Evidence map›Paper›PMID 32245967›Full record

ArticleNature communications2020

Pyrazinamide triggers degradation of its target aspartate decarboxylase.

Pooja Gopal, Jickky Palmae Sarathy, Michelle Yee, Priya Ragunathan, Joon Shin, Shashi Bhushan, Junhao Zhu, Tatos Akopian, Olga Kandror, Teck Kwang Lim and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
8.6field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 118 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. mBio · 2026
    Article
  6. Review
  7. bioRxiv : the preprint server for biology · 2025
    Article
  8. Pyrazinamide killsbioRxiv : the preprint server for biology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Mini review: Persister cell control strategies.Frontiers in pharmacology · 2025
    Review
  20. Article

1 more citing papers are in PubMed but not listed here.

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

15 authors at 4 institutions in 2 countries.

Pooja Gopal *Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-8890-3997
Jickky Palmae Sarathy *Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0003-4181-4978
Michelle Yee *Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0003-1113-7187
Priya RagunathanSchool of Biological Sciences, Nanyang Technological University, Singapore, Singapore.
Joon ShinSchool of Biological Sciences, Nanyang Technological University, Singapore, Singapore.
Shashi BhushanSchool of Biological Sciences, Nanyang Technological University, Singapore, Singapore.
Junhao ZhuDepartment of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3301-5677
Tatos AkopianDepartment of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Olga KandrorDepartment of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Teck Kwang LimDepartment of Biological Sciences, National University of Singapore, Singapore, Singapore.
Martin GengenbacherCenter for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ, USA.
Qingsong LinDepartment of Biological Sciences, National University of Singapore, Singapore, Singapore.
Eric J RubinDepartment of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.ORCID http://orcid.org/0000-0001-5120-962X
Gerhard GrüberSchool of Biological Sciences, Nanyang Technological University, Singapore, Singapore.
Thomas DickDepartment of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. thomas.dick@hmh-cdi.org.
National University of Singapore · SGHarvard University · USNanyang Technological University · SGSeton Hall University · US

Funding

Vulnerabilities in Mycobacterial Cell-Wall BiogenesisP01AI095208 · NIAID · UNIVERSITY OF CALIFORNIA-IRVINE · PI ZHANG, JUNJIE · 2012 to 2022
$19.8M
Target based discovery of next generation pyrazinamideR01AI106398 · NIAID · RBHS-NEW JERSEY MEDICAL SCHOOL · PI DICK, THOMAS · 2013 to 2022
$7.1M
A QTRAP 6500 LC-MS/MS System from SCIEX for high accuracy drug content analysisS10OD023524 · OD · RBHS-NEW JERSEY MEDICAL SCHOOL · PI DARTOIS, VERONIQUE · 2017 to 2017
$526k
NIAID NIH HHS P01 AI095208NIAID NIH HHS R01 AI106398NIH HHS S10 OD023524
6 · The paper itself

Abstract

Pyrazinamide is a sterilizing first-line tuberculosis drug. Genetic, metabolomic and biophysical analyses previously demonstrated that pyrazinoic acid, the bioactive form of the prodrug pyrazinamide (PZA), interrupts biosynthesis of coenzyme A in Mycobacterium tuberculosis by binding to aspartate decarboxylase PanD. While most drugs act by inhibiting protein function upon target binding, we find here that pyrazinoic acid is only a weak enzyme inhibitor. We show that binding of pyrazinoic acid to PanD triggers degradation of the protein by the caseinolytic protease ClpC1-ClpP. Thus, the old tuberculosis drug pyrazinamide exerts antibacterial activity by acting as a target degrader, a mechanism of action that has recently emerged as a successful strategy in drug discovery across disease indications. Our findings provide the basis for the rational discovery of next generation PZA.

Indexed as

Antitubercular AgentsBacterial ProteinsCarboxy-LyasesDrug Resistance, BacterialEndopeptidase ClpHeat-Shock ProteinsHumansMicrobial Sensitivity TestsMutationMycobacterium tuberculosisProteolysisPyrazinamideTuberculosisAntitubercular Agentsaspartate 4-decarboxylaseBacterial ProteinsCarboxy-LyasesClpC1 protein, Mycobacterium tuberculosisEndopeptidase ClpHeat-Shock ProteinsPyrazinamidepyrazinoic acid

Identifiers

PMID32245967
PMCPMC7125159
OpenAlexW3014691287

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.