Evidence map›Paper›PMID 22956657›Full record

ArticleClinical and vaccine immunology : CVI2012

Development of an inhalational Bacillus anthracis exposure therapeutic model in cynomolgus macaques.

Lisa N Henning, Jason E Comer, Gregory V Stark, Bryan D Ray, Kevin P Tordoff, Katherine A B Knostman, Gabriel T Meister

Open access · diamondAbstract read
In one paragraph

Article in Clinical and vaccine immunology : CVI, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Antitoxin Use in the Prevention and Treatment of Anthrax Disease: A Systematic Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Pooled it
  2. Pooled it
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  4. Trial
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  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Pre- and Postlicensure Animal Efficacy Studies Comparing Anthrax Antitoxins.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  12. Article
  13. Antimicrobial agents and chemotherapy · 2021
    Article
  14. Article
  15. Article
  16. Physiological Responses to Multiple Low-Doses ofPathogens (Basel, Switzerland) · 2020
    Article
  17. Review
  18. Article
  19. Article
  20. Using Telemetry Data to Refine Endpoints for New Zealand White Rabbits Challenged withJournal of the American Association for Laboratory Animal Science : JAALAS · 2017
    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 1 institution in 1 country.

Lisa N HenningBattelle, Columbus, Ohio, USA. henningl@battelle.org
Jason E Comer
Gregory V Stark
Bryan D Ray
Kevin P Tordoff
Katherine A B Knostman
Gabriel T Meister
Battelle · US

Funding

FIBRINOGEN-BINDING PROTEIN IN THE ADHERENCE OF S AUREUSR29AI030061 · NIAID · ROCKEFELLER UNIVERSITY · PI CHEUNG, AMBROSE L. · 1993 to 1997
–
NIAID NIH HHS N01 AI030061NIAID NIH HHS N01-AI-30061
6 · The paper itself

Abstract

Appropriate animal models are required to test medical countermeasures to bioterrorist threats. To that end, we characterized a nonhuman primate (NHP) inhalational anthrax therapeutic model for use in testing anthrax therapeutic medical countermeasures according to the U.S. Food and Drug Administration Animal Rule. A clinical profile was recorded for each NHP exposed to a lethal dose of Bacillus anthracis Ames spores. Specific diagnostic parameters were detected relatively early in disease progression, i.e., by blood culture (∼37 h postchallenge) and the presence of circulating protective antigen (PA) detected by electrochemiluminescence (ECL) ∼38 h postchallenge, whereas nonspecific clinical signs of disease, i.e., changes in body temperature, hematologic parameters (ca. 52 to 66 h), and clinical observations, were delayed. To determine whether the presentation of antigenemia (PA in the blood) was an appropriate trigger for therapeutic intervention, a monoclonal antibody specific for PA was administered to 12 additional animals after the circulating levels of PA were detected by ECL. Seventy-five percent of the monoclonal antibody-treated animals survived compared to 17% of the untreated controls, suggesting that intervention at the onset of antigenemia is an appropriate treatment trigger for this model. Moreover, the onset of antigenemia correlated with bacteremia, and NHPs were treated in a therapeutic manner. Interestingly, brain lesions were observed by histopathology in the treated nonsurviving animals, whereas this observation was absent from 90% of the nonsurviving untreated animals. Our results support the use of the cynomolgus macaque as an appropriate therapeutic animal model for assessing the efficacy of medical countermeasures developed against anthrax when administered after a confirmation of infection.

Indexed as

Disease Models, AnimalAnimalsAnthraxAntibodies, BacterialAntibodies, MonoclonalAntigens, BacterialBacterial ToxinsBiomarkersBrainFemaleGuideline AdherenceMacaca fascicularisMalePrimate DiseasesRespiratory Tract InfectionsSurvival Analysisanthrax toxinAntibodies, BacterialAntibodies, MonoclonalAntigens, BacterialBacterial ToxinsBiomarkers

Identifiers

PMID22956657
PMCPMC3491545
OpenAlexW2133344377

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.