Evidence map›Paper›PMID 25703571›Full record

ReviewImmunological reviews2015

New tricks for old dogs: countering antibiotic resistance in tuberculosis with host-directed therapeutics.

Thomas R Hawn, Javeed A Shah, Daniel Kalman

Open access · greenAbstract 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 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
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  13. Review
  14. Lactate Metabolism and Signaling in Tuberculosis and Cancer: A Comparative Review.Frontiers in cellular and infection microbiology · 2021
    Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Manipulation of autophagy for host-directed tuberculosis therapy.African journal of thoracic and critical care medicine · 2019
    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

3 authors at 2 institutions in 1 country.

Thomas R HawnDepartment of Medicine, University of Washington, Seattle, WA, USA.
Javeed A Shah
Daniel Kalman
University of Washington · USEmory University · US

Funding

HOST DEFENSE TRAINING IN ALLERGY AND INFECTIOUS DISEASEST32AI007044 · NIAID · UNIVERSITY OF WASHINGTON · PI DAVID Neal FREDRICKS · 1985 to 2026
$14.6M
Role of tyrosine kinases in EPEC and EHEC pathogenesisR01AI056067 · NIAID · EMORY UNIVERSITY · PI KALMAN, DANIEL · 2003 to 2007
$1.6M
Development of Gleevec for TB and TB/HIVUH2AI122320 · NIAID · EMORY UNIVERSITY · PI BISSON, GREGORY P., GUMBO, TAWANDA · 2015 to 2016
$1.2M
Innate Immunogenetics & Human InfectionsK24AI089794 · NIAID · UNIVERSITY OF WASHINGTON · PI HAWN, THOMAS R · 2010 to 2014
$746k
TOLLIP and Tuberculosis ImmunopathogenesisK08AI102971 · NIAID · UNIVERSITY OF WASHINGTON · PI SHAH, JAVEED ALI · 2013 to 2016
$708k
NIAID NIH HHS K08 AI102971NIAID NIH HHS K08-AI102971NIAID NIH HHS K24 AI089794NIAID NIH HHS K24AI089794NIAID NIH HHS R01 AI056067NIAID NIH HHS R01-AI056067-01NIAID NIH HHS T32 AI007044NIAID NIH HHS UH2 AI122320PHS HHS R01A107246201-A2
6 · The paper itself

Abstract

Despite the availability of Mycobacterium tuberculosis (Mtb) drugs for over 50 years, tuberculosis (TB) remains at pandemic levels. New drugs are urgently needed for resistant strains, shortening duration of treatment, and targeting different stages of the disease, especially for treatment during human immunodeficiency virus co-infection. One solution to the conundrum that antibiotics kill the bacillus yet select for resistance is to target the host rather than the pathogen. Here, we discuss recent progress in so-called 'host-directed therapeutics' (HDTs), focusing on two general mechanistic strategies: (i) HDTs that disrupt Mtb pathogenesis in macrophages and (ii) immunomodulatory HDTs that facilitate protective immune responses that kill Mtb or reduce deleterious responses that exacerbate disease. HDTs hold significant promise as adjunctive therapies in that they are less likely to engender resistance, will likely have efficacy against antibiotic-resistant strains, and may have activity against non-replicating Mtb. However, TB is a complex and variegated disease, and human populations exhibit significant diversity in their immune responses to it, which presents a complicated landscape for HDTs to navigate. Nevertheless, we suggest that a detailed mechanistic understanding of drug action, together with careful selection of disease stage targets and dosing strategies may overcome such limitations and allow the development of HDTs as effective adjunctive treatment options for TB.

Indexed as

Drug Resistance, BacterialHost-Pathogen InteractionsAnimalsAntitubercular AgentsAutophagyCarbohydrate MetabolismCytokinesEicosanoidsHumansImmunity, InnateLipid MetabolismMycobacterium tuberculosisPrecision MedicineTuberculosisAntitubercular AgentsCytokinesEicosanoidsdruginnate immunitymacrophagetuberculosis

Identifiers

PMID25703571
PMCPMC4571192
OpenAlexW2147386981

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.