Evidence map›Paper›PMID 23277882›Full record

ArticleInternational journal for parasitology. Drugs and drug resistance2012

Recent Developments in Sterol 14-demethylase Inhibitors for Chagas Disease.

Frederick S Buckner, Julio A Urbina

Open access · goldAbstract read
In one paragraph

Article in International journal for parasitology. Drugs and drug resistance, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 113 citations in OpenAlex.

  1. Albaconazole Polymeric Nanocapsules for TreatingPathogens (Basel, Switzerland) · 2025
    Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Endogenous Sterol Synthesis Is Dispensable forFrontiers in microbiology · 2022
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Structure, Properties, and Function of Glycosomes inFrontiers in cellular and infection microbiology · 2020
    Review
  12. A new chemotype with promise against Trypanosoma cruzi.Bioorganic & medicinal chemistry letters · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Experimental and Clinical Treatment of Chagas Disease: A Review.The American journal of tropical medicine and hygiene · 2017
    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

2 authors at 2 institutions in 2 countries.

Frederick S BucknerDepartment of Medicine, University of Washington, Seattle, WA 98195, USA.
Julio A Urbina
Instituto Venezolano de Investigaciones Científicas · VEUniversity of Washington · US

Funding

Rational Development of Anti-Trypanosoma Cruzi DrugsR01AI070218 · NIAID · UNIVERSITY OF WASHINGTON · PI BUCKNER, FREDERICK SIMMONS, GELB, MICHAEL H · 2006 to 2014
$4.4M
NIAID NIH HHS R01 AI070218
6 · The paper itself

Abstract

The protozoan parasite, Trypanosoma cruzi, causes the most prevalent parasitic infection in the American continent. It gives rise to life-long infection in humans and results in severe cardiomyopathy or other life-threatening manifestations (Chagas disease) in ~30% of those infected. Animal models and clinical studies indicate that etiological treatment of the infection reduces the risk of developing the disease manifestations. Unfortunately, the existing chemotherapeutics have suboptimal antiparasitic activity and cause significant side effects in many patients, thus better anti-trypanosomal drugs are greatly needed. The sterol biosynthesis pathway has received attention as a target for the development of new drugs for Chagas disease. In particular, inhibitors of sterol 14-demethylase (CYP51) are shown to be extremely active on Trypanosoma cruzi in vitro and in animal models. Antifungal drugs (i.e. azoles) in clinical use or in clinical studies have been extensively tested preclinically on Trypanosoma cruzi with posaconazole and ravuconazole demonstrating the most promising activity. As a result, posaconazole and a pro-drug of ravuconazole (E1224) are currently being evaluated in Phase II studies for Chagas disease. Additional CYP51 inhibitors that are specifically optimized for anti-Trypanosoma cruzi activity are in development by academia. These represent an alternative to proprietary antifungal drugs if the latter fall short in clinical trials or are too expensive for widespread clinical use in disease endemic countries. The research over the next few years will help define the role of CYP51 inhibitors, alone or in combination with other drugs, for managing patients with Chagas disease.

Identifiers

PMID23277882
PMCPMC3531554
OpenAlexW2119461394

What OpenQuestion holds

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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.