Evidence map›Paper›PMID 23689713›Full record

ArticleAntimicrobial agents and chemotherapy2013

Discovery of antivirulence agents against methicillin-resistant Staphylococcus aureus.

Varandt Khodaverdian, Michelle Pesho, Barbara Truitt, Lucy Bollinger, Parita Patel, Stanley Nithianantham, Guanping Yu, Elizabeth Delaney, Eckhard Jankowsky, Menachem Shoham

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Repurposing Diflunisal as an Antivirulence Agent AgainstInfectious microbes & diseases · 2025
    Article
  6. Article
  7. Forssman and the staphylococcal hemolysins.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Chemical and biomolecular insights into theIsrael journal of chemistry · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. The promising anti-virulence activity of candesartan, domperidone, and miconazole on Staphylococcus aureus.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2022
    Article
  20. Review

12 more citing papers are in PubMed but not listed here.

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 1 institution in 1 country.

Varandt KhodaverdianDepartment of Biochemistry, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Michelle Pesho
Barbara Truitt
Lucy Bollinger
Parita Patel
Stanley Nithianantham
Guanping Yu
Elizabeth Delaney
Eckhard Jankowsky
Menachem Shoham
Case Western Reserve University · US

Funding

Mechansim of DExH/D proteinsR01GM067700 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI JANKOWSKY, ECKHARD · 2003 to 2015
$4.2M
Function of the TRAMP Complex at the Molecular LevelR01GM099720 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI JANKOWSKY, ECKHARD · 2012 to 2015
$1.2M
NIGMS NIH HHS R01 GM067700NIGMS NIH HHS R01 GM099720
6 · The paper itself

Abstract

Antivirulence agents inhibit the production of disease-causing virulence factors but are neither bacteriostatic nor bactericidal. Antivirulence agents against methicillin-resistant Staphylococcus aureus (MRSA) strain USA300, the most widespread community-associated MRSA strain in the United States, were discovered by virtual screening against the response regulator AgrA, which acts as a transcription factor for the expression of several of the most prominent S. aureus toxins and virulence factors involved in pathogenesis. Virtual screening was followed by similarity searches in the databases of commercial vendors. The small-molecule compounds discovered inhibit the production of the toxins alpha-hemolysin and phenol-soluble modulin α in a dose-dependent manner without inhibiting bacterial growth. These antivirulence agents are small-molecule biaryl compounds in which the aromatic rings either are fused or are separated by a short linker. One of these compounds is the FDA-approved nonsteroidal anti-inflammatory drug diflunisal. This represents a new use for an old drug. Antivirulence agents might be useful in prophylaxis and as adjuvants in antibiotic therapy for MRSA infections.

Indexed as

AnimalsBacterial ToxinsDiflunisalDose-Response Relationship, DrugErythrocytesGene Expression Regulation, BacterialHemolysin ProteinsHemolysisMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsModels, MolecularNaphthalenesPhosphorylationPromoter Regions, GeneticProtein BindingProtein Structure, TertiaryBacterial ToxinsDiflunisalHemolysin ProteinsNaphthalenesstaphylococcal alpha-toxinstaphylococcal delta toxinVirulence Factors

Identifiers

PMID23689713
PMCPMC3719762
OpenAlexW2137103382

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.