Evidence map›Paper›PMID 25049257›Full record

ArticleAntimicrobial agents and chemotherapy2014

Statins increase rifampin mycobactericidal effect.

Lívia Silva Lobato, Patrícia Sammarco Rosa, Jessica da Silva Ferreira, Arthur da Silva Neumann, Marlei Gomes da Silva, Dejair Caitano do Nascimento, Cleverson Teixeira Soares, Silvia Cristina Barbosa Pedrini, Diego Sá Leal de Oliveira, Cláudia Peres Monteiro and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 5% 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

67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Silence on the plate: revisiting the enigma ofFrontiers in microbiology · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. AMetabolites · 2026
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  6. Cholesterol sulfate signaling facilitates persistent colonization of mucoid-coccoid H. pylori in gastric environment.International microbiology : the official journal of the Spanish Society for Microbiology · 2026
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  7. Impact of protein prenylation inhibition onJournal of bacteriology · 2025
    Article
  8. Assessment of TB47 as a potential novel therapeutic agent:Antimicrobial agents and chemotherapy · 2025
    Article
  9. Inducible antibacterial responses in macrophages.Nature reviews. Immunology · 2025
    Review
  10. Statins, Allies against Antibiotic Resistance?Current medicinal chemistry · 2025
    Review
  11. Article
  12. Article
  13. Genomic and Phenotypic Variations Among Thai-53 andPathogens (Basel, Switzerland) · 2024
    Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Adenosine AFrontiers in pharmacology · 2024
    Article
  19. Review
  20. MedComm · 2023
    Review

7 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

17 authors at 2 institutions in 1 country.

Lívia Silva LobatoLaboratório de Microbiologia Celular, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
Patrícia Sammarco RosaLauro de Sousa Lima Institute, Department of Biology, Bauru, São Paulo, Brazil.
Jessica da Silva FerreiraLaboratório de Microbiologia Celular, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
Arthur da Silva NeumannLaboratório de Microbiologia Celular, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
Marlei Gomes da SilvaLaboratório de Micobactérias, Instituto de Microbiologia Professor Paulo de Góes, Cidade Universitária, Rio de Janeiro, Brazil.
Dejair Caitano do NascimentoLauro de Sousa Lima Institute, Department of Biology, Bauru, São Paulo, Brazil.
Cleverson Teixeira SoaresLauro de Sousa Lima Institute, Department of Biology, Bauru, São Paulo, Brazil.
Silvia Cristina Barbosa PedriniLauro de Sousa Lima Institute, Department of Biology, Bauru, São Paulo, Brazil.
Diego Sá Leal de OliveiraLaboratório de Microbiologia Celular, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
Cláudia Peres MonteiroLauro de Sousa Lima Institute, Department of Biology, Bauru, São Paulo, Brazil.
Geraldo Moura Batista PereiraLaboratório de Microbiologia Celular, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
Marcelo Ribeiro-AlvesCentro de Pesquisa Clínica em HIV/AIDS, Evandro Chagas Clinical Research Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Mariana Andrea HackerLaboratório de Hanseníase, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
Milton Ozório MoraesLaboratório de Hanseníase, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
Maria Cristina Vidal PessolaniLaboratório de Microbiologia Celular, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
Rafael Silva DuarteLaboratório de Micobactérias, Instituto de Microbiologia Professor Paulo de Góes, Cidade Universitária, Rio de Janeiro, Brazil.
Flávio Alves LaraLaboratório de Microbiologia Celular, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil flavioalveslara2000@gmail.com.
Fundação Oswaldo Cruz · BRInstituto Lauro de Souza Lima · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mycobacterium leprae and Mycobacterium tuberculosis antimicrobial resistance has been followed with great concern during the last years, while the need for new drugs able to control leprosy and tuberculosis, mainly due to extensively drug-resistant tuberculosis (XDR-TB), is pressing. Our group recently showed that M. leprae is able to induce lipid body biogenesis and cholesterol accumulation in macrophages and Schwann cells, facilitating its viability and replication. Considering these previous results, we investigated the efficacies of two statins on the intracellular viability of mycobacteria within the macrophage, as well as the effect of atorvastatin on M. leprae infections in BALB/c mice. We observed that intracellular mycobacteria viability decreased markedly after incubation with both statins, but atorvastatin showed the best inhibitory effect when combined with rifampin. Using Shepard's model, we observed with atorvastatin an efficacy in controlling M. leprae and inflammatory infiltrate in the BALB/c footpad, in a serum cholesterol level-dependent way. We conclude that statins contribute to macrophage-bactericidal activity against Mycobacterium bovis, M. leprae, and M. tuberculosis. It is likely that the association of statins with the actual multidrug therapy effectively reduces mycobacterial viability and tissue lesion in leprosy and tuberculosis patients, although epidemiological studies are still needed for confirmation.

Indexed as

AnimalsAntitubercular AgentsAtorvastatinCell LineDrug SynergismHeptanoic AcidsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLeprosyMacrophagesMiceMice, Inbred BALB CMycobacterium lepraeMycobacterium tuberculosisPyrrolesRifampinAntitubercular AgentsAtorvastatinHeptanoic AcidsHydroxymethylglutaryl-CoA Reductase InhibitorsPyrrolesRifampinSimvastatin

Identifiers

PMID25049257
PMCPMC4187984
OpenAlexW2010096264

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.