Evidence map›Paper›PMID 22610278›Full record

ArticleNature medicine2012

A high-throughput drug screen for Entamoeba histolytica identifies a new lead and target.

Anjan Debnath, Derek Parsonage, Rosa M Andrade, Chen He, Eduardo R Cobo, Ken Hirata, Steven Chen, Guillermina García-Rivera, Esther Orozco, Máximo B Martínez and 6 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 165 papers.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed
11.1field-weighted citation impact, top 1% 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

165 citing papers in PubMed, 304 citations in OpenAlex.

  1. Trial
  2. Cascading damage toProceedings of the National Academy of Sciences of the United States of America · 2026
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  9. Exploring virulence and stress response inMicrobiology spectrum · 2025
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  12. Review
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  17. Miconazole-like Scaffold is a Promising Lead forJournal of medicinal chemistry · 2023
    Article
  18. Article
  19. Structure ofInternational journal of molecular sciences · 2023
    Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 2 countries.

Anjan DebnathSandler Center for Drug Discovery, University of California–San Francisco, San Francisco, California, USA. anjan.debnath@ucsf.edu
Derek Parsonage
Rosa M Andrade
Chen He
Eduardo R Cobo
Ken Hirata
Steven Chen
Guillermina García-Rivera
Esther Orozco
Máximo B Martínez
Shamila S Gunatilleke
Amy M Barrios
Michelle R Arkin
Leslie B Poole
James H McKerrow
Sharon L Reed
University of California, San Diego · USUniversity of California, San Francisco · USCenter for Research and Advanced Studies of the National Polytechnic Institute · MXWake Forest University · USUniversity of Utah · US

Funding

Novel Therapeutics for Class B ProtozoaU01AI077822 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI REED, SHARON L · 2008 to 2012
$6.8M
Mechanistic Studies of Alkyl Hydroperoxide Reductase and Related Redox SystemsR01GM050389 · NIGMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI POOLE, LESLIE B · 1994 to 2013
$4.8M
NIAID NIH HHS 5U01AI077822NIAID NIH HHS U01 AI077822NIGMS NIH HHS R01 GM050389
6 · The paper itself

Abstract

Entamoeba histolytica, a protozoan intestinal parasite, is the causative agent of human amebiasis. Amebiasis is the fourth leading cause of death and the third leading cause of morbidity due to protozoan infections worldwide(1), resulting in ~70,000 deaths annually. E. histolytica has been listed by the National Institutes of Health as a category B priority biodefense pathogen in the United States. Treatment relies on metronidazole(2), which has adverse effects(3), and potential resistance of E. histolytica to the drug is an increasing concern(4,5). To facilitate drug screening for this anaerobic protozoan, we developed and validated an automated, high-throughput screen (HTS). This screen identified auranofin, a US Food and Drug Administration (FDA)-approved drug used therapeutically for rheumatoid arthritis, as active against E. histolytica in culture. Auranofin was ten times more potent against E. histolytica than metronidazole. Transcriptional profiling and thioredoxin reductase assays suggested that auranofin targets the E. histolytica thioredoxin reductase, preventing the reduction of thioredoxin and enhancing sensitivity of trophozoites to reactive oxygen-mediated killing. In a mouse model of amebic colitis and a hamster model of amebic liver abscess, oral auranofin markedly decreased the number of parasites, the detrimental host inflammatory response and hepatic damage. This new use of auranofin represents a promising therapy for amebiasis, and the drug has been granted orphan-drug status from the FDA.

Indexed as

Drug Evaluation, PreclinicalHigh-Throughput Screening AssaysAnimalsAuranofinCricetinaeEntamoeba histolyticaMaleMiceMice, Inbred C3HThioredoxin-Disulfide ReductaseAuranofinThioredoxin-Disulfide Reductase

Identifiers

PMID22610278
PMCPMC3411919
OpenAlexW2116106523

What OpenQuestion holds

Textmetadata
LicenceTDM
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.