Evidence map›Paper›PMID 23516405›Full record

ArticlePloS one2013

Antipurinergic therapy corrects the autism-like features in the poly(IC) mouse model.

Robert K Naviaux, Zarazuela Zolkipli, Lin Wang, Tomohiro Nakayama, Jane C Naviaux, Thuy P Le, Michael A Schuchbauer, Mihael Rogac, Qingbo Tang, Laura L Dugan and 1 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
10.2field-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.

NCT02508259 phase1 / phase2completednot on this mapstarted 2015, after this paper: background citation

The UCSD Suramin Autism Treatment-1 (SAT1) Trial

TypeinterventionalSponsorUniversity of California, San DiegoRan2015 to 2016Enrolled10ConditionsAutism Spectrum DisordersArmsSuramin, Saline
NCT06866275 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Suramin for the Treatment of Autism Trial (STAT): A Randomized, Double Blind, Crossover Trial of KZ101 in a Male Pediatric Population With Autism Spectrum Disorder

TypeinterventionalSponsorChildren's Hospital of Orange CountyRan2025 to 2028Enrolled45ConditionsAutism Spectrum Disorder (ASD)ArmsKZ101, Placebo
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 165 citations in OpenAlex.

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  19. Frontiers in microbiology · 2023
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25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Robert K NaviauxThe Mitochondrial and Metabolic Disease Center, University of California San Diego School of Medicine, San Diego, California, USA. Naviaux@ucsd.edu
Zarazuela Zolkipli
Lin Wang
Tomohiro Nakayama
Jane C Naviaux
Thuy P Le
Michael A Schuchbauer
Mihael Rogac
Qingbo Tang
Laura L Dugan
Susan B Powell
University of California, San Diego · US

Funding

Sensitive and Treatable Periods of Brain-Redox Imbalance in SchizophreniaR01MH091407 · NIMH · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI BEHRENS, M MARGARITA, POWELL, SUSAN B · 2010 to 2014
$2.1M
Systemic Inflammation and Central Nervous System DysfunctionR01AG033679 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DUGAN, LAURA L · 2010 to 2014
$1.6M
NIA NIH HHS R01 AG033679NIMH NIH HHS MH091407NIMH NIH HHS R01 MH091407
6 · The paper itself

Abstract

backgroundAutism spectrum disorders (ASDs) are caused by both genetic and environmental factors. Mitochondria act to connect genes and environment by regulating gene-encoded metabolic networks according to changes in the chemistry of the cell and its environment. Mitochondrial ATP and other metabolites are mitokines-signaling molecules made in mitochondria-that undergo regulated release from cells to communicate cellular health and danger to neighboring cells via purinergic signaling. The role of purinergic signaling has not yet been explored in autism spectrum disorders. OBJECTIVES AND

methodsWe used the maternal immune activation (MIA) mouse model of gestational poly(IC) exposure and treatment with the non-selective purinergic antagonist suramin to test the role of purinergic signaling in C57BL/6J mice.

resultsWe found that antipurinergic therapy (APT) corrected 16 multisystem abnormalities that defined the ASD-like phenotype in this model. These included correction of the core social deficits and sensorimotor coordination abnormalities, prevention of cerebellar Purkinje cell loss, correction of the ultrastructural synaptic dysmorphology, and correction of the hypothermia, metabolic, mitochondrial, P2Y2 and P2X7 purinergic receptor expression, and ERK1/2 and CAMKII signal transduction abnormalities.

conclusionsHyperpurinergia is a fundamental and treatable feature of the multisystem abnormalities in the poly(IC) mouse model of autism spectrum disorders. Antipurinergic therapy provides a new tool for refining current concepts of pathogenesis in autism and related spectrum disorders, and represents a fresh path forward for new drug development.

Indexed as

AnimalsAutistic DisorderBehavior, AnimalBrainCalcium-Calmodulin-Dependent Protein Kinase Type 2CorticosteroneDisease Models, AnimalElectron TransportEnergy MetabolismFemaleFragile X Messenger Ribonucleoprotein 1HypothermiaImmunoglobulinsMaleMiceMitochondriaCalcium-Calmodulin-Dependent Protein Kinase Type 2CorticosteroneFragile X Messenger Ribonucleoprotein 1ImmunoglobulinsMitogen-Activated Protein Kinase 1Mitogen-Activated Protein Kinase 3Poly I-CReceptors, NicotinicSuramin

Identifiers

PMID23516405
PMCPMC3596371
OpenAlexW2078824156

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.