Evidence map›Paper›PMID 27506290›Full record

ArticleNature communications2016

Turning the respiratory flexibility of Mycobacterium tuberculosis against itself.

Dirk A Lamprecht, Peter M Finin, Md Aejazur Rahman, Bridgette M Cumming, Shannon L Russell, Surendranadha R Jonnala, John H Adamson, Adrie J C Steyn

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03827811 (Pharmacometrics to Advance Novel Regimens for Drug-resistant Tuberculosis), which is not on this map. Cited by 141 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 2 pooled it
9.0field-weighted citation impact, top 1% 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.

NCT03827811 unknown statusnot on this mapstarted 2020, after this paper: background citation

Pharmacometrics to Advance Novel Regimens for Drug-resistant Tuberculosis

TypeobservationalSponsorUniversity of Cape TownRan2020 to 2023Enrolled625ConditionsMulti-drug Resistant Tuberculosis
3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 2 syntheses or guidelines pooled it, 235 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Dual inhibition of respiratory complexes inMicrobiology spectrum · 2026
    Article
  5. Review
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  8. Review
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  12. Article
  13. Menaquinone depletion resensitises bedaquiline-resistant tuberculosis.bioRxiv : the preprint server for biology · 2026
    Article
  14. A Comprehensive Review of Genetic Mechanisms ofInfection and drug resistance · 2026
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. The role of cytochrome bcNature communications · 2025
    Article

81 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 2 institutions in 1 country.

Dirk A LamprechtKwaZulu Natal Research Institute for Tuberculosis and HIV (K-RITH), K-RITH Tower Building Level 3, 719 Umbilo Road, Durban 4001, South Africa.
Peter M FininKwaZulu Natal Research Institute for Tuberculosis and HIV (K-RITH), K-RITH Tower Building Level 3, 719 Umbilo Road, Durban 4001, South Africa.
Md Aejazur RahmanKwaZulu Natal Research Institute for Tuberculosis and HIV (K-RITH), K-RITH Tower Building Level 3, 719 Umbilo Road, Durban 4001, South Africa.
Bridgette M CummingKwaZulu Natal Research Institute for Tuberculosis and HIV (K-RITH), K-RITH Tower Building Level 3, 719 Umbilo Road, Durban 4001, South Africa.
Shannon L RussellKwaZulu Natal Research Institute for Tuberculosis and HIV (K-RITH), K-RITH Tower Building Level 3, 719 Umbilo Road, Durban 4001, South Africa.
Surendranadha R JonnalaTuberculosis Research Section, NIAID, NIH, 6610 Rockledge Drive, Bethesda, Maryland 20817, USA.
John H AdamsonKwaZulu Natal Research Institute for Tuberculosis and HIV (K-RITH), K-RITH Tower Building Level 3, 719 Umbilo Road, Durban 4001, South Africa.
Adrie J C SteynKwaZulu Natal Research Institute for Tuberculosis and HIV (K-RITH), K-RITH Tower Building Level 3, 719 Umbilo Road, Durban 4001, South Africa.
National Institutes of Health · USUniversity of Alabama at Birmingham · US

Funding

WhiB3 in M. tuberculosis virulenceR01AI058131 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI STEYN, ADRIE JC · 2004 to 2014
$3.6M
Howard Hughes Medical InstituteNIAID NIH HHS R01 AI058131
6 · The paper itself

Abstract

The Mycobacterium tuberculosis (Mtb) electron transport chain (ETC) has received significant attention as a drug target, however its vulnerability may be affected by its flexibility in response to disruption. Here we determine the effect of the ETC inhibitors bedaquiline, Q203 and clofazimine on the Mtb ETC, and the value of the ETC as a drug target, by measuring Mtb's respiration using extracellular flux technology. We find that Mtb's ETC rapidly reroutes around inhibition by these drugs and increases total respiration to maintain ATP levels. Rerouting is possible because Mtb rapidly switches between terminal oxidases, and, unlike eukaryotes, is not susceptible to back pressure. Increased ETC activity potentiates clofazimine's production of reactive oxygen species, causing rapid killing in vitro and in a macrophage model. Our results indicate that combination therapy targeting the ETC can be exploited to enhance killing of Mtb.

Indexed as

Adenosine TriphosphateAnimalsAntitubercular AgentsClofazimineDiarylquinolinesDrug Therapy, CombinationElectron Transport Chain Complex ProteinsHep G2 CellsHumansImidazolesInhibitory Concentration 50MacrophagesMiceMutationMycobacterium tuberculosisPiperidinesAdenosine TriphosphateAntitubercular AgentsbedaquilineClofazimineDiarylquinolinesElectron Transport Chain Complex ProteinsImidazolesPiperidinesPyridinesReactive Oxygen Speciestelacebec

Identifiers

PMID27506290
PMCPMC4987515
OpenAlexW2489915703

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.