Evidence map›Paper›PMID 32730878›Full record

ArticleJournal of ethnopharmacology2020

Artemisia annua and Artemisia afra extracts exhibit strong bactericidal activity against Mycobacterium tuberculosis.

Maria Carla Martini, Tianbi Zhang, John T Williams, Robert B Abramovitch, Pamela J Weathers, Scarlet S Shell

Open access · hybridAbstract read
In one paragraph

Article in Journal of ethnopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Medicinal Plants in the Treatment of Tuberculosis: A Systematic Review.Central nervous system agents in medicinal chemistry · 2025
    Pooled it
  2. Molecules (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Medicinal plants as more sustainable therapeutic solutions:Global health economics and sustainability · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Artemisinin as a therapeuticNatural product reports · 2023
    Review
  15. Article
  16. Review
  17. Pathogens (Basel, Switzerland) · 2023
    Article
  18. Article
  19. SARS-CoV-2 omicron variants succumbbioRxiv : the preprint server for biology · 2022
    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

6 authors at 2 institutions in 1 country.

Maria Carla MartiniDepartment of Biology and Biotechnology, Worcester Polytechnic Institute, Worcester, MA, USA.
Tianbi ZhangDepartment of Biology and Biotechnology, Worcester Polytechnic Institute, Worcester, MA, USA.
John T WilliamsDepartment of Microbiology and Molecular Genetics, Michigan State University, East Lansing, MI, USA.
Robert B AbramovitchDepartment of Microbiology and Molecular Genetics, Michigan State University, East Lansing, MI, USA.
Pamela J WeathersDepartment of Biology and Biotechnology, Worcester Polytechnic Institute, Worcester, MA, USA.
Scarlet S ShellDepartment of Biology and Biotechnology, Worcester Polytechnic Institute, Worcester, MA, USA. Electronic address: sshell@wpi.edu.
Worcester Polytechnic Institute · USMichigan State University · US

Funding

Mechanisms of Mycobacterium Tuberculosis pH-driven AdaptationR01AI116605 · NIAID · MICHIGAN STATE UNIVERSITY · PI ABRAMOVITCH, ROBERT B · 2016 to 2020
$1.9M
Study how the liver alters bioavailability of artemisinin when delivered from the dried leaves of the plant Artemisia annua vs as pure drug.R15AT008277 · NCCIH · WORCESTER POLYTECHNIC INSTITUTE · PI WEATHERS, PAMELA J · 2014 to 2018
$953k
The mechanistic basis of Artemisia annua activity against Mycobacterium tuberculosisR21AI151481 · NIAID · WORCESTER POLYTECHNIC INSTITUTE · PI SHELL, SCARLET SARA · 2020 to 2021
$435k
NCCIH NIH HHS R15 AT008277NIAID NIH HHS R01 AI116605NIAID NIH HHS R21 AI151481
6 · The paper itself

Abstract

ethnopharmacological relevanceEmergence of drug-resistant and multidrug-resistant Mycobacterium tuberculosis (Mtb) strains is a major barrier to tuberculosis (TB) eradication, as it leads to longer treatment regimens and in many cases treatment failure. Thus, there is an urgent need to explore new TB drugs and combinations, in order to shorten TB treatment and improve outcomes. Here, we evaluated the potential of two Asian and African traditional medicinal plants, Artemisia annua, a natural source of artemisinin (AN), and Artemisia afra, as sources of novel antitubercular agents. AIM OF THE STUDY: Our goal was to measure the activity of A. annua and A. afra extracts against Mtb as potential natural and inexpensive therapies for TB treatment, or as sources of compounds that could be further developed into effective treatments. MATERIALS AND

methodsThe minimum inhibitory concentrations (MICs) of A. annua and A. afra dichloromethane extracts were determined, and concentrations above the MICs were used to evaluate their ability to kill Mtb and Mycobacterium abscessus in vitro.

resultsPrevious studies showed that A. annua and A. afra inhibit Mtb growth. Here, we show for the first time that Artemisia extracts have a strong bactericidal activity against Mtb. The killing effect of A. annua was much stronger than equivalent concentrations of pure AN, suggesting that A. annua extracts kill Mtb through a combination of AN and additional compounds. A. afra, which produces very little AN, displayed bactericidal activity against Mtb that was substantial but weaker than that of A. annua. In addition, we measured the activity of Artemisia extracts against Mycobacterium abscessus. Interestingly, we observed that while A. annua is not bactericidal, it inhibits growth of M. abscessus, highlighting the potential of this plant in combinatory therapies to treat M. abscessus infections.

conclusionOur results indicate that Artemisia extracts have an enormous potential for treatment of TB and M. abscessus infections, and that these plants contain bactericidal compounds in addition to AN. Combination of extracts with existing antibiotics may not only improve treatment outcomes but also reduce the emergence of resistance to other drugs.

Indexed as

ArtemisiaAntitubercular AgentsArtemisia annuaHumansMicrobial Sensitivity TestsMycobacterium tuberculosisPlant ExtractsAntitubercular AgentsPlant ExtractsArtemisia afraArtemisia annuaArtemisininMycobacterium abscessusMycobacterium tuberculosisTuberculosis

Identifiers

PMID32730878
PMCPMC7487009
OpenAlexW3045390047

What OpenQuestion holds

Textmetadata
LicenceTDM
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.