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Dithiothreitol

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed8 referencesApproximately 6 min read

A reagent commonly used in biochemical studies as a protective agent to prevent the oxidation of SH (thiol) groups and for reducing disulphides to dithiols.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (1,203 words), 8 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A reagent commonly used in biochemical studies as a protective agent to prevent the oxidation of SH (thiol) groups and for reducing disulphides to dithiols.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Cleland Reagent; Reagent, Cleland; Cleland's Reagent; Clelands Reagent; Reagent, Cleland's; Sputolysin.

Where it fits in the MeSH classification

Broader topics
Sugar Alcohols; Thioglycosides

Research landscape

PubMed indexes 7,615 records tagged with the MeSH heading “Dithiothreitol” (counts retrieved 2026-10-31). 182 of them (2.4%) were published from 2020 onward, and the busiest period so far is through 1999 with 5,214 records.

Reviews account for 45 records (0.6%) and meta-analyses for 2. Randomized controlled trials number 1 (0.0%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 5,214 records; 2000-2009: 1,426 records; 2010-2019: 793 records; 2020 onward: 182 records5,214through 19991,4262000-20097932010-20191822020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19995,214
2000-20091,426
2010-2019793
2020 onward182
Share of records by publication typeReviews: 0.6 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 0.0 percentReviews0.6% (45)Meta-analyses0.0% (2)Randomized controlled trials0.0% (1)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 7,615 PubMed records
TypeRecordsShare
Reviews450.6%
Meta-analyses20.0%
Randomized controlled trials10.0%

Method: PubMed query "Dithiothreitol"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Thiol reductive stress induces cellulose-anchored biofilm formation in Mycobacterium tuberculosis
Trivedi A, Mavi PS, Bhatt D, Kumar A
2016Research article
Design not recorded in structured metadata
140cc by
PMID 27109928 · DOI · PMC4848537
Spatial Variation and Land Use Regression Modeling of the Oxidative Potential of Fine Particles
Yang A, Wang M, Eeftens M, Beelen R, Dons E, Leseman DL, et al.
2015Research article
Design not recorded in structured metadata
54cc0
PMID 25840153 · DOI · PMC4629740
High efficiency electrotransformation of Lactococcus lactis spp. lactis cells pretreated with lithium acetate and dithiothreitol
Papagianni M, Avramidis N, Filioussis G
2007Research article
Design not recorded in structured metadata
44cc by
PMID 17374174 · DOI · PMC1838899
Reducing culture underestimation in urine: flow cytometry-guided validation of low-dose DTT pre-treatment for biofilm dispersal
De La Motte LR, Muradore I, Giarritiello F, Stefàno E, Deflorio L, Drago L
2026Research article
Design not recorded in structured metadata
1cc by
PMID 42084362 · DOI · PMC13228076

Thiol reductive stress induces cellulose-anchored biofilm formation in Mycobacterium tuberculosis [1]

Research article Trivedi A, Mavi PS, Bhatt D, Kumar A · · 2016 · cited 140 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Mycobacterium tuberculosis (Mtb) forms biofilms harbouring antibiotic-tolerant bacilli in vitro, but the factors that induce biofilm formation and the nature of the extracellular material that holds the cells together are poorly understood.
Closing excerpt
Our results contribute to a better understanding of the mechanisms underlying Mtb biofilm formation, although the clinical relevance of Mtb biofilms in human tuberculosis remains unclear.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (139 words)

Mycobacterium tuberculosis (Mtb) forms biofilms harbouring antibiotic-tolerant bacilli in vitro, but the factors that induce biofilm formation and the nature of the extracellular material that holds the cells together are poorly understood. Here we show that intracellular thiol reductive stress (TRS) induces formation of Mtb biofilms in vitro, which harbour drug-tolerant but metabolically active bacteria with unchanged levels of ATP/ADP, NAD(+)/NADH and NADP(+)/NADPH. The development of these biofilms requires DNA, RNA and protein synthesis. Transcriptional analysis suggests that Mtb modulates only ∼7% of its genes for survival in biofilms. In addition to proteins, lipids and DNA, the extracellular material in these biofilms is primarily composed of polysaccharides, with cellulose being a key component. Our results contribute to a better understanding of the mechanisms underlying Mtb biofilm formation, although the clinical relevance of Mtb biofilms in human tuberculosis remains unclear.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 27109928 · DOI · PMC4848537

