Evidence map›Paper›PMID 24060869›Full record

ArticleAntimicrobial agents and chemotherapy2013

A cysteine protease inhibitor rescues mice from a lethal Cryptosporidium parvum infection.

Momar Ndao, Milli Nath-Chowdhury, Mohammed Sajid, Victoria Marcus, Susan T Mashiyama, Judy Sakanari, Eric Chow, Zachary Mackey, Kirkwood M Land, Matthew P Jacobson and 4 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 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.0field-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

37 citing papers in PubMed, 70 citations in OpenAlex.

  1. Article
  2. Frontiers in veterinary science · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. An update onJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2022
    Review
  12. Article
  13. The emerging role of Deubiquitinases (DUBs) in parasites: A foresight review.Frontiers in cellular and infection microbiology · 2022
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  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

14 authors at 5 institutions in 3 countries.

Momar NdaoNational Reference Centre for Parasitology, Research Institute of the McGill University Health Center, Montreal, Canada.
Milli Nath-Chowdhury
Mohammed Sajid
Victoria Marcus
Susan T Mashiyama
Judy Sakanari
Eric Chow
Zachary Mackey
Kirkwood M Land
Matthew P Jacobson
Chakrapani Kalyanaraman
James H McKerrow
Michael J Arrowood
Conor R Caffrey
University of California, San Francisco · USQB3 · USMcGill University Health Centre · CACenters for Disease Control and Prevention · USLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryptosporidiosis, caused by the protozoan parasite Cryptosporidium parvum, can stunt infant growth and can be lethal in immunocompromised individuals. The most widely used drugs for treating cryptosporidiosis are nitazoxanide and paromomycin, although both exhibit limited efficacy. To investigate an alternative approach to therapy, we demonstrate that the clan CA cysteine protease inhibitor N-methyl piperazine-Phe-homoPhe-vinylsulfone phenyl (K11777) inhibits C. parvum growth in mammalian cell lines in a concentration-dependent manner. Further, using the C57BL/6 gamma interferon receptor knockout (IFN-γR-KO) mouse model, which is highly susceptible to C. parvum, oral or intraperitoneal treatment with K11777 for 10 days rescued mice from otherwise lethal infections. Histologic examination of untreated mice showed intestinal inflammation, villous blunting, and abundant intracellular parasite stages. In contrast, K11777-treated mice (210 mg/kg of body weight/day) showed only minimal inflammation and no epithelial changes. Three putative protease targets (termed cryptopains 1 to 3, or CpaCATL-1, -2, and -3) were identified in the C. parvum genome, but only two are transcribed in infected mammals. A homology model predicted that K11777 would bind to cryptopain 1. Recombinant enzymatically active cryptopain 1 was successfully targeted by K11777 in a competition assay with a labeled active-site-directed probe. K11777 exhibited no toxicity in vitro and in vivo, and surviving animals remained free of parasites 3 weeks after treatment. The discovery that a cysteine protease inhibitor provides potent anticryptosporidial activity in an animal model of infection encourages the investigation and development of this biocide class as a new, and urgently needed, chemotherapy for cryptosporidiosis.

Indexed as

Administration, OralAnimalsAntiprotozoal AgentsCryptosporidiosisCryptosporidium parvumCysteine ProteasesCysteine Proteinase InhibitorsDipeptidesDrug Administration ScheduleFemaleInjections, IntraperitonealInterferon gamma ReceptorIsoenzymesMaleMiceMice, KnockoutAntiprotozoal AgentsCysteine ProteasesCysteine Proteinase InhibitorsDipeptidesInterferon gamma ReceptorIsoenzymesN-pip-phenylalanine-homophenylalanine-vinyl sulfone phenylPhenylalaninePiperazinesProtozoan ProteinsReceptors, InterferonTosyl CompoundsVinyl Compounds

Identifiers

PMID24060869
PMCPMC3837922
OpenAlexW2136903689

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.