Evidence map›Paper›PMID 19638570›Full record

ArticleThe Journal of pharmacology and experimental therapeutics2009

Sulindac metabolism and synergy with tumor necrosis factor-alpha in a drug-inflammation interaction model of idiosyncratic liver injury.

Wei Zou, Kevin M Beggs, Erica M Sparkenbaugh, A Daniel Jones, Husam S Younis, Robert A Roth, Patricia E Ganey

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The Journal of pharmacology and experimental therapeutics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.6field-weighted citation impact, top 3% 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.

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

25 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Article
  3. HIVIL: A humanNAM journal · 2025
    Article
  4. Susceptibility Factor TNF-α Synergizes withJournal of inflammation research · 2025
    Article
  5. Roles of Cofactors in Drug-Induced Liver Injury: Drug Metabolism and Beyond.Drug metabolism and disposition: the biological fate of chemicals · 2022
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Drug Hepatotoxicity: Environmental Factors.Clinics in liver disease · 2017
    Review
  12. Calcium Contributes to the Cytotoxic Interaction Between Diclofenac and Cytokines.Toxicological sciences : an official journal of the Society of Toxicology · 2016
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

7 authors at 3 institutions in 2 countries.

Wei ZouDepartment of Microbiology and Molecular Genetics, Center for Integrative Toxicology, Michigan State University, East Lansing, 48824, USA.
Kevin M Beggs
Erica M Sparkenbaugh
A Daniel Jones
Husam S Younis
Robert A Roth
Patricia E Ganey
Michigan State University · USInstitute of Pharmacology · CZPfizer (United States) · US

Funding

MULTIDISCIPLINARY TRAINING IN ENVIRONMENTAL TOXICOLOGYT32ES007255 · NIEHS · MICHIGAN STATE UNIVERSITY · PI JOHN J LAPRES · 1989 to 2026
$9.3M
INFLAMMATION AND DRUG IDIOSYNCRASYR01DK061315 · NIDDK · MICHIGAN STATE UNIVERSITY · PI ROTH, ROBERT ANDREW · 2003 to 2011
$2.0M
Gene Expression in Drug-inflammation Models as Predictive of Idiosyncratic ADRSR21GM075865 · NIGMS · MICHIGAN STATE UNIVERSITY · PI GANEY, PATRICIA E · 2005 to 2008
$1.5M
NIDDK NIH HHS DK061315NIDDK NIH HHS R01 DK061315NIEHS NIH HHS T32 ES007255NIEHS NIH HHS T32ES007255NIGMS NIH HHS GM075865NIGMS NIH HHS R21 GM075865
6 · The paper itself

Abstract

Sulindac (SLD) is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with a greater incidence of idiosyncratic hepatotoxicity in human patients than other NSAIDs. In previous studies, cotreatment of rats with SLD and a modestly inflammatory dose of lipopolysaccharide (LPS) led to liver injury, whereas neither SLD nor LPS alone caused liver damage. In studies presented here, further investigation of this animal model revealed that the concentration of tumor necrosis factor-alpha (TNF-alpha) in plasma was significantly increased by LPS at 1 h, and SLD enhanced this response. Etanercept, a soluble TNF-alpha receptor, reduced SLD/LPS-induced liver injury, suggesting a role for TNF-alpha. SLD metabolites in plasma and liver were determined by LC/MS/MS. Cotreatment with LPS did not increase the concentrations of SLD or its metabolites, excluding the possibility that LPS contributed to liver injury through enhanced exposure to SLD or its metabolites. The cytotoxicities of SLD and its sulfide and sulfone metabolites were compared in primary rat hepatocytes and HepG2 cells; SLD sulfide was more toxic in both types of cells than SLD or SLD sulfone. TNF-alpha augmented the cytotoxicity of SLD sulfide in primary hepatocytes and HepG2 cells. These results suggest that TNF-alpha can enhance SLD sulfide-induced hepatotoxicity, thereby contributing to liver injury in SLD/LPS-cotreated rats.

Indexed as

Disease Models, AnimalAnimalsCell Line, TumorChemical and Drug Induced Liver InjuryDrug SynergismHumansInflammation MediatorsLipopolysaccharidesLiverRatsRats, Sprague-DawleySulindacTumor Necrosis Factor-alphaInflammation MediatorsLipopolysaccharidesSulindacTumor Necrosis Factor-alpha

Identifiers

PMID19638570
PMCPMC2766217
OpenAlexW2108461940

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.