Spatial Variation and Land Use Regression Modeling of the Oxidative Potential of Fine Particles [2]

Research article Yang A, Wang M, Eeftens M, Beelen R, Dons E, Leseman DL, et al. · · 2015 · cited 54 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundOxidative potential (OP) has been suggested to be a more health-relevant metric than particulate matter (PM) mass.
Closing excerpt
1408916.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (294 words)

BackgroundOxidative potential (OP) has been suggested to be a more health-relevant metric than particulate matter (PM) mass. Land use regression (LUR) models can estimate long-term exposure to air pollution in epidemiological studies, but few have been developed for OP.ObjectivesWe aimed to characterize the spatial contrasts of two OP methods and to develop and evaluate LUR models to assess long-term exposure to the OP of PM2.5.MethodsThree 2-week PM2.5 samples were collected at 10 regional background, 12 urban background, and 18 street sites spread over the Netherlands/Belgium in 1 year and analyzed for OP using electron spin resonance (OP(ESR)) and dithiothreitol (OP(DTT)). LUR models were developed using temporally adjusted annual averages and a range of land-use and traffic-related GIS variables.ResultsStreet/urban background site ratio was 1.2 for OP(DTT) and 1.4 for OP(ESR), whereas regional/urban background ratio was 0.8 for both. OP(ESR) correlated moderately with OP(DTT) (R2 = 0.35). The LUR models included estimated regional background OP, local traffic, and large-scale urbanity with explained variance (R2) of 0.60 for OP(DTT) and 0.67 for OP(ESR). OP(DTT) and OP(ESR) model predictions were moderately correlated (R2 = 0.44). OP model predictions were moderately to highly correlated with predictions from a previously published PM2.5 model (R2 = 0.37-0.52), and highly correlated with predictions from previously published models of traffic components (R2 > 0.50).ConclusionLUR models explained a large fraction of the spatial variation of the two OP metrics. The moderate correlations among the predictions of OP(DTT), OP(ESR), and PM2.5 models offer the potential to investigate which metric is the strongest predictor of health effects.CitationYang A, Wang M, Eeftens M, Beelen R, Dons E, Leseman DL, Brunekreef B, Cassee FR, Janssen NA, Hoek G. 2015. Spatial variation and land use regression modeling of the oxidative potential of fine particles. Environ Health Perspect 123:1187-1192; http://dx.doi.org/10.1289/ehp.1408916.

Abstract reproduced from the open-access article under the recorded cc0 licence; © the authors. PMID 25840153 · DOI · PMC4629740

High efficiency electrotransformation of Lactococcus lactis spp. lactis cells pretreated with lithium acetate and dithiothreitol [3]

Research article Papagianni M, Avramidis N, Filioussis G · · 2007 · cited 44 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundA goal for the food industry has always been to improve strains of Lactococcus lactis and stabilize beneficial traits.
Closing excerpt
The applied methodology, tested in two well-known strains, allows the production of large numbers of transformants and the construction of large recombinant libraries.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (346 words)

