Evidence map›Paper›PMID 30783183›Full record

ArticleMucosal immunology2019

Intestinal dysbiosis compromises alveolar macrophage immunity to Mycobacterium tuberculosis.

Nargis Khan, Laura Mendonca, Achal Dhariwal, Ghislaine Fontes, Dick Menzies, Jianguo Xia, Maziar Divangahi, Irah L King

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Mucosal immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  10. Status and outlook of pulmonary tuberculosis coinfection.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Review
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  12. Emerging microbes & infections · 2024
    Article
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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

8 authors at 2 institutions in 1 country.

Nargis KhanMeakins-Christie Laboratories, Department of Medicine, Department of Pathology, McGill University Health Centre, Montreal, QC, H4A 3J1, Canada.
Laura Mendonca *Meakins-Christie Laboratories, Department of Medicine, Department of Pathology, McGill University Health Centre, Montreal, QC, H4A 3J1, Canada.
Achal Dhariwal *Department of Animal Science, McGill University, Sainte-Ann-de-Bellevue, QC, H9X 3V9, Canada.
Ghislaine FontesMeakins-Christie Laboratories, Department of Microbiology and Immunology, McGill University Health Centre, Montreal, QC, H4A 3J1, Canada.
Dick MenziesMcGill International TB Centre, Montreal, QC, H4A 3J1, Canada.
Jianguo XiaDepartment of Animal Science, McGill University, Sainte-Ann-de-Bellevue, QC, H9X 3V9, Canada.
Maziar Divangahi *Meakins-Christie Laboratories, Department of Medicine, Department of Pathology, McGill University Health Centre, Montreal, QC, H4A 3J1, Canada. maziar.divangahi@mcgill.ca.
Irah L King *Meakins-Christie Laboratories, Department of Medicine, Department of Pathology, McGill University Health Centre, Montreal, QC, H4A 3J1, Canada. irah.king@mcgill.ca.
McGill University Health Centre · CAMcGill University · CA

Funding

CIHR FDN-143273CIHR MOP-130579
6 · The paper itself

Abstract

Current treatments for tuberculosis (TB) are effective in controlling Mycobacterium tuberculosis (Mtb) growth, yet have significant side effects and do not prevent reinfection. Therefore, it is critical to understand why our host defense system is unable to generate permanent immunity to Mtb despite prolonged anti-tuberculosis therapy (ATT). Here, we demonstrate that treatment of mice with the most widely used anti-TB drugs, rifampicin (RIF) or isoniazid (INH) and pyrazinamide (PYZ), significantly altered the composition of the gut microbiota. Unexpectedly, treatment of mice with the pro-Mtb drugs INH and PYZ, but not RIF, prior to Mtb infection resulted in an increased bacterial burden, an effect that was reversible by fecal transplantation from untreated animals. Mechanistically, susceptibility of INH/PYZ-treated mice was associated with impaired metabolism of alveolar macrophages and defective bactericidal activity. Collectively, these data indicate that dysbiosis induced by ATT administered to millions of individuals worldwide may have adverse effects on the anti-Mtb response of alveolar macrophages.

Indexed as

AnimalsAntibiotics, AntitubercularDisease Models, AnimalDrug-Related Side Effects and Adverse ReactionsDysbiosisGastrointestinal MicrobiomeHost-Pathogen InteractionsHumansImmunity, InnateImmunomodulationIsoniazidMacrophages, AlveolarMiceMice, Inbred C57BLMycobacterium tuberculosisPyrazinamideAntibiotics, AntitubercularIsoniazidPyrazinamideRifampin

Identifiers

PMID30783183
OpenAlexW2917714207

What OpenQuestion holds

Textmetadata
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.