Evidence map›Paper›PMID 25534737›Full record

ArticleAntimicrobial agents and chemotherapy2015

A novel inhibitor of gyrase B is a potent drug candidate for treatment of tuberculosis and nontuberculosis mycobacterial infections.

Christopher P Locher, Steven M Jones, Brian L Hanzelka, Emanuele Perola, Carolyn M Shoen, Michael H Cynamon, Andile H Ngwane, Ian J Wiid, Paul D van Helden, Fabrice Betoudji and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

38 citing papers in PubMed, 81 citations in OpenAlex.

  1. Trial
  2. Discovery of Putative GyrB Inhibitors againstCurrent medicinal chemistry · 2026
    Article
  3. Review
  4. Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  5. Review
  6. Article
  7. Revealing the Interaction Mechanism betweenInternational journal of molecular sciences · 2024
    Article
  8. Review
  9. Article
  10. TargetingRSC medicinal chemistry · 2023
    Review
  11. Review
  12. Article
  13. Tuberculosis: Pathogenesis, Current Treatment Regimens and New Drug Targets.International journal of molecular sciences · 2023
    Review
  14. Review
  15. Article
  16. Article
  17. Potential therapeutic targets fromRSC medicinal chemistry · 2022
    Review
  18. Review
  19. "Upcycling" known molecules and targets for drug-resistant TB.Frontiers in cellular and infection microbiology · 2022
    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

12 authors at 5 institutions in 2 countries.

Christopher P LocherVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA Christopher_locher@hotmail.com.
Steven M JonesVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA.
Brian L HanzelkaVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA.
Emanuele PerolaVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA.
Carolyn M ShoenCentral New York Research Corporation, Syracuse, New York, USA.
Michael H CynamonCentral New York Research Corporation, Syracuse, New York, USA.
Andile H NgwaneDST/NRF Centre of Excellence for Biomedical Tuberculosis Research/MRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Ian J WiidDST/NRF Centre of Excellence for Biomedical Tuberculosis Research/MRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Paul D van HeldenDST/NRF Centre of Excellence for Biomedical Tuberculosis Research/MRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Fabrice BetoudjiCenter for Tuberculosis Research, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Eric L NuermbergerCenter for Tuberculosis Research, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
John A ThomsonVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA.
Vertex Pharmaceuticals (United States) · USStellenbosch University · ZAJohns Hopkins University · USCentral New York Research Corporation · USSyracuse University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New drugs to treat drug-resistant tuberculosis are urgently needed. Extensively drug-resistant and probably the totally drug-resistant tuberculosis strains are resistant to fluoroquinolones like moxifloxacin, which target gyrase A, and most people infected with these strains die within a year. In this study, we found that a novel aminobenzimidazole, VXc-486, which targets gyrase B, potently inhibits multiple drug-sensitive isolates and drug-resistant isolates of Mycobacterium tuberculosis in vitro (MICs of 0.03 to 0.30 μg/ml and 0.08 to 5.48 μg/ml, respectively) and reduces mycobacterial burdens in lungs of infected mice in vivo. VXc-486 is active against drug-resistant isolates, has bactericidal activity, and kills intracellular and dormant M. tuberculosis bacteria in a low-oxygen environment. Furthermore, we found that VXc-486 inhibits the growth of multiple strains of Mycobacterium abscessus, Mycobacterium avium complex, and Mycobacterium kansasii (MICs of 0.1 to 2.0 μg/ml), as well as that of several strains of Nocardia spp. (MICs of 0.1 to 1.0 μg/ml). We made a direct comparison of the parent compound VXc-486 and a phosphate prodrug of VXc-486 and showed that the prodrug of VXc-486 had more potent killing of M. tuberculosis than did VXc-486 in vivo. In combination with other antimycobacterial drugs, the prodrug of VXc-486 sterilized M. tuberculosis infection when combined with rifapentine-pyrazinamide and bedaquiline-pyrazinamide in a relapse infection study in mice. Furthermore, the prodrug of VXc-486 appeared to perform at least as well as the gyrase A inhibitor moxifloxacin. These findings warrant further development of the prodrug of VXc-486 for the treatment of tuberculosis and nontuberculosis mycobacterial infections.

Indexed as

AnimalsAnti-Bacterial AgentsBenzimidazolesFemaleHumansMiceMice, Inbred BALB CMice, Inbred C57BLMicrobial Sensitivity TestsMycobacterium InfectionsTopoisomerase II InhibitorsAnti-Bacterial AgentsBenzimidazolesTopoisomerase II InhibitorsVXc-486

Identifiers

PMID25534737
PMCPMC4325822
OpenAlexW1993817085

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.