Evidence map›Paper›PMID 25535254›Full record

ArticleEMBO molecular medicine2015

Functional drug screening reveals anticonvulsants as enhancers of mTOR-independent autophagic killing of Mycobacterium tuberculosis through inositol depletion.

Mark Schiebler, Karen Brown, Krisztina Hegyi, Sandra M Newton, Maurizio Renna, Lucy Hepburn, Catherine Klapholz, Sarah Coulter, Andres Obregón-Henao, Marcela Henao Tamayo and 12 more

Open access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

103 citing papers in PubMed, 154 citations in OpenAlex.

  1. HowVaccines · 2026
    Review
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  3. Review
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  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. The Role of mTOR inBiomedicines · 2024
    Review
  13. Recognition of Mycobacterium tuberculosis by macrophage Toll-like receptor and its role in autophagy.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Review
  14. Article
  15. Article
  16. The engagement of autophagy in maniac disease.CNS neuroscience & therapeutics · 2023
    Review
  17. MedComm · 2023
    Review
  18. Article
  19. Article
  20. Review

43 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

22 authors at 7 institutions in 2 countries.

Mark SchieblerDepartment of Medicine, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK.
Karen BrownDepartment of Medicine, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK Cambridge Centre for Lung Infection, Papworth Hospital, Cambridge, UK.
Krisztina HegyiDepartment of Medicine, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK.
Sandra M NewtonDepartment of Paediatric Infectious Diseases and Allergy, Imperial College London, London, UK.
Maurizio RennaDepartment of Medical Genetics, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK.
Lucy HepburnDepartment of Medicine, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK.
Catherine KlapholzDepartment of Medicine, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK.
Sarah CoulterDepartment of Medicine, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK.
Andres Obregón-HenaoDepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, Colorado, USA.
Marcela Henao TamayoDepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, Colorado, USA.
Randall BasarabaDepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, Colorado, USA.
Beate KampmannDepartment of Paediatric Infectious Diseases and Allergy, Imperial College London, London, UK.
Katherine M HenryDepartment of Infection and Immunity, University of Sheffield Western Bank, Sheffield, UK.
Joseph BurgonDepartment of Infection and Immunity, University of Sheffield Western Bank, Sheffield, UK.
Stephen A RenshawDepartment of Infection and Immunity, University of Sheffield Western Bank, Sheffield, UK.
Angeleen FlemingDepartment of Medical Genetics, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK.
Robert R KayMRC Laboratory of Molecular Biology, Cambridge, UK.
Karen E AndersonThe Inositide Laboratory, Babraham Institute Babraham Research Campus, Cambridge, UK.
Phillip T HawkinsThe Inositide Laboratory, Babraham Institute Babraham Research Campus, Cambridge, UK.
Diane J OrdwayDepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, Colorado, USA arf27@cam.ac.uk dcr1000@cam.ac.uk D.Ordway@colostate.edu.
David C RubinszteinDepartment of Medical Genetics, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK arf27@cam.ac.uk dcr1000@cam.ac.uk D.Ordway@colostate.edu.
Rodrigo Andres FlotoDepartment of Medicine, Cambridge Institute for Medical Research University of Cambridge, Cambridge, UK Cambridge Centre for Lung Infection, Papworth Hospital, Cambridge, UK arf27@cam.ac.uk dcr1000@cam.ac.uk D.Ordway@colostate.edu.
University of Cambridge · GBColorado State University · USUniversity of Sheffield · GBBabraham Institute · GBImperial College London · GBMRC Laboratory of Molecular Biology · GBPapworth Hospital · GB

Funding

Biotechnology and Biological Sciences Research Council BBS/E/B/000C0415Medical Research Council G0701932Medical Research Council G108/595Medical Research Council MC_U105115237Medical Research Council MR/M004864/1Wellcome Trust 095317Wellcome Trust 100140
6 · The paper itself

Abstract

Mycobacterium tuberculosis (MTB) remains a major challenge to global health made worse by the spread of multidrug resistance. We therefore examined whether stimulating intracellular killing of mycobacteria through pharmacological enhancement of macroautophagy might provide a novel therapeutic strategy. Despite the resistance of MTB to killing by basal autophagy, cell-based screening of FDA-approved drugs revealed two anticonvulsants, carbamazepine and valproic acid, that were able to stimulate autophagic killing of intracellular M. tuberculosis within primary human macrophages at concentrations achievable in humans. Using a zebrafish model, we show that carbamazepine can stimulate autophagy in vivo and enhance clearance of M. marinum, while in mice infected with a highly virulent multidrug-resistant MTB strain, carbamazepine treatment reduced bacterial burden, improved lung pathology and stimulated adaptive immunity. We show that carbamazepine induces antimicrobial autophagy through a novel, evolutionarily conserved, mTOR-independent pathway controlled by cellular depletion of myo-inositol. While strain-specific differences in susceptibility to in vivo carbamazepine treatment may exist, autophagy enhancement by repurposed drugs provides an easily implementable potential therapy for the treatment of multidrug-resistant mycobacterial infection.

Indexed as

AnimalsAnticonvulsantsAntitubercular AgentsAutophagyCarbamazepineCell LineDisease Models, AnimalDrug Evaluation, PreclinicalFemaleHumansInositolMacrophagesMiceMice, Inbred C57BLMycobacterium tuberculosisTOR Serine-Threonine KinasesAnticonvulsantsAntitubercular AgentsCarbamazepineInositolTOR Serine-Threonine Kinasesautophagymultidrug‐resistantmyo‐inositoltuberculosis

Identifiers

PMID25535254
PMCPMC4328644
OpenAlexW2102823881

What OpenQuestion holds

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Registered trials

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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.