Evidence map›Paper›PMID 25703568›Full record

ReviewImmunological reviews2015

TB drug development: immunology at the table.

Carl Nathan, Clifton E Barry

Abstract readReview
In one paragraph

Review in Immunological reviews, 2015. 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
–field-weighted citation impact
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.

  1. Trial
  2. Article
  3. Drug-TolerantInternational journal of molecular sciences · 2023
    Article
  4. Article
  5. Article
  6. Review
  7. Phosphoenolpyruvate depletion mediates both growth arrest and drug tolerance ofProceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  8. Investigating β-Lactam Drug Targets inACS infectious diseases · 2021
    Article
  9. Article
  10. Article
  11. Tuberculosis: Past, present and future of the treatment and drug discovery research.Current research in pharmacology and drug discovery · 2021
    Review
  12. Molecule Property Analyses of Active Compounds forJournal of medicinal chemistry · 2020
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Differential Culturability ofFrontiers in microbiology · 2019
    Article
  18. NADCell reports · 2018
    Article
  19. Review
  20. Extreme Drug Tolerance of Mycobacterium tuberculosis in Caseum.Antimicrobial agents and chemotherapy · 2018
    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

2 authors.

Carl NathanDepartment of Microbiology and Immunology, Weill Cornell Medical College, New York, NY, USA.
Clifton E Barry

Funding

Viable but Nonculturable MtbU19AI111143 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI GLICKMAN, MICHAEL S, NATHAN, CARL FRANCIS · 2014 to 2020
$48.6M
Development Of New Chemotherapeutics For TuberculosisZIAAI000693 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI BARRY, CLIFTON · 2009 to 2025
$20.1M
Targets in Mycobacterium Tuberculosis: Stress Resistance & RepairR01AI064768 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI NATHAN, CARL FRANCIS · 2005 to 2015
$8.6M
Targeting the Host to Treat TB: Inhibitors of Protein Kinase RR33AI105807 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI NATHAN, CARL FRANCIS · 2015 to 2017
$1.1M
Targeting the Host to Treat TB: Inhibitors of Protein Kinase RR21AI105807 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI NATHAN, CARL FRANCIS · 2013 to 2014
$394k
NIAID NIH HHS R01 AI064768NIAID NIH HHS R01 AI105807NIAID NIH HHS R01 AI64768NIAID NIH HHS R21 AI105807NIAID NIH HHS R33 AI105807NIAID NIH HHS U19 AI111143
6 · The paper itself

Abstract

Our understanding of the host-pathogen relationship in tuberculosis (TB) can help guide drug discovery in at least two ways. First, the recognition that host immunopathology affects lesional TB drug distribution means that pharmacokinetic evaluation of drug candidates needs to move beyond measurements of drug levels in blood, whole lungs, or alveolar epithelial lining fluid to include measurements in specific types of lesions. Second, by restricting the replication of M. tuberculosis (Mtb) subpopulations in latent TB infection and in active disease, the host immune response puts Mtb into a state associated with phenotypic tolerance to TB drugs selected for their activity against replicating Mtb. This has spurred a major effort to conduct high throughput screens in vitro for compounds that can kill Mtb when it is replicating slowly if at all. Each condition used in vitro to slow Mtb's replication and thereby model the phenotypically drug-tolerant state has advantages and disadvantages. Lead candidates emerging from such in vitro studies face daunting challenges in the design of proof-of-concept studies in animal models. Moreover, some non-replicating subpopulations of Mtb fail to resume replication when plated on agar, although their viability is demonstrable by other means. There is as yet no widely replicated assay in which to screen compounds for their ability to kill this 'viable but non-culturable' subpopulation. Despite these hurdles, drugs that can kill slowly replicating or non-replicating Mtb may offer our best hope for treatment-shortening combination chemotherapy of TB.

Indexed as

Drug DiscoveryAnimalsAntitubercular AgentsDrug Resistance, BacterialHost-Pathogen InteractionsHumansMycobacterium tuberculosisTuberculosisAntitubercular Agentsdrug resistanceimmunopathologynon-replicationpersistencephenotypic toleranceviable but non-culturable

Identifiers

PMID25703568
PMCPMC4339218

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.