BackgroundA goal for the food industry has always been to improve strains of Lactococcus lactis and stabilize beneficial traits. Genetic engineering is used extensively for manipulating this lactic acid bacterium, while electropolation is the most widely used technique for introducing foreign DNA into cells. The efficiency of electrotransformation depends on the level of electropermealization and pretreatment with chemicals which alter cell wall permeability, resulting in improved transformation efficiencies is rather common practice in bacteria as in yeasts and fungi. In the present study, treatment with lithium acetate (LiAc) and dithiothreitol (DTT) in various combinations was applied to L. lactis spp. lactis cells of the early-log phase prior to electroporation with plasmid pTRKH3 (a 7.8 kb shuttle vector, suitable for cloning into L. lactis). Two strains of L. lactis spp. lactis were used, L. lactis spp. lactis LM0230 and ATCC 11454. To the best of our knowledge these agents have never been used before with L. lactis or other bacteria.ResultsElectrotransformation efficiencies of up to 105 transformants per mug DNA have been reported in the literature for L. lactis spp.lactis LM0230. We report here that treatment with LiAc and DDT before electroporation increased transformation efficiency to 225 +/- 52.5 x 107 transformants per mug DNA, while with untreated cells or treated with LiAc alone transformation efficiency approximated 1.2 +/- 0.5 x 105 transformants per mug DNA. Results of the same trend were obtained with L. lactis ATCC 11454, although transformation efficiency of this strain was significantly lower. No difference was found in the survival rate of pretreated cells after electroporation. Transformation efficiency was found to vary directly with cell density and that of 1010 cells/ml resulted in the highest efficiencies. Following electrotransformation of pretreated cells with LiAc and DDT, pTRKH3 stability was examined. Both host-vector systems proved to be reproducible and highly efficient.ConclusionThis investigation sought to improve still further transformation efficiencies and to provide a reliable high efficiency transformation system for L. lactis spp. lactis. The applied methodology, tested in two well-known strains, allows the production of large numbers of transformants and the construction of large recombinant libraries.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 17374174 · DOI · PMC1838899

Reducing culture underestimation in urine: flow cytometry-guided validation of low-dose DTT pre-treatment for biofilm dispersal [4]

Research article De La Motte LR, Muradore I, Giarritiello F, Stefàno E, Deflorio L, Drago L · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
A substantial proportion of symptomatic patients with urinary tract infections (UTIs) have negative or low-count urine cultures despite clinically compatible presentations.
Closing excerpt
Further studies are needed to confirm its clinical impact.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (424 words)

A substantial proportion of symptomatic patients with urinary tract infections (UTIs) have negative or low-count urine cultures despite clinically compatible presentations. Biofilm-associated bacterial aggregation and the presence of viable bacteria not recovered by standard culture may contribute to this diagnostic gap. Flow cytometry (FACS) can detect these viable cells, but culturability remains essential for species identification and antimicrobial susceptibility testing. We evaluated whether low-concentration dithiothreitol (DTT) can safely disperse urinary biofilm-associated aggregates and improve bacterial recovery from urine samples. Seventy-two clinical urine samples were processed in parallel (untreated vs 0.1% DTT-treated). Viability was quantified using SYTO9/PI-based flow cytometry with bead-normalized bacterial counts. Culturability was assessed on chromogenic media. Comparative analyses included paired statistics, Bland-Altman agreement, and correlation between viable and culturable fractions. DTT (0.1%) did not alter bacterial viability (P = 0.47), confirming its non-toxicity at this concentration. In contrast, DTT significantly increased CFU recovery (median: 10 to 5.5 × 10³ CFU/mL; P < 0.0001), converting several previously negative or low-count samples into positive cultures. Agreement between viable and culturable fractions improved after DTT treatment, primarily through reduced systematic bias in Bland-Altman analysis, while correlation coefficients remained similar (r: 0.44 vs 0.45). A persistent discrepancy between FACS-derived viable counts and culture-based counts suggests the presence of viable bacterial populations not fully recovered by standard culture conditions, findings that are consistent with but do not directly demonstrate the presence of VBNC subpopulations. Low-dose DTT is a safe and effective pre-analytical treatment that markedly improves culture sensitivity without compromising bacterial viability. These findings support further investigation of DTT-assisted processing as a potential strategy to reduce culture underestimation in urinary diagnostics and to better characterize viable bacterial populations not detected by standard culture methods.IMPORTANCEStandard urine culture may fail to detect the full spectrum of bacteria present in urinary tract infections, particularly when microorganisms are embedded within mucus, biofilm-like aggregates, or enter a viable but non-culturable state. These hidden bacterial populations may contribute to persistent symptoms or recurrent infections while remaining undetected by routine culture methods. Our findings suggest that pre-treating urine samples with a low concentration of dithiothreitol may help disperse biofilm-like aggregates while preserving bacterial viability. When combined with flow cytometry, this approach may allow a more comprehensive estimation of the viable bacterial fraction and, in some cases, may increase the likelihood of bacterial recovery by culture in samples that would otherwise appear negative. Because the procedure relies on inexpensive reagents and techniques compatible with routine laboratory workflows, it may represent a practical adjunct to conventional diagnostics. Further studies are needed to confirm its clinical impact.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42084362 · DOI · PMC13228076

