Evidence map›Paper›PMID 33707445›Full record

ArticleNature communications2021

Biofilm formation in the lung contributes to virulence and drug tolerance of Mycobacterium tuberculosis.

Poushali Chakraborty, Sapna Bajeli, Deepak Kaushal, Bishan Dass Radotra, Ashwani Kumar

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed
10.5field-weighted citation impact, top 1% 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

130 citing papers in PubMed, 219 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Molecular Mechanisms Underlying Antimicrobial Resistance in Mycobacteria.International journal of molecular sciences · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. mSystems · 2026
    Article
  12. Article
  13. Critical reviews in microbiology · 2026
    Review
  14. Cell wall remodeling-dependent morphotype switch inProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  15. Biofilm Associated Persistence and Drug Tolerance in Mycobacteria Within Host Microenvironments.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2026
    Review
  16. Article
  17. Article
  18. Comparative genomics of crucian carp-isolatedFrontiers in microbiology · 2026
    Article
  19. Review
  20. Article

70 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

5 authors at 3 institutions in 2 countries.

Poushali ChakrabortyCouncil of Scientific and Industrial Research, Institute of Microbial Technology, Chandigarh, India.
Sapna BajeliCouncil of Scientific and Industrial Research, Institute of Microbial Technology, Chandigarh, India.
Deepak KaushalSouthwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX, USA.ORCID http://orcid.org/0000-0003-3521-1257
Bishan Dass RadotraDepartment of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ashwani KumarCouncil of Scientific and Industrial Research, Institute of Microbial Technology, Chandigarh, India. ashwanik@imtech.res.in.ORCID http://orcid.org/0000-0002-6240-6810
Institute of Microbial Technology · INPost Graduate Institute of Medical Education and Research · INTexas Biomedical Research Institute · US

Funding

The Southwest National Primate Research Center Supplement- Infrastructure improvements of ABSL2 holding areasP51OD011133 · OD · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI Larry S. Schlesinger · 2012 to 2026
$129.7M
NIH HHS P51 OD011133
6 · The paper itself

Abstract

Tuberculosis is a chronic disease that displays several features commonly associated with biofilm-associated infections: immune system evasion, antibiotic treatment failures, and recurrence of infection. However, although Mycobacterium tuberculosis (Mtb) can form cellulose-containing biofilms in vitro, it remains unclear whether biofilms are formed during infection in vivo. Here, we demonstrate the formation of Mtb biofilms in animal models of infection and in patients, and that biofilm formation can contribute to drug tolerance. First, we show that cellulose is also a structural component of the extracellular matrix of in vitro biofilms of fast and slow-growing nontuberculous mycobacteria. Then, we use cellulose as a biomarker to detect Mtb biofilms in the lungs of experimentally infected mice and non-human primates, as well as in lung tissue sections obtained from patients with tuberculosis. Mtb strains defective in biofilm formation are attenuated for survival in mice, suggesting that biofilms protect bacilli from the host immune system. Furthermore, the administration of nebulized cellulase enhances the antimycobacterial activity of isoniazid and rifampicin in infected mice, supporting a role for biofilms in phenotypic drug tolerance. Our findings thus indicate that Mtb biofilms are relevant to human tuberculosis.

Indexed as

AnimalsBiofilmsCellulaseCelluloseDisease Models, AnimalDrug Resistance, Multiple, BacterialDrug SynergismHumansIsoniazidMiceMice, Inbred C57BLMycobacterium abscessusMycobacterium aviumMycobacterium fortuitumMycobacterium tuberculosisRifampinCellulaseCelluloseIsoniazidRifampin

Identifiers

PMID33707445
PMCPMC7952908
OpenAlexW3135307966

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.