Evidence map›Paper›PMID 42864405›Full record

Reviewnpj drug discovery2026

Efflux modulation as an antimicrobial strategy: mechanisms and translational perspectives.

Waleska Stephanie da Cruz Nizer, Cesar Augusto Roque-Borda, Chongbing Liao, Heitor Leocádio de Souza Rodrigues, Subham Kumar Vishwakarma, Zidane Qriouet, Andreia Bagliotti Meneguin, Fernando Rogério Pavan

Abstract readReview
In one paragraph

Review in npj drug discovery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Waleska Stephanie da Cruz NizerTuberculosis research laboratory, São Paulo State University (UNESP), School of Pharmaceutical Sciences, Araraquara, Brazil. waleska.nizer@unesp.br.ORCID http://orcid.org/0000-0002-5134-719X
Cesar Augusto Roque-BordaVicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa, Peru. cesar.roque@ucsm.edu.pe.ORCID http://orcid.org/0000-0002-9262-0383
Chongbing LiaoKey Laboratory of Medical Molecular Virology (MOE/NHC/CAMS), Shanghai Institute of Infectious Disease and Biosecurity, School of Basic Medical Sciences, Fudan University, Shanghai, China.
Heitor Leocádio de Souza RodriguesSão Paulo State University (UNESP), School of Agricultural and Veterinary Sciences, Department of Pathology, Reproduction and One Health (DPRSU), Jaboticabal, Brazil.
Subham Kumar VishwakarmaTuberculosis research laboratory, São Paulo State University (UNESP), School of Pharmaceutical Sciences, Araraquara, Brazil.
Zidane QriouetDepartment of Drugs and Medicines, São Paulo State University "Júlio de Mesquita Filho", Araraquara, São Paulo, Brazil.
Andreia Bagliotti MeneguinDepartment of Drugs and Medicines, São Paulo State University "Júlio de Mesquita Filho", Araraquara, São Paulo, Brazil.
Fernando Rogério PavanTuberculosis research laboratory, São Paulo State University (UNESP), School of Pharmaceutical Sciences, Araraquara, Brazil. fernando.pavan@unesp.br.ORCID http://orcid.org/0000-0002-6969-3963

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Efflux pumps are widely viewed as antibiotic resistance determinants, yet their roles in stress adaptation, virulence, quorum sensing, and biofilm formation make them context-dependent therapeutic targets. This Perspective distinguishes four efflux intervention strategies: direct inhibition, bioenergetic or membrane-mediated suppression, regulatory modulation, and dual-effect approaches. We examine why promising in vitro findings rarely translate clinically and argue that efflux-targeting strategies require defined therapeutic objectives and integrated multidisciplinary approaches.

Identifiers

PMID42864405
PMCPMC13658784

What OpenQuestion holds

Textmetadata
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.