Evidence map›Paper›PMID 33989345›Full record

ArticlePLoS pathogens2021

Zinc limitation triggers anticipatory adaptations in Mycobacterium tuberculosis.

Allexa Dow, Preeti Sule, Timothy J O'Donnell, Andrew Burger, Joshua T Mattila, Brandi Antonio, Kevin Vergara, Endrei Marcantonio, L Garry Adams, Nicholas James and 3 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
2.0field-weighted citation impact, top 11% 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

40 citing papers in PubMed, 52 citations in OpenAlex.

  1. A Pilot Proteomics Analysis ofInternational journal of molecular sciences · 2026
    Article
  2. Ribosome hibernation in zinc-starvedMicrobiology spectrum · 2026
    Article
  3. Review
  4. Impact of Diabetes Mellitus in Tuberculosis (TB) Patients on TB Transmission.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  5. Article
  6. ThemBio · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Transcript-Capture sequencing enriches mRNA ofbioRxiv : the preprint server for biology · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Zinc-limitedInfection and immunity · 2025
    Article
  18. Article
  19. 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

13 authors at 4 institutions in 1 country.

Allexa DowSchool of Life Sciences, University of Hawai'i at Mānoa, Honolulu, Hawaii, United States of America.ORCID 0000-0001-5658-3928
Preeti SuleMicrobial Pathogenesis and Immunology, Texas A&M University Health, Bryan, Texas, United States of America.
Timothy J O'DonnellDepartment of Chemistry, University of Hawai'i at Mānoa, Honolulu, Hawaii, United States of America.ORCID 0000-0003-0291-8838
Andrew BurgerSchool of Ocean and Earth Science and Technology, University of Hawai'i at Mānoa, Honolulu, Hawaii, United States of America.
Joshua T MattilaDepartment of Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.ORCID 0000-0002-6384-1291
Brandi AntonioSchool of Life Sciences, University of Hawai'i at Mānoa, Honolulu, Hawaii, United States of America.
Kevin VergaraSchool of Life Sciences, University of Hawai'i at Mānoa, Honolulu, Hawaii, United States of America.ORCID 0000-0002-8212-0764
Endrei MarcantonioSchool of Life Sciences, University of Hawai'i at Mānoa, Honolulu, Hawaii, United States of America.ORCID 0000-0002-6718-2326
L Garry AdamsDepartment of Veterinary Pathobiology, Texas A&M University, College Station, Texas, United States of America.ORCID 0000-0002-7246-1602
Nicholas JamesDepartment of Cell and Molecular Biology, John A. Burns School of Medicine, Honolulu, Hawaii, United States of America.ORCID 0000-0003-1539-2759
Philip G WilliamsDepartment of Chemistry, University of Hawai'i at Mānoa, Honolulu, Hawaii, United States of America.ORCID 0000-0001-8987-0683
Jeffrey D CirilloMicrobial Pathogenesis and Immunology, Texas A&M University Health, Bryan, Texas, United States of America.ORCID 0000-0003-3058-2702
Sladjana PrisicSchool of Life Sciences, University of Hawai'i at Mānoa, Honolulu, Hawaii, United States of America.ORCID 0000-0003-3137-4358
University of Hawaiʻi at Mānoa · USTexas A&M Health Science Center · USTexas A&M University · USUniversity of Pittsburgh · US

Funding

The Role of gp120 on Cardiovascular Disease in People Living with HIVU54MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI Gehan Devendra · 2017 to 2026
$59.5M
TRPA1 Physiology in Diabetes, Metabolic Syndrome, and MetabolismP20GM113134 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI Michael A. Ortega · 2017 to 2026
$21.5M
Small Grants ProgramP30GM114737 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI YANAGIHARA, RICHARD · 2015 to 2022
$8.1M
Chromatin Expulsion by the DNA Replication Licensing Factor ORC4 during Asymmetric Cell Division in Meiosis and DifferentiationR01GM123048 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI WARD, WILLIAM S · 2018 to 2021
$1.3M
Role of the alternative ribosomes in Mycobacterium tuberculosis adaptationR21AI109293 · NIAID · UNIVERSITY OF HAWAII AT MANOA · PI PRISIC, SLADJANA · 2016 to 2017
$389k
NIAID NIH HHS R21 AI109293NIGMS NIH HHS P20 GM113134NIGMS NIH HHS P30 GM114737NIGMS NIH HHS R01 GM123048NIMHD NIH HHS U54 MD007601
6 · The paper itself

Abstract

Mycobacterium tuberculosis (Mtb) has complex and dynamic interactions with the human host, and subpopulations of Mtb that emerge during infection can influence disease outcomes. This study implicates zinc ion (Zn2+) availability as a likely driver of bacterial phenotypic heterogeneity in vivo. Zn2+ sequestration is part of "nutritional immunity", where the immune system limits micronutrients to control pathogen growth, but this defense mechanism seems to be ineffective in controlling Mtb infection. Nonetheless, Zn2+-limitation is an environmental cue sensed by Mtb, as calprotectin triggers the zinc uptake regulator (Zur) regulon response in vitro and co-localizes with Zn2+-limited Mtb in vivo. Prolonged Zn2+ limitation leads to numerous physiological changes in vitro, including differential expression of certain antigens, alterations in lipid metabolism and distinct cell surface morphology. Furthermore, Mtb enduring limited Zn2+ employ defensive measures to fight oxidative stress, by increasing expression of proteins involved in DNA repair and antioxidant activity, including well described virulence factors KatG and AhpC, along with altered utilization of redox cofactors. Here, we propose a model in which prolonged Zn2+ limitation defines a population of Mtb with anticipatory adaptations against impending immune attack, based on the evidence that Zn2+-limited Mtb are more resistant to oxidative stress and exhibit increased survival and induce more severe pulmonary granulomas in mice. Considering that extracellular Mtb may transit through the Zn2+-limited caseum before infecting naïve immune cells or upon host-to-host transmission, the resulting phenotypic heterogeneity driven by varied Zn2+ availability likely plays a key role during early interactions with host cells.

Indexed as

LipidomicsProteomeTranscriptomeAdaptation, PhysiologicalAnimalsBacterial ProteinsGranulomaHomeostasisHost-Pathogen InteractionsHumansLungMiceMycobacterium tuberculosisOxidation-ReductionOxidative StressVirulence FactorsBacterial ProteinsProteomeVirulence FactorsZinc

Identifiers

PMID33989345
PMCPMC8121289
OpenAlexW3161519647

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.