Evidence map›Paper›PMID 41026774›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

The Role of β-Lactam Antibiotics in Treating Mycobacterium abscessus: From Laboratory Insights to Clinical Applications and the Case for Clinical Trials.

Khalid M Dousa, Eunjeong Shin, Sebastian G Kurz, Eric J Rubin, Steven M Holland, Kenneth N Olivier, Charles L Daley, Barry N Kreiswirth, Paul S Pottinger, Robert A Bonomo

Abstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

10 authors.

Khalid M DousaLouis Stokes Cleveland VA Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.ORCID 0000-0003-3272-7231
Eunjeong ShinLouis Stokes Cleveland VA Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.
Sebastian G KurzDivision of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Eric J RubinDepartment of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, Massachussetts, USA.ORCID 0000-0001-5120-962X
Steven M HollandLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Kenneth N OlivierDivision of Pulmonary Diseases and Critical Care Medicine, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Charles L DaleyDivision of Mycobacterial and Respiratory Infections, National Jewish Health, Denver, Colorado, USA.ORCID 0000-0003-3324-926X
Barry N KreiswirthCenter for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA.ORCID 0000-0002-0243-131X
Paul S PottingerDepartment of Medicine, Division of Allergy & Infectious Diseases, University of Washington School of Medicine, Seattle, Washington, USA.ORCID 0000-0001-9143-8857
Robert A BonomoLouis Stokes Cleveland VA Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.ORCID 0000-0002-3299-894X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mycobacterium abscessus (Mab) is a highly drug-resistant non-tuberculous mycobacterium that presents major treatment challenges, particularly in individuals with structural lung disease. Although historically considered ineffective, β-lactam antibiotics have gained renewed attention due to advances in β-lactamase inhibition and cell wall biology. This review synthesizes more than a decade of work, including in vitro susceptibility studies, biochemical characterization of Mab's β-lactamase (BlaMab) and peptidoglycans synthesis, and published clinical cases supporting the potential role of β-lactam-based regimens. We detail the enzymatic pathways involved in peptidoglycan cross-linking and the dual inhibition of D,D- and L,D-transpeptidases by select β-lactams, as well as the functional impact of inhibiting BlaMab. Novel β-lactamase inhibitors such as durlobactam may further enhance β-lactam efficacy. By integrating laboratory insights with clinical experience, this review provides a comprehensive perspective and informs ongoing efforts to design clinical trials repurposing β-lactam/β-lactamase inhibitor combinations.

Indexed as

Anti-Bacterial Agentsbeta-LactamsMycobacterium abscessusMycobacterium Infections, Nontuberculousbeta Lactam Antibioticsbeta-Lactamase Inhibitorsbeta-LactamasesClinical Trials as TopicHumansMicrobial Sensitivity TestsPeptidoglycanAnti-Bacterial Agentsbeta Lactam Antibioticsbeta-Lactamase Inhibitorsbeta-Lactamasesbeta-LactamsPeptidoglycanMycobacterium abscessusnontuberculous mycobacteria (NTM)novel β-lactam/β-lactamase inhibitor combinationsβ-lactam antibioticsβ-lactamase inhibitors

Identifiers

PMID41026774
PMCPMC13375569

What OpenQuestion holds

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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.