Evidence map›Paper›PMID 27553415›Full record

ArticleTuberculosis (Edinburgh, Scotland)2016

Sputum is a surrogate for bronchoalveolar lavage for monitoring Mycobacterium tuberculosis transcriptional profiles in TB patients.

Benjamin J Garcia, Andre G Loxton, Gregory M Dolganov, Tran T Van, J Lucian Davis, Bouke C de Jong, Martin I Voskuil, Sonia M Leach, Gary K Schoolnik, Gerhard Walzl and 2 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Tuberculosis (Edinburgh, Scotland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Transcript-Capture sequencing enriches mRNA ofbioRxiv : the preprint server for biology · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. TheFrontiers in immunology · 2021
    Article
  8. Multiplex Real-Time PCR-shortJournal of clinical microbiology · 2019
    Article
  9. Effects of Host, Sample, andFrontiers in genetics · 2019
    Article
  10. Review
  11. Article
  12. 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

12 authors at 7 institutions in 3 countries.

Benjamin J GarciaCenter for Genes, Environment and Health, National Jewish Health, Denver, CO, USA; Computational Bioscience Program, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA. Electronic address: benjamin.garcia@ucdenver.edu.
Andre G LoxtonDST/NRF Centre of Excellence for Biomedical Tuberculosis Research and SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Department of Biomedical Sciences, Stellenbosch University, Cape Town, South Africa.
Gregory M DolganovDepartment of Microbiology and Immunology, Stanford University, Stanford, CA, USA.
Tran T VanDepartment of Microbiology and Immunology, Stanford University, Stanford, CA, USA.
J Lucian DavisEpidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA; Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, CT, USA.
Bouke C de JongInstitute of Tropical Medicine, Antwerp, Belgium.
Martin I VoskuilDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO, USA.
Sonia M LeachCenter for Genes, Environment and Health, National Jewish Health, Denver, CO, USA; Computational Bioscience Program, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA.
Gary K SchoolnikDepartment of Microbiology and Immunology, Stanford University, Stanford, CA, USA.
Gerhard WalzlDST/NRF Centre of Excellence for Biomedical Tuberculosis Research and SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Department of Biomedical Sciences, Stellenbosch University, Cape Town, South Africa.
Michael StrongCenter for Genes, Environment and Health, National Jewish Health, Denver, CO, USA; Computational Bioscience Program, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA.
Nicholas D WalterCenter for Genes, Environment and Health, National Jewish Health, Denver, CO, USA; Pulmonary Section, Denver Veterans Affairs Medical Center, Denver, CO, USA; Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA.
National Jewish Health · USStanford University · USSouth African Medical Research Council · ZADenver Health Medical Center · USInstituut voor Tropische Geneeskunde · BEUniversity of Colorado Denver · USYale University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Computational Bioscience Program Training GrantT15LM009451 · NLM · UNIVERSITY OF COLORADO DENVER · PI Katherina Kechris-Mays, Arjun Krishnan · 2007 to 2026
$11.7M
The Mycobacterium Tuberculosis Dormancy ProgramR01AI061505 · NIAID · UNIVERSITY OF COLORADO DENVER · PI VOSKUIL, MARTIN INUA · 2005 to 2015
$3.6M
Blood Expression Profiles as a Biomarker for Responses to Tuberculosis TreatmentIK2CX000914 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI WALTER, NICHOLAS D · 2014 to 2018
–
CSRD VA IK2 CX000914European Research Council 311725NCRR NIH HHS UL1 RR025780NIAID NIH HHS R01 AI061505NLM NIH HHS T15 LM009451
6 · The paper itself

Abstract

Pathogen-targeted transcriptional profiling in human sputum may elucidate the physiologic state of Mycobacterium tuberculosis (M. tuberculosis) during infection and treatment. However, whether M. tuberculosis transcription in sputum recapitulates transcription in the lung is uncertain. We therefore compared M. tuberculosis transcription in human sputum and bronchoalveolar lavage (BAL) samples from 11 HIV-negative South African patients with pulmonary tuberculosis. We additionally compared these clinical samples with in vitro log phase aerobic growth and hypoxic non-replicating persistence (NRP-2). Of 2179 M. tuberculosis transcripts assayed in sputum and BAL via multiplex RT-PCR, 194 (8.9%) had a p-value <0.05, but none were significant after correction for multiple testing. Categorical enrichment analysis indicated that expression of the hypoxia-responsive DosR regulon was higher in BAL than in sputum. M. tuberculosis transcription in BAL and sputum was distinct from both aerobic growth and NRP-2, with a range of 396-1020 transcripts significantly differentially expressed after multiple testing correction. Collectively, our results indicate that M. tuberculosis transcription in sputum approximates M. tuberculosis transcription in the lung. Minor differences between M. tuberculosis transcription in BAL and sputum suggested lower oxygen concentrations or higher nitric oxide concentrations in BAL. M. tuberculosis-targeted transcriptional profiling of sputa may be a powerful tool for understanding M. tuberculosis pathogenesis and monitoring treatment responses in vivo.

Indexed as

AdultAntitubercular AgentsBacterial ProteinsBronchoalveolar Lavage FluidDNA-Binding ProteinsDrug MonitoringGene Expression ProfilingGene Expression Regulation, BacterialGenes, BacterialHumansMycobacterium tuberculosisProtein KinasesRNA, BacterialRNA, MessengerSpecimen HandlingSputumAntitubercular AgentsBacterial ProteinsDNA-Binding ProteinsDosR protein, Mycobacterium tuberculosisProtein KinasesRNA, BacterialRNA, MessengerBronchoalveolar lavage/microbiologyComputational biology/methods*Gene expression profilingMycobacterium tuberculosis/geneticsMycobacterium tuberculosis/physiologySputum/microbiologyTuberculosis, pulmonary/epidemiology/*microbiology

Identifiers

PMID27553415
PMCPMC4999252
OpenAlexW2495968991

What OpenQuestion holds

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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.