Evidence map›Paper›PMID 31557231›Full record

ArticlePloS one2019

Potential impact of efflux pump genes in mediating rifampicin resistance in clinical isolates of Mycobacterium tuberculosis from India.

Anshika Narang, Kushal Garima, Shraddha Porwal, Archana Bhandekar, Kamal Shrivastava, Astha Giri, Naresh Kumar Sharma, Mridula Bose, Mandira Varma-Basil

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Anshika NarangDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Kushal GarimaDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Shraddha PorwalDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Archana BhandekarDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Kamal ShrivastavaDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Astha GiriDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Naresh Kumar SharmaDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Mridula BoseDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Mandira Varma-BasilDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.ORCID 0000-0001-5562-015X
University of Delhi · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the consideration of chromosomal mutations as the major cause of rifampicin (RIF) resistance in M. tuberculosis, the role of other mechanisms such as efflux pumps cannot be ruled out. We evaluated the role of four efflux pumps viz., MmpL2 (Rv0507), MmpL5 (Rv0676c), Rv0194 and Rv1250 in providing RIF resistance in M. tuberculosis. The real time expression of the efflux pumps was analyzed in 16 RIF resistant and 11 RIF susceptible clinical isolates of M. tuberculosis after exposure to RIF. Expression of efflux pumps in these isolates was also correlated with mutations in the rpoB gene and MICs of RIF in the presence and absence of efflux pump inhibitors. Under RIF stress, Rv0194 was induced in 8/16 (50%) RIF resistant and 2/11 (18%) RIF susceptible isolates; mmpL5 in 7/16 (44%) RIF resistant and 1/11 (9%) RIF susceptible isolates; Rv1250 in 4/16 (25%) RIF resistant and 2/11 (18%) RIF susceptible isolates; and mmpL2 was upregulated in 2/16 (12.5%) RIF resistant and 1/11 (9%) RIF susceptible isolates. This preliminary study did not find any association between Rv0194, MmpL2, MmpL5 and Rv1250 and RIF resistance. However, the overexpression of Rv0194 and mmpL5 in greater number of RIF resistant isolates as compared to RIF susceptible isolates and expression of Rv0194 in wild type (WT) resistant isolates suggests a need for further investigations.

Indexed as

Antitubercular AgentsBacterial ProteinsDNA, BacterialDNA Mutational AnalysisDrug Resistance, Multiple, BacterialHumansIndiaMembrane Transport ProteinsMicrobial Sensitivity TestsMutationMycobacterium tuberculosisRifampinTuberculosisAntitubercular AgentsBacterial ProteinsDNA, BacterialMembrane Transport ProteinsRifampin

Identifiers

PMID31557231
PMCPMC6762166
OpenAlexW2976376283

What OpenQuestion holds

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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.