Evidence map›Paper›PMID 24419350›Full record

ArticleAntimicrobial agents and chemotherapy2014

Ruxolitinib and tofacitinib are potent and selective inhibitors of HIV-1 replication and virus reactivation in vitro.

Christina Gavegnano, Mervi Detorio, Catherine Montero, Alberto Bosque, Vicente Planelles, Raymond F Schinazi

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

81 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Randomized Trial of Ruxolitinib in Antiretroviral-Treated Adults With Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Trial
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  19. HIV Reservoirs and Treatment Strategies toward Curing HIV Infection.International journal of molecular sciences · 2024
    Review
  20. Sustained antiviral response againstFrontiers in pharmacology · 2024
    Article

21 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

6 authors.

Christina GavegnanoCenter for AIDS Research, Laboratory of Biochemical Pharmacology, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Mervi Detorio
Catherine Montero
Alberto Bosque
Vicente Planelles
Raymond F Schinazi

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Graduate Training in the Pharmacological StudiesT32GM008602 · NIGMS · EMORY UNIVERSITY · PI HALL, RANDY A. · 1996 to 2021
$5.1M
Therapeutics Targeting Macrophages/Microglia to Eradicate CNS HIV-1 ReservoirsR01MH100999 · NIMH · EMORY UNIVERSITY · PI SCHINAZI, RAYMOND FELIX, TYOR, WILLIAM R · 2013 to 2017
$3.7M
An Ex Vivo Model of HIV-1 Latency and Reactivation using Primary Memory CellsR01AI087508 · NIAID · UNIVERSITY OF UTAH · PI PLANELLES, VICENTE · 2010 to 2014
$1.8M
Primate Model Towards HIV Eradication StrategiesR01OD011094 · OD · EMORY UNIVERSITY · PI NORTH, THOMAS W, SCHINAZI, RAYMOND FELIX · 2012 to 2012
$706k
NIAID NIH HHS 5P30-AI-50409NIAID NIH HHS 5-R01-AI087508NIAID NIH HHS P30 AI050409NIAID NIH HHS R01 AI087508NIGMS NIH HHS T32 GM008602NIH HHS 8R01-OD011094NIH HHS R01 OD011094NIMH NIH HHS R01 MH100999NIMH NIH HHS R01-MH100999
6 · The paper itself

Abstract

The JAK-STAT pathway is activated in both macrophages and lymphocytes upon human immunodeficiency virus type 1 (HIV-1) infection and thus represents an attractive cellular target to achieve HIV suppression and reduced inflammation, which may impact virus sanctuaries. Ruxolitinib and tofacitinib are JAK1/2 inhibitors that are FDA approved for rheumatoid arthritis and myelofibrosis, respectively, but their therapeutic application for treatment of HIV infection was unexplored. Both drugs demonstrated submicromolar inhibition of infection with HIV-1, HIV-2, and a simian-human immunodeficiency virus, RT-SHIV, across primary human or rhesus macaque lymphocytes and macrophages, with no apparent significant cytotoxicity at 2 to 3 logs above the median effective antiviral concentration. Combination of tofacitinib and ruxolitinib increased the efficacy by 53- to 161-fold versus that observed for monotherapy, respectively, and each drug applied alone to primary human lymphocytes displayed similar efficacy against HIV-1 containing various polymerase substitutions. Both drugs inhibited virus replication in lymphocytes stimulated with phytohemagglutinin (PHA) plus interleukin-2 (IL-2), but not PHA alone, and inhibited reactivation of latent HIV-1 at low-micromolar concentrations across the J-Lat T cell latency model and in primary human central memory lymphocytes. Thus, targeted inhibition of JAK provided a selective, potent, and novel mechanism to inhibit HIV-1 replication in lymphocytes and macrophages, replication of drug-resistant HIV-1, and reactivation of latent HIV-1 and has the potential to reset the immunologic milieu in HIV-infected individuals.

Indexed as

AnimalsCells, CulturedHIV-1HIV InfectionsHumansJanus Kinase 1Janus Kinase 2LymphocytesMacaca mulattaMacrophagesNitrilesPiperidinesPyrazolesPyrimidinesPyrrolesVirus ReplicationJAK1 protein, humanJAK2 protein, humanJanus Kinase 1Janus Kinase 2NitrilesPiperidinesPyrazolesPyrimidinesPyrrolesruxolitinibtofacitinib

Identifiers

PMID24419350
PMCPMC4023721

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.