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Extracellular blebs: Artificially-induced extracellular vesicles for facile production and clinical translation [5]
    Thone MN, Kwon YJ · Methods · 2020 · cited 43 times (Europe PMC)
  • Research article Is sonication superior to dithiothreitol in diagnosis of periprosthetic joint infections? A meta-analysis [6]
    Tsikopoulos K, Christofilos SI, Kitridis D, Sidiropoulos K, Stoikos PN, Gravalidis C, et al. · Int Orthop · 2022 · cited 13 times (Europe PMC)
  • Research article Scanning electron microscopic observations of the basement membranes with dithiothreitol separation [7]
    Osawa T, Feng XY, Nozaka Y · Med Electron Microsc · 2003 · cited 10 times (Europe PMC)
  • Research article Dithiothreitol revisited in red cells: a new head for an old hat [8]
    Lopes de Almeida JP, Saldanha C · Clin Hemorheol Microcirc · 2010 · cited 8 times (Europe PMC)

References

  1. Trivedi A, Mavi PS, Bhatt D, Kumar A. Thiol reductive stress induces cellulose-anchored biofilm formation in Mycobacterium tuberculosis. . 2016. PMID 27109928 · DOI · PMC4848537
  2. Yang A, Wang M, Eeftens M, Beelen R, Dons E, Leseman DL, et al.. Spatial Variation and Land Use Regression Modeling of the Oxidative Potential of Fine Particles. . 2015. PMID 25840153 · DOI · PMC4629740
  3. Papagianni M, Avramidis N, Filioussis G. High efficiency electrotransformation of Lactococcus lactis spp. lactis cells pretreated with lithium acetate and dithiothreitol. . 2007. PMID 17374174 · DOI · PMC1838899
  4. De La Motte LR, Muradore I, Giarritiello F, Stefàno E, Deflorio L, Drago L. Reducing culture underestimation in urine: flow cytometry-guided validation of low-dose DTT pre-treatment for biofilm dispersal. . 2026. PMID 42084362 · DOI · PMC13228076
  5. Thone MN, Kwon YJ. Extracellular blebs: Artificially-induced extracellular vesicles for facile production and clinical translation. Methods. 2020. PMID 31734187 · DOI
  6. Tsikopoulos K, Christofilos SI, Kitridis D, Sidiropoulos K, Stoikos PN, Gravalidis C, et al.. Is sonication superior to dithiothreitol in diagnosis of periprosthetic joint infections? A meta-analysis. Int Orthop. 2022. PMID 35199219 · DOI
  7. Osawa T, Feng XY, Nozaka Y. Scanning electron microscopic observations of the basement membranes with dithiothreitol separation. Med Electron Microsc. 2003. PMID 14505056 · DOI
  8. Lopes de Almeida JP, Saldanha C. Dithiothreitol revisited in red cells: a new head for an old hat. Clin Hemorheol Microcirc. 2010. PMID 20852362 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

7,615
PubMed records on this heading
2%
published since 2020
45
review articles
1
randomized trials
8
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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