Evidence map›Paper›PMID 32125282›Full record

ArticleThe Journal of clinical investigation2020

DNA hypermethylation during tuberculosis dampens host immune responsiveness.

Andrew R DiNardo, Kimal Rajapakshe, Tomoki Nishiguchi, Sandra L Grimm, Godwin Mtetwa, Qiniso Dlamini, Jaqueline Kahari, Sanjana Mahapatra, Alexander Kay, Gugu Maphalala and 7 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03941496 (Phase 1b/2a Safety and Immunogenicity of the DNMT Inhibitor Azacitidine During Anti-Tuberculosis Therapy), which is not on this map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
1.2field-weighted citation impact, top 12% 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.

NCT03941496 phase1 / phase2withdrawnnot on this mapstarted 2022, after this paper: background citation

Phase 1b/2a Safety and Immunogenicity of the DNMT Inhibitor Azacitidine During Anti-Tuberculosis Therapy

TypeinterventionalSponsorAndrew DinardoRan2022 to 2023Enrolled0ConditionsTuberculosis, PulmonaryArmsAzacitidine Injection
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 103 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
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  7. Macrophage states and polarization duringFrontiers in cellular and infection microbiology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Tuberculosis and Increased Incidence of Cardiovascular Disease: Cohort Study Using United States and United Kingdom Health Records.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  20. 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

17 authors at 8 institutions in 4 countries.

Andrew R DiNardoGlobal Tuberculosis Program, Texas Children's Hospital, Immigrant and Global Health, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
Kimal RajapaksheDan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas, USA.
Tomoki NishiguchiGlobal Tuberculosis Program, Texas Children's Hospital, Immigrant and Global Health, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
Sandra L GrimmDan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas, USA.
Godwin MtetwaBaylor-Swaziland Children's Foundation, Mbabane, Swaziland.
Qiniso DlaminiBaylor-Swaziland Children's Foundation, Mbabane, Swaziland.
Jaqueline KahariBaylor-Swaziland Children's Foundation, Mbabane, Swaziland.
Sanjana MahapatraGlobal Tuberculosis Program, Texas Children's Hospital, Immigrant and Global Health, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
Alexander KayBaylor-Swaziland Children's Foundation, Mbabane, Swaziland.
Gugu MaphalalaMinistry of Health, Mbabane, Swaziland.
Emily M MaceDepartment of Pediatrics, Columbia University Medical Center, New York, New York, USA.
George MakedonasJES Tech, Department of Immunology, NASA, Houston, Texas, USA.
Jeffrey D CirilloDepartment of Microbial Pathogenesis and Immunology, Texas A&M Health Science Center, Bryan, Texas, USA.
Mihai G NeteaDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.
Reinout van CrevelDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.
Cristian CoarfaDan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas, USA.
Anna M MandalakasGlobal Tuberculosis Program, Texas Children's Hospital, Immigrant and Global Health, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
Children’s Foundation · GBTexas Children's Hospital · USBaylor College of Medicine · USRadboud University Nijmegen · NLColumbia University Irving Medical Center · USJES Tech (United States) · USMinistry of Health · SZTexas A&M Health Science Center · US

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI DAVID R ROWLEY · 2007 to 2026
$73.9M
Translational Research Support CoreP30ES030285 · NIEHS · BAYLOR COLLEGE OF MEDICINE · PI Cheryl L. Walker · 2019 to 2026
$14.7M
Persistent DNA Hyper-Methylation of the IFN-γ Signaling Pathway During TuberculosisK23AI141681 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI DINARDO, ANDREW R · 2019 to 2023
$947k
NCI NIH HHS P30 CA125123NIAID NIH HHS K23 AI141681NIEHS NIH HHS P30 ES030285
6 · The paper itself

Abstract

Mycobacterium tuberculosis (M. tuberculosis) has coevolved with humans for millennia and developed multiple mechanisms to evade host immunity. Restoring host immunity in order to improve outcomes and potentially shorten existing therapy will require identification of the full complement by which host immunity is inhibited. Perturbation of host DNA methylation is a mechanism induced by chronic infections such as HIV, HPV, lymphocytic choriomeningitis virus (LCMV), and schistosomiasis to evade host immunity. Here, we evaluated the DNA methylation status of patients with tuberculosis (TB) and their asymptomatic household contacts and found that the patients with TB have DNA hypermethylation of the IL-2/STAT5, TNF/NF-κB, and IFN-γ signaling pathways. We performed methylation-sensitive restriction enzyme-quantitative PCR (MSRE-qPCR) and observed that multiple genes of the IL-12/IFN-γ signaling pathway (IL12B, IL12RB2, TYK2, IFNGR1, JAK1, and JAK2) were hypermethylated in patients with TB. The DNA hypermethylation of these pathways was associated with decreased immune responsiveness with decreased mitogen-induced upregulation of IFN-γ, TNF, IL-6, CXCL9, CXCL10, and IL-1β production. The DNA hypermethylation of the IL-12/IFN-γ pathway was associated with decreased IFN-γ-induced gene expression and decreased IL-12-inducible upregulation of IFN-γ. This study demonstrates that immune cells from patients with TB are characterized by DNA hypermethylation of genes critical to mycobacterial immunity resulting in decreased mycobacteria-specific and nonspecific immune responsiveness.

Indexed as

DNA MethylationGene Expression RegulationHumansLeukocytesMycobacterium tuberculosisSignal TransductionTuberculosisCytokinesEpigeneticsImmunologyInfectious diseaseTuberculosis

Identifiers

PMID32125282
PMCPMC7260034
OpenAlexW3009336132

What OpenQuestion holds

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Registered trials

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.