microbial drug resistance.Proceedings of the National Academy of Sciences of the United States of America · 2013
    Article
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

9 authors at 2 institutions in 2 countries.

Maria Adelaida GómezCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM), Carrera 125 No. 19-225 Cali, Colombia.
Adriana Navas
Ricardo Márquez
Laura Jimena Rojas
Deninson Alejandro Vargas
Victor Manuel Blanco
Roni Koren
Dan Zilberstein
Nancy Gore Saravia
Centro Internacional de Entrenamiento e Investigaciones Medicas · COTechnion – Israel Institute of Technology · IL

Funding

Vector/Host-Parasite Interface of Leishmaniasis in ColombiaD43TW006589 · FIC · YALE UNIVERSITY · PI GORE SARAVIA, NANCY, TSCHUDI, CHRISTIAN · 2003 to 2024
$4.3M
Improved Treatment of American Cutaneous Leishmaniasis by ImmunomodulationR01AI093775 · NIAID · YALE UNIVERSITY · PI GORE SARAVIA, NANCY, MCMAHON PRATT, DIANE · 2011 to 2014
$2.6M
FIC NIH HHS D43 TW006589NIAID NIH HHS R01 AI093775
6 · The paper itself

Abstract

objectivesTreatment failure is multifactorial. Despite the importance of host cell drug transporters and metabolizing enzymes in the accumulation, distribution and metabolism of drugs targeting intracellular pathogens, their impact on the efficacy of antileishmanials is unknown. We examined the contribution of pharmacologically relevant determinants in human macrophages in the antimony-mediated killing of intracellular Leishmania panamensis and its relationship with the outcome of treatment with meglumine antimoniate.

methodsPatients with cutaneous leishmaniasis who failed (n = 8) or responded (n =8) to treatment were recruited. Gene expression profiling of pharmacological determinants in primary macrophages was evaluated by quantitative RT-PCR and correlated to the drug-mediated intracellular parasite killing. Functional validation was conducted through short hairpin RNA gene knockdown.

resultsSurvival of L. panamensis after exposure to antimonials was significantly higher in macrophages from patients who failed treatment. Sixteen macrophage drug-response genes were modulated by infection and exposure to meglumine antimoniate. Correlation analyses of gene expression and intracellular parasite survival revealed the involvement of host cell metallothionein-2A and ABCB6 in the survival of Leishmania during exposure to antimonials. ABCB6 was functionally validated as a transporter of antimonial compounds localized in both the cell and phagolysosomal membranes of macrophages, revealing a novel mechanism of host cell-mediated regulation of intracellular drug exposure and parasite survival within phagocytes.

conclusionsThese results provide insight into host cell mechanisms regulating the intracellular exposure of Leishmania to antimonials and variations among individuals that impact parasite survival. Understanding of host cell determinants of intracellular pharmacokinetics/pharmacodynamics opens new avenues to improved drug efficacy for intracellular pathogens.

Indexed as

Host-Pathogen InteractionsAdultAntiprotozoal AgentsCell SurvivalFemaleGene Expression ProfilingHumansLeishmaniaMacrophagesMaleMeglumineMeglumine AntimoniateMembrane Transport ProteinsMiddle AgedOrganometallic CompoundsYoung AdultAntiprotozoal AgentsMeglumineMeglumine AntimoniateMembrane Transport ProteinsOrganometallic CompoundsABCB6host–pathogen interactionsleishmaniasisMT2Aphagolysosomes

Identifiers

PMID23975742
PMCPMC3861331
OpenAlexW2164511223

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.