Evidence map›Paper›PMID 23509352›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2013

A novel small-molecule enantiomeric analogue of traditional (-)-morphinans has specific TLR9 antagonist properties and reduces sterile inflammation-induced organ damage.

Rafaz Hoque, Ahmad Farooq, Ahsan Malik, Bobby N Trawick, David W Berberich, Joseph P McClurg, Karen P Galen, Wajahat Mehal

Abstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. TLR9-mediated innate immune signaling contributes to acetaminophen-induced injury in the developing lung.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
  2. Review
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  7. Article
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  10. Article
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  12. Drugging Membrane Protein Interactions.Annual review of biomedical engineering · 2016
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Immune mechanisms in acetaminophen-induced acute liver failure.Hepatobiliary surgery and nutrition · 2014
    Review
  18. Article
  19. The Gordian Knot of dysbiosis, obesity and NAFLD.Nature reviews. Gastroenterology & hepatology · 2013
    Review
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

8 authors at 3 institutions in 2 countries.

Rafaz HoqueSection of Digestive Diseases, Yale University, New Haven, CT 06520, USA.
Ahmad Farooq
Ahsan Malik
Bobby N Trawick
David W Berberich
Joseph P McClurg
Karen P Galen
Wajahat Mehal
Yale University · USMallinckrodt (United States) · USMallinckrodt (Ireland) · IE

Funding

Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI WAJAHAT Zafar MEHAL · 1986 to 2026
$31.1M
Training Program in Investigative HepatologyT32DK007356 · NIDDK · YALE UNIVERSITY · PI MICHAEL H NATHANSON · 1986 to 2026
$7.4M
Regulation of hepatic repair responses by metabolites of the uric acid pathwayR01DK076674 · NIDDK · YALE UNIVERSITY · PI MEHAL, WAJAHAT ZAFAR · 2007 to 2011
$1.8M
Initiation of the Sterile Inflammatory Response in Acute PancreatitisK08DK092281 · NIDDK · YALE UNIVERSITY · PI HOQUE, RAFAZ · 2011 to 2015
$774k
NIDDK NIH HHS K08 DK092281NIDDK NIH HHS K08DK092281NIDDK NIH HHS P30 DK034989NIDDK NIH HHS P30DK34989NIDDK NIH HHS R01 DK076674NIDDK NIH HHS R01DK076674-01A2NIDDK NIH HHS T32 DK007356NIDDK NIH HHS T32 DK7356
6 · The paper itself

Abstract

TLR9 is a key determinant of the innate immune responses in both infectious and sterile injury. Specific antagonism of TLR9 is of great clinical interest to reduce tissue damage in a wide range of pathologies, and has been approached by modification of nucleic acids, the recognized ligand for TLR9. Such oligonucleotide-derived pharmacotherapeutics have limitations in specificity for nucleic acid receptors, significant potential for immunologic recognition with generation of innate and adaptive immune responses, and limited bioavailability. We have identified enantiomeric analogues of traditional (-)-morphinans as having TLR9 antagonist properties on reporter cell lines. One of these analogues (COV08-0064) is demonstrated to be a novel small-molecule antagonist of TLR9 with greater specificity for TLR9 than oligo-based antagonists. COV08-0064 has wide bioavailability, including the s.c. and oral routes. It specifically inhibits the action of TLR9 antagonists on reporter cells lines and the production of cytokines by TLR9 agonists from primary cells. It also has efficacy in limiting TLR9-mediated sterile inflammation in in vivo models of acute liver injury and acute pancreatitis. The identification of a morphinan-based novel small-molecule structure with TLR9 antagonism is a significant step in expanding therapeutic strategies in the field of sterile inflammatory injury.

Indexed as

AcetaminophenAnimalsClinical Trials, Phase I as TopicHEK293 CellsHumansInflammation MediatorsLigandsLiver Failure, AcuteMaleMiceMice, Inbred C57BLMorphinansPancreatitisRatsRats, Sprague-DawleyReceptors, Opioid, muAcetaminophenInflammation MediatorsLigandsMorphinansReceptors, Opioid, muTLR9 protein, humanToll-Like Receptor 9

Identifiers

PMID23509352
PMCPMC3738054
OpenAlexW2108493871

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.