Evidence map›Paper›PMID 26903278›Full record

ArticleThe Journal of antimicrobial chemotherapy2016

Statin adjunctive therapy shortens the duration of TB treatment in mice.

Noton K Dutta, Natalie Bruiners, Michael L Pinn, Matthew D Zimmerman, Brendan Prideaux, Véronique Dartois, Maria L Gennaro, Petros C Karakousis

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
8.3field-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

66 citing papers in PubMed, 109 citations in OpenAlex.

  1. Trial
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  7. Host-directed therapy for tuberculosis.European journal of medical research · 2025
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  14. Interaction of Glycemic Control and Statin Use on Diabetes-Tuberculosis Treatment Outcome: A Nested Case-Control Study.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2024
    Article
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6 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

8 authors at 3 institutions in 1 country.

Noton K DuttaCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Natalie BruinersPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, NJ, USA.
Michael L PinnCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Matthew D ZimmermanPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, NJ, USA.
Brendan PrideauxPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, NJ, USA.
Véronique DartoisPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, NJ, USA.
Maria L GennaroPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, NJ, USA.
Petros C KarakousisCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA petros@jhmi.edu.
Rutgers, The State University of New Jersey · USJohns Hopkins University · USJohns Hopkins Medicine · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Mapping and modeling host-pathogen interactions in TB latency and reactivationR01HL106788 · NHLBI · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI BALAZSI, GABOR, GENNARO, MARIA LAURA · 2010 to 2013
$3.1M
A Multidisciplinary Approach to Understanding TB Latency and ReactivationR01HL106786 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BADER, JOEL S., KARAKOUSIS, PETROS C · 2010 to 2013
$3.1M
Statins as Adjunctive, Host-Directed Therapy for TBUH2AI122309 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KARAKOUSIS, PETROS C · 2015 to 2016
$1.2M
A MALDI LTQ Orbitrap XL Mass Spectrometer for BioImagingS10OD018072 · OD · RBHS-NEW JERSEY MEDICAL SCHOOL · PI DARTOIS, VERONIQUE · 2015 to 2015
$418k
NHLBI NIH HHS HL106788NHLBI NIH HHS R01 HL106786NIAID NIH HHS P30 AI094189NIAID NIH HHS P30AI094189NIAID NIH HHS UH2 AI122309NIH HHS S10 OD018072
6 · The paper itself

Abstract

backgroundThe repurposing of existing agents may accelerate TB drug development. Recently, we reported that the lipid-lowering drug simvastatin, when added to the first-line antitubercular regimen, reduces the lung bacillary burden in chronically infected mice.

objectivesWe investigated whether the addition of simvastatin to the first-line regimen (isoniazid/rifampicin/pyrazinamide) shortens the duration of curative TB treatment in mice.

methodsMycobacterium tuberculosis-infected THP-1 cells were exposed to simvastatin to determine the effect of statins on the activity of first-line anti-TB drug activity and intracellular rifampicin concentration. Single-dose and steady-state pharmacokinetic studies guided optimized simvastatin dosing in vivo. BALB/c mice were aerosol-infected with M. tuberculosis H37Rv and drug treatment was initiated 6 weeks post-infection. Separate groups of mice received standard TB treatment with or without simvastatin. Relapse rates were assessed 3 months after discontinuation of each treatment regimen. MALDI-MS imaging was used to image the cholesterol content of mouse lung lesions.

resultsSimvastatin significantly enhanced the bactericidal activity of first-line drugs against intracellular M. tuberculosis without altering intracellular rifampicin concentrations. Adjunctive treatment with 60 mg/kg simvastatin shortened the time required to achieve culture-negative lungs from 4.5 to 3.5 months. Following 2.5, 3.5 and 4.5 months of treatment, relapse rates were 100%, 50% and 0%, respectively, in the control group and 50% (P = 0.03), 20% and 0%, respectively, in the statin group. Simvastatin did not alter plasma or lung lesion cholesterol levels.

conclusionsStatins are attractive candidates for host-directed, adjunctive TB therapy. Further preclinical studies are needed to define the optimal statin and dosing.

Indexed as

AnimalsAntitubercular AgentsCell LineCombined Modality TherapyDisease Models, AnimalDrug TherapyFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMice, Inbred BALB CMonocytesMycobacterium tuberculosisTime FactorsTreatment OutcomeTuberculosisAntitubercular AgentsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID26903278
PMCPMC5007636
OpenAlexW2286729113

What OpenQuestion holds

Textmetadata
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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.