Evidence map›Paper›PMID 26981575›Full record

ArticleEBioMedicine2016

Adjunctive Phosphodiesterase-4 Inhibitor Therapy Improves Antibiotic Response to Pulmonary Tuberculosis in a Rabbit Model.

Selvakumar Subbian, Liana Tsenova, Jennifer Holloway, Blas Peixoto, Paul O'Brien, Véronique Dartois, Vikram Khetani, Jerome B Zeldis, Gilla Kaplan

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

57 citing papers in PubMed, 77 citations in OpenAlex.

  1. Trial
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  6. Review
  7. Genome-wide transcriptional landscape ofFrontiers in immunology · 2026
    Article
  8. Review
  9. Host-directed therapy for tuberculosis.European journal of medical research · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Mathematical modeling suggests heterogeneous replication ofbioRxiv : the preprint server for biology · 2024
    Article
  15. Immune Responses toBiomedicines · 2024
    Article
  16. Article
  17. Host Cell Death and Modulation of Immune Response againstInternational journal of molecular sciences · 2024
    Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Selvakumar SubbianPublic Health Research Institute (PHRI) of Rutgers Biomedical and Health Sciences (RBHS), Newark, NJ, USA.
Liana TsenovaPublic Health Research Institute (PHRI) of Rutgers Biomedical and Health Sciences (RBHS), Newark, NJ, USA; Department of Biological Sciences, NYC College of Technology, Brooklyn, NY, USA.
Jennifer HollowayDepartment of Pharmaceutics, Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ, USA.
Blas PeixotoPublic Health Research Institute (PHRI) of Rutgers Biomedical and Health Sciences (RBHS), Newark, NJ, USA.
Paul O'BrienPublic Health Research Institute (PHRI) of Rutgers Biomedical and Health Sciences (RBHS), Newark, NJ, USA.
Véronique DartoisPublic Health Research Institute (PHRI) of Rutgers Biomedical and Health Sciences (RBHS), Newark, NJ, USA.
Vikram KhetaniCelgene Corporation, Summit, NJ, USA.
Jerome B ZeldisCelgene Corporation, Summit, NJ, USA.
Gilla KaplanPublic Health Research Institute (PHRI) of Rutgers Biomedical and Health Sciences (RBHS), Newark, NJ, USA.
Rutgers, The State University of New Jersey · US

Funding

Host &Pathogen Determinants of M tuberculosis LatencyR01AI054338 · NIAID · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI KAPLAN, GILLA · 2002 to 2011
$5.0M
Adjunctive immune modulation to improve TB treatmentR21AI110335 · NIAID · RBHS-NEW JERSEY MEDICAL SCHOOL · PI SUBBIAN, SELVAKUMAR · 2014 to 2015
$437k
NIAID NIH HHS 1R21AI110335-01NIAID NIH HHS AI054338NIAID NIH HHS R21 AI110335
6 · The paper itself

Abstract

objectivesAdjunctive host-directed therapy is emerging as a new potential approach to improve the outcome of conventional antimicrobial treatment for tuberculosis (TB). We tested the ability of a phosphodiesterase-4 inhibitor (PDE4i) CC-11050, co-administered with the first-line anti-TB drug isoniazid (INH), to accelerate bacillary killing and reduce chronic inflammation in the lungs of rabbits with experimental Mycobacterium tuberculosis (Mtb) infection.

methodsA rabbit model of pulmonary TB that recapitulates the pathologic manifestations seen in humans was used. Rabbits were infected with virulent Mtb by aerosol exposure and treated for eight weeks with INH with or without CC-11050, starting at four weeks post infection. The effect of CC-11050 treatment on disease severity, pathology, bacillary load, T cell proliferation and global lung transcriptome profiles were analyzed.

resultsSignificant improvement in bacillary clearance and reduced lung pathology and fibrosis were noted in the rabbits treated for eight weeks with INH + CC-11050, compared to those treated with INH or CC-11050 only. In addition, expression of host genes associated with tissue remodeling, tumor necrosis factor alpha (TNF-α) regulation, macrophage activation and lung inflammation networks was dampened in CC-11050-treated, compared to the untreated rabbits.

conclusionsAdjunctive CC-11050 therapy significantly improves the response of rabbits with experimental pulmonary TB to INH treatment. We propose that CC-11050 may be a promising candidate for host directed therapy of patients with pulmonary TB, reducing the duration and improving clinical outcome of antibiotic treatment.

Indexed as

AnimalsAntitubercular AgentsDrug CombinationsDrug SynergismFemaleIsoniazidPhosphodiesterase 4 InhibitorsRabbitsTuberculosis, PulmonaryAntitubercular AgentsDrug CombinationsIsoniazidPhosphodiesterase 4 InhibitorsImmune modulationInflammationLung fibrosisPhosphodiesterase inhibitorPulmonary tuberculosis

Identifiers

PMID26981575
PMCPMC4776074
OpenAlexW2270865811

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.