Evidence map›Paper›PMID 22841772›Full record

ArticleToxicology and applied pharmacology2012

Silibinin, dexamethasone, and doxycycline as potential therapeutic agents for treating vesicant-inflicted ocular injuries.

Neera Tewari-Singh, Anil K Jain, Swetha Inturi, David A Ammar, Chapla Agarwal, Puneet Tyagi, Uday B Kompella, Robert W Enzenauer, J Mark Petrash, Rajesh Agarwal

Open access · greenAbstract readComparative Study
In one paragraph

Article in Toxicology and applied pharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

31 citing papers in PubMed, 52 citations in OpenAlex.

  1. BRD4 inhibition mitigates acute and chronic corneal injury following topical nitrogen mustard exposure.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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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

10 authors at 2 institutions in 1 country.

Neera Tewari-SinghDepartment of Pharmaceutical Sciences, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO 80045, USA. Neera.Tewari-Singh@ucdenver.edu
Anil K Jain
Swetha Inturi
David A Ammar
Chapla Agarwal
Puneet Tyagi
Uday B Kompella
Robert W Enzenauer
J Mark Petrash
Rajesh Agarwal
University of Montana · USUniversity of Colorado Denver · US

Funding

MOLECULAR BIOLOGY OF ALDOSE REDUCTASE AND CATARACTR01EY005856 · NEI · WASHINGTON UNIVERSITY · PI PETRASH, JONATHAN MARK · 1988 to 2014
$6.8M
Effective Therapies for Ocular Injuries by Vesicating AgentsU01EY023143 · NEI · UNIVERSITY OF COLORADO DENVER · PI AGARWAL, RAJESH · 2012 to 2016
$3.9M
NEI NIH HHS R01 EY005856NEI NIH HHS U01 EY023143
6 · The paper itself

Abstract

There are no effective and approved therapies against devastating ocular injuries caused by vesicating chemical agents sulfur mustard (SM) and nitrogen mustard (NM). Herein, studies were carried out in rabbit corneal cultures to establish relevant ocular injury biomarkers with NM for screening potential efficacious agents in laboratory settings. NM (100nmol) exposure of the corneas for 2h (cultured for 24h), showed increases in epithelial thickness, ulceration, apoptotic cell death, epithelial detachment microbullae formation, and the levels of VEGF, cyclooxygenase-2 (COX-2) and matrix metalloproteinase-9 (MMP-9). Employing these biomarkers, efficacy studies were performed with agent treatments 2h and every 4h thereafter, for 24h following NM exposure. Three agents were evaluated, including prescription drugs dexamethasone (0.1%; anti-inflammatory steroid) and doxycycline (100nmol; antibiotic and MMP inhibitor) that have been studied earlier for treating vesicant-induced eye injuries. We also examined silibinin (100μg), a non-toxic natural flavanone found to be effective in treating SM analog-induced skin injuries in our earlier studies. Treatments of doxycycline+dexamethasone, and silibinin were more effective than doxycycline or dexamethasone alone in reversing NM-induced epithelial thickening, microbullae formation, apoptotic cell death, and MMP-9 elevation. However, dexamethasone and silibinin alone were more effective in reversing NM-induced VEGF levels. Doxycycline, dexamethasone and silibinin were all effective in reversing NM-induced COX-2 levels. Apart from therapeutic efficacy of doxycycline and dexamethasone, these results show strong multifunctional efficacy of silibinin in reversing NM-induced ocular injuries, which could help develop effective and safe therapeutics against ocular injuries by vesicants.

Indexed as

AnimalsAnti-Bacterial AgentsAnti-Inflammatory AgentsAntioxidantsApoptosisChemical Warfare AgentsCorneal DiseasesCyclooxygenase 2DexamethasoneDoxycyclineDrug Therapy, CombinationEpithelium, CornealIn Vitro TechniquesIrritantsMechlorethamineMustard GasAnti-Bacterial AgentsAnti-Inflammatory AgentsAntioxidantsChemical Warfare AgentsCyclooxygenase 2DexamethasoneDoxycyclineIrritantsMechlorethamineMustard GasSilybinSilymarinVascular Endothelial Growth Factor A

Identifiers

PMID22841772
PMCPMC3928638
OpenAlexW2059786327

What OpenQuestion holds

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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.