Evidence map›Paper›PMID 32294173›Full record

ArticleThe Journal of antimicrobial chemotherapy2020

Inhaled tigecycline is effective against Mycobacterium abscessus in vitro and in vivo.

Camron Pearce, Mike M Ruth, Lian J Pennings, Heiman F L Wertheim, Amanda Walz, Wouter Hoefsloot, Carolien Ruesen, Juan Muñoz Gutiérrez, Mercedes Gonzalez-Juarrero, Jakko van Ingen

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of tetracyclines for nontuberculous mycobacteria: focus on rapidly growing mycobacteria.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  3. Article
  4. Eravacycline forMicrobiology spectrum · 2026
    Article
  5. Journal of bacteriology · 2026
    Review
  6. Antimicrobial agents and chemotherapy · 2026
    Article
  7. Article
  8. Article
  9. Characterization of new mouse models of acute and chronicAntimicrobial agents and chemotherapy · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Toward better cures forClinical microbiology reviews · 2024
    Review
  14. Review
  15. Therapy ofMicroorganisms · 2024
    Review
  16. PulmonaryBMJ case reports · 2023
    Article
  17. Article
  18. Article
  19. Management ofEuropean respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  20. Liposomal drug delivery to manage nontuberculous mycobacterial pulmonary disease and other chronic lung infections.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
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

10 authors at 2 institutions in 2 countries.

Camron PearceDepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO 80523, USA.
Mike M RuthRadboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Lian J PenningsRadboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Heiman F L WertheimRadboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Amanda WalzDepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO 80523, USA.
Wouter HoefslootRadboudumc Center for Infectious Diseases, Department of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Carolien RuesenRadboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Juan Muñoz GutiérrezDepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO 80523, USA.
Mercedes Gonzalez-JuarreroDepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO 80523, USA.
Jakko van IngenRadboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLColorado State University · US

Funding

Aerosol spectinamide-1599 therapy against tuberculosisR01AI120670 · NIAID · COLORADO STATE UNIVERSITY · PI BRAUNSTEIN, MIRIAM S., GONZALEZ-JUARRERO, MERCEDES · 2016 to 2020
$3.6M
NIAID NIH HHS R01 AI120670
6 · The paper itself

Abstract

backgroundMycobacterium abscessus causes chronic pulmonary infections. Owing to its resistance to most classes of antibiotics, treatment is complex and cure rates are only 45%. Tigecycline is active against M. abscessus, but severe toxicity and the need for IV administration limit its use.

objectivesTo assess the potential of inhaled tigecycline as a treatment for M. abscessus pulmonary disease, by measuring its efficacy in a mouse model of chronic M. abscessus pulmonary disease, establishing the intracellular activity of tigecycline against M. abscessus in human macrophages and measuring the activity of tigecycline in the sputum of cystic fibrosis patients.

methodsWe infected GM-CSF knockout mice with M. abscessus by intrapulmonary aerosol. Infected mice were treated with tigecycline in 0.25, 1.25 and 2.5 mg doses, by inhalation, or untreated, for 28 days. Tigecycline was added to human peripheral blood-derived macrophages infected with M. abscessus to assess its intracellular activity. We performed a time-kill kinetics experiment of tigecycline against M. abscessus with and without sputum of cystic fibrosis patients.

resultsInhaled tigecycline proved highly effective against M. abscessus in GM-CSF knockout mice. The effect was dose dependent. Tigecycline showed potent activity against M. abscessus in macrophages and retained most of its activity in the presence of sputum of cystic fibrosis patients.

conclusionsInhaled tigecycline may represent a viable treatment option for M. abscessus pulmonary disease, where treatment outcomes are currently very poor. A stable and safe formulation is required to proceed to further pharmacodynamic studies and ultimately clinical trials.

Indexed as

Lung DiseasesMycobacterium abscessusMycobacterium Infections, NontuberculousAnimalsAnti-Bacterial AgentsHumansMiceMice, KnockoutMicrobial Sensitivity TestsTigecyclineAnti-Bacterial AgentsTigecycline

Identifiers

PMID32294173
PMCPMC7778363
OpenAlexW3015340991

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.