Evidence map›Paper›PMID 32369456›Full record

Trial reportJCI insight2020

Tryptophan catabolism reflects disease activity in human tuberculosis.

Jeffrey M Collins, Amnah Siddiqa, Dean P Jones, Ken Liu, Russell R Kempker, Azhar Nizam, N Sarita Shah, Nazir Ismail, Samuel G Ouma, Nestani Tukvadze and 8 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Therapeutic remodeling of the tuberculosis granuloma with 1-methyl-D-tryptophan enhances CD8Proceedings of the National Academy of Sciences of the United States of America · 2026
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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

18 authors at 7 institutions in 5 countries.

Jeffrey M CollinsDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Amnah SiddiqaJackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.
Dean P JonesDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Ken LiuDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Russell R KempkerDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Azhar NizamDepartment of Biostatistics and Bioinformatics.
N Sarita ShahDepartment of Epidemiology, and.
Nazir IsmailCentre for Tuberculosis, National Institute for Communicable Diseases, National Health Laboratory Services, Johannesburg, South Africa.
Samuel G OumaKenya Medical Research Institute, Kisumu, Kenya.
Nestani TukvadzeNational Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia.
Shuzhao LiJackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.
Cheryl L DayDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, USA.
Jyothi RengarajanDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
James Cm BrustDivision of General Internal Medicine and.
Neel R GandhiDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Joel D ErnstDivision of Experimental Medicine, Department of Medicine, UCSF School of Medicine, San Francisco, California, USA.
Henry M BlumbergDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Thomas R ZieglerDivision of Endocrinology, Metabolism, and Lipids and.
Emory University · USJackson Laboratory · USAlbert Einstein College of Medicine · USKenya Medical Research Institute · KENational Center for Tuberculosis and Lung Disease · GENational Health Laboratory Service · ZAUniversity of California, San Francisco · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Role of antigen-specific T cell responses in the control of TBU19AI111211 · NIAID · EMORY UNIVERSITY · PI BLUMBERG, HENRY M, ERNST, JOEL D. · 2014 to 2020
$20.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
Training a New Generation of VaccinologistsT32AI074492 · NIAID · EMORY UNIVERSITY · PI Rama Rao Amara, Benjamin A Lopman · 2009 to 2026
$6.4M
Emory-Georgia TB Research Training ProgramD43TW007124 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Nestani Tukvadze · 2004 to 2026
$4.6M
Impact of HIV, Antiretroviral Therapy and TB Genotype on Survival in MDR TBR01AI087465 · NIAID · EMORY UNIVERSITY · PI GANDHI, NEEL RAJNIKANT · 2010 to 2014
$3.9M
Mentorship in Patient-Oriented Research in Tuberculosis, HIV and Global HealthK24AI114444 · NIAID · EMORY UNIVERSITY · PI GANDHI, NEEL RAJNIKANT · 2014 to 2023
$1.8M
High resolution plasma metabolomics to identify biomarkers of tuberculosisK23AI144040 · NIAID · EMORY UNIVERSITY · PI COLLINS, JEFFREY M · 2019 to 2023
$911k
High-Resolution Plasma Metabolomic Profiling to Identify Biomarkers for Tuberculosis Disease and Response to TherapyR21AI130918 · NIAID · EMORY UNIVERSITY · PI JONES, DEAN PAUL, ZIEGLER, THOMAS R · 2017 to 2018
$442k
FIC NIH HHS D43 TW007124NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378NIAID NIH HHS K23 AI144040NIAID NIH HHS K24 AI114444NIAID NIH HHS R01 AI087465NIAID NIH HHS R21 AI130918NIAID NIH HHS T32 AI074492NIAID NIH HHS U19 AI111211
6 · The paper itself

Abstract

There is limited understanding of the role of host metabolism in the pathophysiology of human tuberculosis (TB). Using high-resolution metabolomics with an unbiased approach to metabolic pathway analysis, we discovered that the tryptophan pathway is highly regulated throughout the spectrum of TB infection and disease. This regulation is characterized by increased catabolism of tryptophan to kynurenine, which was evident not only in active TB disease but also in latent TB infection (LTBI). Further, we found that tryptophan catabolism is reversed with effective treatment of both active TB disease and LTBI in a manner commensurate with bacterial clearance. Persons with active TB and LTBI also exhibited increased expression of indoleamine 2,3-dioxygenase-1 (IDO-1), suggesting IDO-1 mediates observed increases in tryptophan catabolism. Together, these data indicate IDO-1-mediated tryptophan catabolism is highly preserved in the human response to Mycobacterium tuberculosis and could be a target for biomarker development as well as host-directed therapies.

Indexed as

Gene Expression Regulation, EnzymologicAdultBiomarkersFemaleHumansIndoleamine-Pyrrole 2,3,-DioxygenaseLatent TuberculosisMaleMycobacterium tuberculosisTryptophanTuberculosis, PulmonaryBiomarkersIDO1 protein, humanIndoleamine-Pyrrole 2,3,-DioxygenaseTryptophanInfectious diseaseMetabolismTuberculosis

Identifiers

PMID32369456
PMCPMC7259525
OpenAlexW3022534887

What OpenQuestion holds

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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.