Evidence map›Paper›PMID 29758082›Full record

ArticlePloS one2018

Adjunct antibody administration with standard treatment reduces relapse rates in a murine tuberculosis model of necrotic granulomas.

Alvaro A Ordonez, Supriya Pokkali, Sunhwa Kim, Brian Carr, Mariah H Klunk, Leah Tong, Vikram Saini, Yong S Chang, Matthew McKevitt, Victoria Smith and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

18 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Host-directed therapy for tuberculosis.European journal of medical research · 2025
    Review
  3. Article
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  7. Article
  8. MedComm · 2023
    Review
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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 2 institutions in 1 country.

Alvaro A OrdonezCenter for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.ORCID 0000-0002-8571-0655
Supriya PokkaliCenter for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Sunhwa KimGilead Sciences, Inc., Foster City, California, United States of America.
Brian CarrGilead Sciences, Inc., Foster City, California, United States of America.
Mariah H KlunkCenter for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Leah TongGilead Sciences, Inc., Foster City, California, United States of America.
Vikram SainiCenter for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Yong S ChangCenter for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Matthew McKevittGilead Sciences, Inc., Foster City, California, United States of America.
Victoria SmithGilead Sciences, Inc., Foster City, California, United States of America.
David L GossageGilead Sciences, Inc., Foster City, California, United States of America.
Sanjay K JainCenter for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Gilead Sciences (United States) · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Matrix metalloproteinase (MMP)-9 is a zinc-dependent protease associated with early immune responses to Mycobacterium tuberculosis infection, macrophage recruitment and granuloma formation. We evaluated whether adjunctive inhibition of MMP-9 could improve the response to standard TB treatment in a mouse model that develops necrotic lesions. Six weeks after an aerosol infection with M. tuberculosis, C3HeB/FeJ mice received standard TB treatment (12 weeks) comprising rifampin, isoniazid and pyrazinamide alone or in combination with either anti-MMP-9 antibody, etanercept (positive control) or isotype antibody (negative control) for 6 weeks. Anti-MMP-9 and the isotype control had comparable high serum exposures and expected terminal half-life. The relapse rate in mice receiving standard TB treatment was 46.6%. Compared to the standard TB treatment, relapse rates in animals that received adjunctive treatments with anti-MMP-9 antibody or etanercept were significantly decreased to 25.9% (P = 0.006) and 29.8% (P = 0.019) respectively, but were not different from the arm that received the isotype control antibody (25.9%). Immunostaining demonstrated localization of MMP-9 primarily in macrophages in both murine and human lung tissues infected with M. tuberculosis, suggesting the importance of MMP-9 in TB pathogenesis. These data suggest that the relapse rates in M. tuberculosis-infected mice may be non-specifically improved by administration of antibodies in conjunction with standard TB treatments. Future studies are needed to evaluate the mechanism(s) leading to improved outcomes with adjunctive antibody treatments.

Indexed as

AnimalsAntibodies, BacterialBacterial LoadDisease Models, AnimalFemaleGranulomaHumansLungMatrix Metalloproteinase 9MiceNecrosisRecurrenceTuberculosisAntibodies, BacterialMatrix Metalloproteinase 9

Identifiers

PMID29758082
PMCPMC5951562
OpenAlexW2799560297

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.