Evidence map›Paper›PMID 37202938›Full record

ArticleThe Indian journal of medical research

Dodecanoic acid & palmitic acid disarms rifampicin resistance by putatively targeting mycobacterial efflux pump Rv1218c.

Christy Rosaline Nirmal, Sam Ebenezer Rajadas, Mahizhaveni Balasubramanian, Divya Magdaline, Naresh Babu Chilamakuru, Rajkumar Dinesh, A Radhakrishnan, Ramalingam Paraman, Rajesh Mondal, V N Azger Dusthackeer

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Article in The Indian journal of medical research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

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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

10 authors at 4 institutions in 1 country.

Christy Rosaline NirmalDepartment of Bacteriology, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu; Achira Labs Pvt. Ltd., Bengaluru, Karnataka, India.
Sam Ebenezer RajadasDepartment of Bacteriology, ICMR-National Institute for Research in Tuberculosis, Chennai; Department of Biotechnology, VSB Engineering College, Karur, Tamil Nadu, India.
Mahizhaveni BalasubramanianDepartment of Bacteriology, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
Divya MagdalineDepartment of Bacteriology, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
Naresh Babu ChilamakuruDepartment of Pharmaceutical Chemistry, Raghavendra Institute of Pharmaceutical Education & Research, Chiyyedu, Andhra Pradesh, India.
Rajkumar DineshDepartment of Bacteriology, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
A RadhakrishnanDepartment of Bacteriology, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
Ramalingam ParamanDepartment of Pharmaceutical Analysis, National Institute of Pharmaceutical Education & Research, Hajipur, Bihar, India.
Rajesh MondalDepartment of Biochemistry, ICMR-National Institute for Research in Environmental Health, Bhopal, Madhya Pradesh, India.
V N Azger DusthackeerDepartment of Bacteriology, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
National Institute of Research in Tuberculosis · INICMR National Institute for Research in Environmental HealthNational Institute of Pharmaceutical Education and Research · INNational Institute of Pharmaceutical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objectives: Drug-resistant tuberculosis (TB) jeopardizes the treatment process with poor outcomes. Efflux pumps (EPs) belonging to the ABC transporter family in Mycobacterium tuberculosis confer resistance to rifampicin (RMP) besides genetic mutations thus serving as a target for a potential adjunct therapeutic inhibitory molecule. Rv1218c is one such pump that was previously reported to be active in multidrug-resistant TB clinical isolates. Methods: In this study, the inhibition potential of Rv1218c-EP was tested on 8 molecules that were shortlisted by in silico methods. These molecules were subjected to the minimum inhibitory concentration (MIC) determination, checkerboard drug combination assay, ethidium bromide-DNA binding assay, and in vitro and ex vivo cytotoxicity assay. Results: Based on the outcome of the study, two molecules dodecanoic acid (DA) and palmitic acid (PA) were found to be potential enough to decrease the MIC of RMP by 8 to 1000 folds against multidrug-resistant clinical isolates and Rv1218c expressing recombinant Mycobacterium smegmatis. Interpretation & conclusions: These molecules were also found to reduce the time taken by RMP to kill these drug-resistant Mycobacteria to 48 h, unlike control isolates that survived more than 240 h of RMP exposure. The functional concentration of both molecules was non-toxic to the epithelial and blood mononuclear cells. With further comprehensive scientific validation, PA and DA could be recommended as adjunct therapeutic molecules with first-line anti-TB drugs to treat drug-resistant TB.

Indexed as

Mycobacterium tuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsBacterial ProteinsHumansLauric AcidsMicrobial Sensitivity TestsPalmitic AcidRifampinAntitubercular AgentsBacterial Proteinslauric acidLauric AcidsPalmitic AcidRifampinAdjunct therapyefflux inhibitorsefflux pumprifampicin-resistanceRv1218ctuberculosis

Identifiers

PMID37202938
PMCPMC10319381
OpenAlexW4377093408

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LicenceCC BY-NC-SA
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Registered trials

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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.