Evidence map›Paper›PMID 26382066›Full record

ArticlePloS one2015

Mycobacterium tuberculosis Is Resistant to Isoniazid at a Slow Growth Rate by Single Nucleotide Polymorphisms in katG Codon Ser315.

Rose E Jeeves, Alice A N Marriott, Steven T Pullan, Kim A Hatch, Jon C Allnutt, Irene Freire-Martin, Charlotte L Hendon-Dunn, Robert Watson, Adam A Witney, Richard H Tyler and 4 more

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Decoding drug tolerance: insights into theFrontiers in microbiology · 2025
    Article
  6. EfpA is required for regrowth ofAntimicrobial agents and chemotherapy · 2024
    Article
  7. Article
  8. Metabolic Rewiring ofMetabolites · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Re-growth ofAntimicrobial agents and chemotherapy · 2019
    Article
  14. AlteredFrontiers in microbiology · 2018
    Article
  15. Article
  16. Article
  17. Isoniazid-resistant tuberculosis: a cause for concern?The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2017
    Review
  18. Review
  19. Review
  20. 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

14 authors.

Rose E JeevesPublic Health England, Porton Down, Salisbury, United Kingdom.
Alice A N MarriottPublic Health England, Porton Down, Salisbury, United Kingdom.
Steven T PullanPublic Health England, Porton Down, Salisbury, United Kingdom.
Kim A HatchPublic Health England, Porton Down, Salisbury, United Kingdom.
Jon C AllnuttPublic Health England, Porton Down, Salisbury, United Kingdom.
Irene Freire-MartinPublic Health England, Porton Down, Salisbury, United Kingdom.
Charlotte L Hendon-DunnPublic Health England, Porton Down, Salisbury, United Kingdom.
Robert WatsonPublic Health England, Porton Down, Salisbury, United Kingdom.
Adam A WitneySt George's, University of London, Cranmer Terrace, London, United Kingdom.
Richard H TylerSt George's, University of London, Cranmer Terrace, London, United Kingdom.
Catherine ArnoldPublic Health England, Colindale, 61 Colindale Avenue, London, United Kingdom.
Philip D MarshPublic Health England, Porton Down, Salisbury, United Kingdom.
Timothy D McHughUniversity College London, Centre for Clinical Microbiology, Royal Free Campus, Rowland Hill Street, London, United Kingdom.
Joanna BaconPublic Health England, Porton Down, Salisbury, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An important aim for improving TB treatment is to shorten the period of antibiotic therapy without increasing relapse rates or encouraging the development of antibiotic-resistant strains. In any M. tuberculosis population there is a proportion of bacteria that are drug-tolerant; this might be because of pre-existing populations of slow growing/non replicating bacteria that are protected from antibiotic action due to the expression of a phenotype that limits drug activity. We addressed this question by observing populations of either slow growing (constant 69.3h mean generation time) or fast growing bacilli (constant 23.1h mean generation time) in their response to the effects of isoniazid exposure, using controlled and defined growth in chemostats. Phenotypic differences were detected between the populations at the two growth rates including expression of efflux mechanisms and the involvement of antisense RNA/small RNA in the regulation of a drug-tolerant phenotype, which has not been explored previously for M. tuberculosis. Genotypic analyses showed that slow growing bacilli develop resistance to isoniazid through mutations specifically in katG codon Ser315 which are present in approximately 50-90% of all isoniazid-resistant clinical isolates. The fast growing bacilli persisted as a mixed population with katG mutations distributed throughout the gene. Mutations in katG codon Ser315 appear to have a fitness cost in vitro and particularly in fast growing cultures. Our results suggest a requirement for functional katG-encoded catalase-peroxide in the slow growers but not the fast-growing bacteria, which may explain why katG codon Ser315 mutations are favoured in the slow growing cultures.

Indexed as

Polymorphism, Single NucleotideAntitubercular AgentsBacterial ProteinsCatalaseCodonDNA Mutational AnalysisDrug Resistance, MicrobialGene Expression ProfilingGene Expression Regulation, BacterialGene Expression Regulation, EnzymologicHumansIsoniazidMicrobial Sensitivity TestsMycobacterium tuberculosisPoint MutationSerineAntitubercular AgentsBacterial ProteinsCatalaseCodonIsoniazidkatG protein, Mycobacterium tuberculosisSerine

Identifiers

PMID26382066
PMCPMC4575197

What OpenQuestion holds

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LicenceCC BY
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.