Evidence map›Paper›PMID 40447570›Full record

ArticleNature communications2025

Unravelling the transcriptome of the human tuberculosis lesion and its clinical implications.

Kaori L Fonseca, Juan José Lozano, Albert Despuig, Dominic Habgood-Coote, Julia Sidorova, Diego Aznar, Lilibeth Arias, Álvaro Del Río-Álvarez, Juan Carrillo-Reixach, Aaron Goff and 17 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

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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

27 authors.

Kaori L FonsecaExperimental Tuberculosis Unit (UTE), Fundació Institut Germans Trias i Pujol (IGTP), Badalona, Spain.
Juan José LozanoBioinformatic Platform, Centro de Investigación Biomédica en Red de Enfermedades Hepática y Digestivas (CIBERehd), Barcelona, Spain.
Albert DespuigExperimental Tuberculosis Unit (UTE), Fundació Institut Germans Trias i Pujol (IGTP), Badalona, Spain.ORCID http://orcid.org/0000-0001-9524-4355
Dominic Habgood-CooteDepartment of Infectious Diseases, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-5501-0335
Julia SidorovaBioinformatic Platform, Centro de Investigación Biomédica en Red de Enfermedades Hepática y Digestivas (CIBERehd), Barcelona, Spain.
Diego AznarExperimental Tuberculosis Unit (UTE), Fundació Institut Germans Trias i Pujol (IGTP), Badalona, Spain.ORCID http://orcid.org/0009-0002-2134-0111
Lilibeth AriasExperimental Tuberculosis Unit (UTE), Fundació Institut Germans Trias i Pujol (IGTP), Badalona, Spain.ORCID http://orcid.org/0000-0002-2469-8832
Álvaro Del Río-ÁlvarezChildhood Liver Oncology Group, Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain.
Juan Carrillo-ReixachChildhood Liver Oncology Group, Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain.
Aaron GoffGlobal Health and Infection, Brighton and Sussex Medical School, University of Sussex, Brighton, UK.
Leticia Muraro WildnerGlobal Health and Infection, Brighton and Sussex Medical School, University of Sussex, Brighton, UK.
Shota GogishviliNational Center for Tuberculosis and Lung Diseases (NCTLD), Tbilisi, Georgia.
Keti NikolaishviliNational Center for Tuberculosis and Lung Diseases (NCTLD), Tbilisi, Georgia.
Natalia ShubladzeNational Center for Tuberculosis and Lung Diseases (NCTLD), Tbilisi, Georgia.ORCID http://orcid.org/0000-0003-0580-9629
Zaza AvalianiNational Center for Tuberculosis and Lung Diseases (NCTLD), Tbilisi, Georgia.
Gustavo TapiaPathology Department, Hospital Germans Trias i Pujol, Badalona, Spain.
Paula Rodríguez-MartínezPathology Department, Hospital Germans Trias i Pujol, Badalona, Spain.
Pere-Joan CardonaExperimental Tuberculosis Unit (UTE), Fundació Institut Germans Trias i Pujol (IGTP), Badalona, Spain.ORCID http://orcid.org/0000-0001-5623-7873
Federico Martinón-TorresCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain.ORCID http://orcid.org/0000-0002-9023-581X
Antonio SalasCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain.ORCID http://orcid.org/0000-0002-2336-702X
Alberto Gómez-CarballaCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain.ORCID http://orcid.org/0000-0003-0927-1272
Carolina ArmengolChildhood Liver Oncology Group, Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain.ORCID http://orcid.org/0000-0002-4690-4027
Simon J WaddellGlobal Health and Infection, Brighton and Sussex Medical School, University of Sussex, Brighton, UK.ORCID http://orcid.org/0000-0002-3684-9116
Myrsini KaforouDepartment of Infectious Diseases, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-9878-4007
Anne O'GarraImmunoregulation and Infection Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0001-9845-6134
Sergo VashakidzeNational Center for Tuberculosis and Lung Diseases (NCTLD), Tbilisi, Georgia.
Cristina VilaplanaExperimental Tuberculosis Unit (UTE), Fundació Institut Germans Trias i Pujol (IGTP), Badalona, Spain. cvilaplana@igtp.cat.ORCID http://orcid.org/0000-0002-2808-7270

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 847762National Centre for the Replacement, Refinement and Reduction of Animals in Research (NC3Rs) NC/R001669/1Wellcome Trust FC001126Wellcome Trust (Wellcome) 204538/Z/16/ZWellcome Trust (Wellcome) MRF-160-0008-ELP-KAFO-C0801
6 · The paper itself

Abstract

The tuberculosis (TB) lesion is a complex structure, contributing to the overall spectrum of TB. We characterise, using RNA sequencing, 44 fresh human pulmonary TB lesion samples from 13 TB individuals (drug-sensitive and multidrug-resistant TB) undergoing therapeutic surgery. We confirm clear separation between the TB lesion and adjacent non-lesional tissue, with the lesion samples consistently displaying increased inflammatory profile despite heterogeneity. Using weighted correlation network analysis, we identify 17 transcriptional modules associated with TB lesion and demonstrate a gradient of immune-related transcript abundance according to spatial organization of the lesion. Furthermore, we associate the modular transcriptional signature of the TB lesion with clinical surrogates of treatment efficacy and TB severity. We show that patients with worse disease present an overabundance of immune/inflammation-related modules and downregulated tissue repair and metabolism modules. Our findings provide evidence of a relationship between clinical parameters, treatment response and immune signatures at the infection site.

Indexed as

TranscriptomeTuberculosis, Multidrug-ResistantTuberculosis, PulmonaryAdultAntitubercular AgentsFemaleGene Expression ProfilingGene Regulatory NetworksHumansLungMaleMiddle AgedMycobacterium tuberculosisAntitubercular Agents

Identifiers

PMID40447570
PMCPMC12125219

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.