Evidence map›Paper›PMID 23689724›Full record

ArticleAntimicrobial agents and chemotherapy2013

Potentiation of azole antifungals by 2-adamantanamine.

Michael D Lafleur, Lingmei Sun, Ida Lister, John Keating, Andre Nantel, Lisa Long, Mahmoud Ghannoum, Jeffrey North, Richard E Lee, Ken Coleman and 2 more

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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Combination Therapy to Treat Fungal Biofilm-Based Infections.International journal of molecular sciences · 2020
    Review
  6. Article
  7. Article
  8. Antifungal Peptides as Therapeutic Agents.Frontiers in cellular and infection microbiology · 2020
    Review
  9. Review
  10. Article
  11. Article
  12. Assessment and Optimizations of Candida albicansAntimicrobial agents and chemotherapy · 2017
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  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

12 authors at 6 institutions in 2 countries.

Michael D LafleurArietis Corporation, Boston, Massachusetts, USA. m.lafleur@arietiscorp.com
Lingmei Sun
Ida Lister
John Keating
Andre Nantel
Lisa Long
Mahmoud Ghannoum
Jeffrey North
Richard E Lee
Ken Coleman
Thomas Dahl
Kim Lewis
Arietis (United States) · USNortheastern University · USSt. Jude Children's Research Hospital · USNational Research Council Canada · CAUniversity Hospitals of Cleveland · USUniversity School · US

Funding

UNDERSTANDING THE ROLE OF SMALL RNAS IN ARABIDOPSIS POLLEN DEVELOPMENTP20RR016475 · NCRR · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ACKLEY, BRIAN DOUGLAS · 2001 to 2011
$38.1M
Super-persistent cells and the paradox of untreatable infectionsR01AI085585 · NIAID · NORTHEASTERN UNIVERSITY · PI LEWIS, KIM · 2009 to 2013
$5.2M
Therapy Against Recalcitrant C. albicans InfectionR44AI074258 · NIAID · ARIETIS · PI DAHL, THOMAS A · 2010 to 2012
$3.0M
THERAPY AGAINST RECALCITRANT C. albicans INFECTIONR43AI074258 · NIAID · ARIETIS · PI DAHL, THOMAS A · 2008 to 2009
$599k
2-adamantanamine Based Therapeutic for Recurrent Oropharyngeal CandidiasisR43DE020880 · NIDCR · ARIETIS · PI DAHL, THOMAS A · 2010 to 2011
$598k
NCRR NIH HHS P20 RR016475NCRR NIH HHS P20RR16475NIAID NIH HHS R01 AI085585NIAID NIH HHS R43 AI074258NIAID NIH HHS R43AI074258NIAID NIH HHS R44 AI074258NIAID NIH HHS R44AI074258NIDCR NIH HHS R43 DE020880NIDCR NIH HHS R43DE020880
6 · The paper itself

Abstract

Azoles are among the most successful classes of antifungals. They act by inhibiting α-14 lanosterol demethylase in the ergosterol biosynthesis pathway. Oropharyngeal candidiasis (OPC) occurs in about 90% of HIV-infected individuals, and 4 to 5% are refractory to current therapies, including azoles, due to the formation of resistant biofilms produced in the course of OPC. We reasoned that compounds affecting a different target may potentiate azoles to produce increased killing and an antibiofilm therapeutic. 2-Adamantanamine (AC17) was identified in a screen for compounds potentiating the action of miconazole against biofilms of Candida albicans. AC17, a close structural analog to the antiviral amantadine, did not affect the viability of C. albicans but caused the normally fungistatic azoles to become fungicidal. Transcriptome analysis of cells treated with AC17 revealed that the ergosterol and filamentation pathways were affected. Indeed, cells exposed to AC17 had decreased ergosterol contents and were unable to invade agar. In vivo, the combination of AC17 and fluconazole produced a significant reduction in fungal tissue burden in a guinea pig model of cutaneous candidiasis, while each treatment alone did not have a significant effect. The combination of fluconazole and AC17 also showed improved efficacy (P value of 0.018) compared to fluconazole alone when fungal lesions were evaluated. AC17 is a promising lead in the search for more effective antifungal therapeutics.

Indexed as

AmantadineAnimalsAntifungal AgentsBiofilmsCandida albicansCandidiasis, CutaneousCulture MediaDrug Evaluation, PreclinicalDrug SynergismErgosterolFluconazoleGene Expression ProfilingGuinea PigsHepatocytesHep G2 CellsHumansAmantadineAntifungal AgentsCulture MediaErgosterolFluconazoleMiconazole

Identifiers

PMID23689724
PMCPMC3719723
OpenAlexW1998699419

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.