Evidence map›Paper›PMID 32848049›Full record

ArticleJournal of lipid research2020

The anti-tubercular activity of simvastatin is mediated by cholesterol-driven autophagy via the AMPK-mTORC1-TFEB axis.

Natalie Bruiners, Noton K Dutta, Valentina Guerrini, Hugh Salamon, Ken D Yamaguchi, Petros C Karakousis, Maria L Gennaro

Open access · hybridAbstract read
In one paragraph

Article in Journal of lipid research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 40 citations in OpenAlex.

  1. Autophagy in MASLD: A Metabolic and Precision Medicine Perspective.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Host-directed therapy for tuberculosis.European journal of medical research · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Exploring and exploiting the host cell autophagy during Mycobacterium tuberculosis infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Review
  13. MedComm · 2023
    Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Reply to Lai et al.The Journal of infectious diseases · 2021
    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

7 authors at 2 institutions in 1 country.

Natalie BruinersPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ, USA.
Noton K DuttaCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Valentina GuerriniPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ, USA.
Hugh SalamonKnowledge Synthesis Inc., Berkeley, CA, USA.
Ken D YamaguchiKnowledge Synthesis Inc., Berkeley, CA, USA.
Petros C KarakousisCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Maria L GennaroPublic Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ, USA. Electronic address: marila.gennaro@rutgers.edu.
Rutgers, The State University of New Jersey · USJohns Hopkins University · US

Funding

New Jersey Alliance for Clinical Translational Science: NJ ACTSUL1TR003017 · NCATS · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI PANETTIERI, REYNOLD ALEXANDER · 2019 to 2023
$28.9M
FISH-Flow platform for host-based tuberculosis diagnosticsR01AI104615 · NIAID · RBHS-NEW JERSEY MEDICAL SCHOOL · PI GENNARO, MARIA LAURA · 2013 to 2017
$5.5M
Statins as Adjunctive, Host-Directed Therapy for TBUH3AI122309 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KARAKOUSIS, PETROS C · 2017 to 2019
$4.3M
Foam cells as drug targets in tuberculosisR01HL149450 · NHLBI · RBHS-NEW JERSEY MEDICAL SCHOOL · PI GENNARO, MARIA LAURA, KARAKOUSIS, PETROS C · 2019 to 2022
$3.9M
Statins as Adjunctive, Host-Directed Therapy for TBUH2AI122309 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KARAKOUSIS, PETROS C · 2015 to 2016
$1.2M
Modeling latent TB InfectionK08AI064229 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KARAKOUSIS, PETROS C · 2005 to 2009
$679k
NCATS NIH HHS UL1 TR003017NHLBI NIH HHS R01 HL149450NIAID NIH HHS K08 AI064229NIAID NIH HHS R01 AI104615NIAID NIH HHS UH2 AI122309NIAID NIH HHS UH3 AI122309
6 · The paper itself

Abstract

The rise of drug-resistant tuberculosis poses a major risk to public health. Statins, which inhibit both cholesterol biosynthesis and protein prenylation branches of the mevalonate pathway, increase anti-tubercular antibiotic efficacy in animal models. However, the underlying molecular mechanisms are unknown. In this study, we used an in vitro macrophage infection model to investigate simvastatin's anti-tubercular activity by systematically inhibiting each branch of the mevalonate pathway and evaluating the effects of the branch-specific inhibitors on mycobacterial growth. The anti-tubercular activity of simvastatin used at clinically relevant doses specifically targeted the cholesterol biosynthetic branch rather than the prenylation branches of the mevalonate pathway. Using Western blot analysis and AMP/ATP measurements, we found that simvastatin treatment blocked activation of mechanistic target of rapamycin complex 1 (mTORC1), activated AMP-activated protein kinase (AMPK) through increased intracellular AMP:ATP ratios, and favored nuclear translocation of transcription factor EB (TFEB). These mechanisms all induce autophagy, which is anti-mycobacterial. The biological effects of simvastatin on the AMPK-mTORC1-TFEB-autophagy axis were reversed by adding exogenous cholesterol to the cells. Our data demonstrate that the anti-tubercular activity of simvastatin requires inhibiting cholesterol biosynthesis, reveal novel links between cholesterol homeostasis, the AMPK-mTORC1-TFEB axis, and

Indexed as

AMP-Activated Protein KinasesAntitubercular AgentsAutophagyBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsCholesterolMechanistic Target of Rapamycin Complex 1SimvastatinAnimalsHumansMacrophagesMiceMycobacterium tuberculosisAMP-Activated Protein KinasesAntitubercular AgentsBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsCholesterolMechanistic Target of Rapamycin Complex 1SimvastatinTFEB protein, humanadenosine 5′-monophosphate-activated protein kinase-mechanistic target of rapamycin complex 1-transcription factor EB axisimmunologylipidsmacrophages/monocytesmechanistic target of rapamycin complex 1 regulationMycobacterium tuberculosisstatins

Identifiers

PMID32848049
PMCPMC7707180
OpenAlexW3080085699

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.