Evidence map›Paper›PMID 24786461›Full record

ArticlePLoS neglected tropical diseases2014

Evaluation of antiviral efficacy of ribavirin, arbidol, and T-705 (favipiravir) in a mouse model for Crimean-Congo hemorrhagic fever.

Lisa Oestereich, Toni Rieger, Melanie Neumann, Christian Bernreuther, Maria Lehmann, Susanne Krasemann, Stephanie Wurr, Petra Emmerich, Xavier de Lamballerie, Stephan Ölschläger and 1 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 3 pooled it
7.0field-weighted citation impact, top 2% 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

99 citing papers in PubMed, 3 syntheses or guidelines pooled it, 176 citations in OpenAlex.

  1. Pooled it
  2. Ribavirin for treating Crimean Congo haemorrhagic fever.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Crimean-Congo hemorrhagic fever in pregnancy: A systematic review and case series from Russia, Kazakhstan and Turkey.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2017
    Pooled it
  4. Trial
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  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. The emergence of oropouche fever: A potential new threat?New microbes and new infections · 2025
    Article
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  14. Review
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  16. Article
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39 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

11 authors at 4 institutions in 2 countries.

Lisa OestereichDepartment of Virology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany; German Centre for Infection Research (DZIF), Hamburg, Germany.
Toni RiegerDepartment of Virology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany; German Centre for Infection Research (DZIF), Hamburg, Germany.
Melanie NeumannMouse Pathology Core Facility, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christian BernreutherInstitute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Maria LehmannDepartment of Virology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany; German Centre for Infection Research (DZIF), Hamburg, Germany.
Susanne KrasemannMouse Pathology Core Facility, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Stephanie WurrDepartment of Virology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany; German Centre for Infection Research (DZIF), Hamburg, Germany.
Petra EmmerichDepartment of Virology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany; German Centre for Infection Research (DZIF), Hamburg, Germany.
Xavier de LamballerieAix Marseille Université, IRD French Institute of Research for Development, EHESP French School of Public Health, UMR_D 190 "Emergence des Pathologies Virales", Marseille, France.
Stephan ÖlschlägerDepartment of Virology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany.
Stephan GüntherDepartment of Virology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany; German Centre for Infection Research (DZIF), Hamburg, Germany.
Bernhard Nocht Institute for Tropical Medicine · DEUniversität Hamburg · DEGerman Center for Infection Research · DEAix-Marseille Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMice lacking the type I interferon receptor (IFNAR-/- mice) reproduce relevant aspects of Crimean-Congo hemorrhagic fever (CCHF) in humans, including liver damage. We aimed at characterizing the liver pathology in CCHF virus-infected IFNAR-/- mice by immunohistochemistry and employed the model to evaluate the antiviral efficacy of ribavirin, arbidol, and T-705 against CCHF virus. METHODOLOGY/PRINCIPAL

findingsCCHF virus-infected IFNAR-/- mice died 2-6 days post infection with elevated aminotransferase levels and high virus titers in blood and organs. Main pathological alteration was acute hepatitis with extensive bridging necrosis, reactive hepatocyte proliferation, and mild to moderate inflammatory response with monocyte/macrophage activation. Virus-infected and apoptotic hepatocytes clustered in the necrotic areas. Ribavirin, arbidol, and T-705 suppressed virus replication in vitro by ≥3 log units (IC50 0.6-2.8 µg/ml; IC90 1.2-4.7 µg/ml). Ribavirin [100 mg/(kg×d)] did not increase the survival rate of IFNAR-/- mice, but prolonged the time to death (p<0.001) and reduced the aminotransferase levels and the virus titers. Arbidol [150 mg/(kg×d)] had no efficacy in vivo. Animals treated with T-705 at 1 h [15, 30, and 300 mg/(kg×d)] or up to 2 days [300 mg/(kg×d)] post infection survived, showed no signs of disease, and had no virus in blood and organs. Co-administration of ribavirin and T-705 yielded beneficial rather than adverse effects. CONCLUSIONS/SIGNIFICANCE: Activated hepatic macrophages and monocyte-derived cells may play a role in the proinflammatory cytokine response in CCHF. Clustering of infected hepatocytes in necrotic areas without marked inflammation suggests viral cytopathic effects. T-705 is highly potent against CCHF virus in vitro and in vivo. Its in vivo efficacy exceeds that of the current standard drug for treatment of CCHF, ribavirin.

Indexed as

AmidesAnimalsAntiviral AgentsChlorocebus aethiopsDisease Models, AnimalFemaleHemorrhagic Fever, CrimeanHemorrhagic Fever Virus, Crimean-CongoIndolesLiverMaleMiceMice, TransgenicPyrazinesReceptor, Interferon alpha-betaRibavirinAmidesAntiviral AgentsfavipiravirIndolesPyrazinesReceptor, Interferon alpha-betaRibavirinSulfidesumifenovir

Identifiers

PMID24786461
PMCPMC4006714
OpenAlexW2022434050

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.