Evidence map›Paper›PMID 29749044›Full record

ArticleCellular microbiology2018

Mycobacteria employ two different mechanisms to cross the blood-brain barrier.

Lisanne M van Leeuwen, Maikel Boot, Coen Kuijl, Daisy I Picavet, Gunny van Stempvoort, Susanne M A van der Pol, Helga E de Vries, Nicole N van der Wel, Martijn van der Kuip, A Marceline van Furth and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Cellular microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

33 citing papers in PubMed, 66 citations in OpenAlex.

  1. Review
  2. Pathogenesis of tubercular retinal vasculitis: An ongoing quest.Journal of clinical tuberculosis and other mycobacterial diseases · 2026
    Article
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  4. Journal of bacteriology · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
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  10. Effects ofInternational journal of molecular sciences · 2023
    Article
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  16. Review
  17. Review
  18. Article
  19. Review
  20. International journal of molecular sciences · 2022
    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 3 institutions in 1 country.

Lisanne M van LeeuwenMedical Microbiology and Infection Control, VU Medical Center, Amsterdam, The Netherlands.ORCID 0000-0002-0500-5439
Maikel BootMedical Microbiology and Infection Control, VU Medical Center, Amsterdam, The Netherlands.
Coen KuijlMedical Microbiology and Infection Control, VU Medical Center, Amsterdam, The Netherlands.
Daisy I PicavetCell Biology and Histology, Electron Microscopy Centre Amsterdam, Academic Medical Centre, Amsterdam, The Netherlands.
Gunny van StempvoortMedical Microbiology and Infection Control, VU Medical Center, Amsterdam, The Netherlands.
Susanne M A van der PolMolecular Cell Biology and Immunology, Amsterdam Neuroscience, VU Medical Center, Amsterdam, The Netherlands.
Helga E de VriesMolecular Cell Biology and Immunology, Amsterdam Neuroscience, VU Medical Center, Amsterdam, The Netherlands.
Nicole N van der WelCell Biology and Histology, Electron Microscopy Centre Amsterdam, Academic Medical Centre, Amsterdam, The Netherlands.
Martijn van der KuipPaediatric Infectious Diseases and Immunology, VU Medical Center, Amsterdam, The Netherlands.
A Marceline van FurthPaediatric Infectious Diseases and Immunology, VU Medical Center, Amsterdam, The Netherlands.
Astrid M van der SarMedical Microbiology and Infection Control, VU Medical Center, Amsterdam, The Netherlands.
Wilbert BitterMedical Microbiology and Infection Control, VU Medical Center, Amsterdam, The Netherlands.ORCID 0000-0001-8347-6511
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLAmsterdam Neuroscience · NLAmsterdam UMC Location University of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central nervous system (CNS) infection by Mycobacterium tuberculosis is one of the most devastating complications of tuberculosis, in particular in early childhood. In order to induce CNS infection, M. tuberculosis needs to cross specialised barriers protecting the brain. How M. tuberculosis crosses the blood-brain barrier (BBB) and enters the CNS is not well understood. Here, we use transparent zebrafish larvae and the closely related pathogen Mycobacterium marinum to answer this question. We show that in the early stages of development, mycobacteria rapidly infect brain tissue, either as free mycobacteria or within circulating macrophages. After the formation of a functionally intact BBB, the infiltration of brain tissue by infected macrophages is delayed, but not blocked, suggesting that crossing the BBB via phagocytic cells is one of the mechanisms used by mycobacteria to invade the CNS. Interestingly, depletion of phagocytic cells did not prevent M. marinum from infecting the brain tissue, indicating that free mycobacteria can independently cause brain infection. Detailed analysis showed that mycobacteria are able to cause vasculitis by extracellular outgrowth in the smaller blood vessels and by infecting endothelial cells. Importantly, we could show that this second mechanism is an active process that depends on an intact ESX-1 secretion system, which extends the role of ESX-1 secretion beyond the macrophage infection cycle.

Indexed as

Host-Pathogen InteractionsAnimalsBlood-Brain BarrierBrainCentral Nervous System InfectionsDisease Models, AnimalMacrophagesMycobacterium Infections, NontuberculousMycobacterium marinumZebrafishblood-brain barrierESX-1 secretionTrojan horse mechanismtuberculosistuberculous meningitiszebrafish

Identifiers

PMID29749044
PMCPMC6175424
OpenAlexW2801837737

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.