Evidence map›Paper›PMID 19487443›Full record

ArticleAntimicrobial agents and chemotherapy2009

Antifungal activity of tamoxifen: in vitro and in vivo activities and mechanistic characterization.

Kristy Dolan, Sara Montgomery, Bradley Buchheit, Louis Didone, Melanie Wellington, Damian J Krysan

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03112031 (A Randomized Trial of Tamoxifen Combined With Amphotericin B and Fluconazole for Cryptococcal Meningitis), which is not on this map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
1.0field-weighted citation impact, top 26% 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.

NCT03112031 phase2completednot on this mapstarted 2017, after this paper: background citation

A Randomized Trial of Tamoxifen Combined With Amphotericin B and Fluconazole for Cryptococcal Meningitis

TypeinterventionalSponsorOxford University Clinical Research Unit, VietnamRan2017 to 2018Enrolled50ConditionsMeningitis Streptococcal, Hiv, Meningitis, MeningoencephalitisArmsTamoxifen, Amphotericin B, Fluconazole
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 113 citations in OpenAlex.

  1. Trial
  2. Article
  3. A review of the current anti-New microbes and new infections · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Microbiology spectrum · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Candidiasis in breast cancer: Tumor progression or not?Iranian journal of basic medical sciences · 2024
    Review
  13. Recent drug development and treatments for fungal infections.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Review
  14. Article
  15. Article
  16. Mebendazole InhibitsJournal of fungi (Basel, Switzerland) · 2023
    Article
  17. Article
  18. Searching for new antifungals for the treatment of cryptococcosis.Revista da Sociedade Brasileira de Medicina Tropical · 2023
    Review
  19. Review
  20. Article

4 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Kristy DolanDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.
Sara Montgomery
Bradley Buchheit
Louis Didone
Melanie Wellington
Damian J Krysan
University of Rochester · US

Funding

Chemical Genetic HTS Assay for Inhibitors of Fungal Cell Wall IntegrityR01AI075033 · NIAID · UNIVERSITY OF ROCHESTER · PI KRYSAN, DAMIAN J · 2009 to 2011
$1.0M
NCRR NIH HHS ULI RR02160NIAID NIH HHS 1R01AI075033NIAID NIH HHS R01 AI075033
6 · The paper itself

Abstract

Tamoxifen (TAM), an estrogen receptor antagonist used primarily to treat breast cancer, has well-recognized antifungal properties, but the activity of TAM has not been fully characterized using standardized (i.e., CLSI) in vitro susceptibility testing, nor has it been demonstrated in an in vivo model of fungal infection. In addition, its mechanism of action remains to be clearly defined at the molecular level. Here, we report that TAM displays in vitro activity (MIC, 8 to 64 microg/ml) against pathogenic yeasts (Candida albicans, other Candida spp., and Cryptococcus neoformans). In vivo, 200 mg/kg of body weight per day TAM reduced kidney fungal burden (-1.5 log(10) CFU per g tissue; P = 0.008) in a murine model of disseminated candidiasis. TAM is a known inhibitor of mammalian calmodulin, and TAM-treated yeast show phenotypes consistent with decreased calmodulin function, including lysis, decreased new bud formation, disrupted actin polarization, and decreased germ tube formation. The overexpression of calmodulin suppresses TAM toxicity, hypofunctional calmodulin mutants are hypersensitive to TAM, and TAM interferes with the interaction between Myo2p and calmodulin, suggesting that TAM targets calmodulin as part of its mechanism of action. Taken together, these experiments indicate that the further study of compounds related to TAM as antifungal agents is warranted.

Indexed as

AnimalsAntifungal AgentsCalmodulinCandidaCandidiasisClomipheneCryptococcus neoformansKidneyMaleMiceMice, Inbred BALB CMicrobial Sensitivity TestsMicroscopy, FluorescenceTamoxifenAntifungal AgentsCalmodulinClomipheneTamoxifen

Identifiers

PMID19487443
PMCPMC2715577
OpenAlexW2148427024

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.