Evidence map›Paper›PMID 25350163›Full record

Trial reportAutophagy2014

Restoration of CFTR function in patients with cystic fibrosis carrying the F508del-CFTR mutation.

Daniela De Stefano, Valeria R Villella, Speranza Esposito, Antonella Tosco, Angela Sepe, Fabiola De Gregorio, Laura Salvadori, Rosa Grassia, Carlo A Leone, Giuseppe De Rosa and 12 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Autophagy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 2 pooled it
14.7field-weighted citation impact, top 1% 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

93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. TRPV4 Channel Modulators as Potential Drug Candidates for Cystic Fibrosis.International journal of molecular sciences · 2024
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Assays of CFTR Function In Vitro, Ex Vivo and In Vivo.International journal of molecular sciences · 2022
    Review
  18. Review
  19. Article
  20. Article

33 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

22 authors at 13 institutions in 7 countries.

Daniela De Stefanoa European Institute for Research in Cystic Fibrosis; Division of Genetics and Cell Biology; San Raffaele Scientific Institute ; Milan , Italy.
Valeria R Villella
Speranza Esposito
Antonella Tosco
Angela Sepe
Fabiola De Gregorio
Laura Salvadori
Rosa Grassia
Carlo A Leone
Giuseppe De Rosa
Maria C Maiuri
Massimo Pettoello-Mantovani
Stefano Guido
Anna Bossi
Anna Zolin
Andrea Venerando
Lorenzo A Pinna
Anil Mehta
Gianni Bona
Guido Kroemer
Luigi Maiuri
Valeria Raia
Federico II University Hospital · ITSan Raffaele University of Rome · ITOspedale Monaldi · ITUniversity of Padua · ITCentre de Recherche des Cordeliers · FRDélégation Paris 5 · FRDepartment of Medical Sciences · BYDiabetes Australia · AUPediatric Oncology Group · CAStatistical Service · CYUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of Foggia · ITUniversity of Milan · IT

Funding

Wellcome Trust 069150Wellcome Trust 088929
6 · The paper itself

Abstract

Restoration of BECN1/Beclin 1-dependent autophagy and depletion of SQSTM1/p62 by genetic manipulation or autophagy-stimulatory proteostasis regulators, such as cystamine, have positive effects on mouse models of human cystic fibrosis (CF). These measures rescue the functional expression of the most frequent pathogenic CFTR mutant, F508del, at the respiratory epithelial surface and reduce lung inflammation in Cftr(F508del) homozygous mice. Cysteamine, the reduced form of cystamine, is an FDA-approved drug. Here, we report that oral treatment with cysteamine greatly reduces the mortality rate and improves the phenotype of newborn mice bearing the F508del-CFTR mutation. Cysteamine was also able to increase the plasma membrane expression of the F508del-CFTR protein in nasal epithelial cells from F508del homozygous CF patients, and these effects persisted for 24 h after cysteamine withdrawal. Importantly, this cysteamine effect after washout was further sustained by the sequential administration of epigallocatechin gallate (EGCG), a green tea flavonoid, both in vivo, in mice, and in vitro, in primary epithelial cells from CF patients. In a pilot clinical trial involving 10 F508del-CFTR homozygous CF patients, the combination of cysteamine and EGCG restored BECN1, reduced SQSTM1 levels and improved CFTR function from nasal epithelial cells in vivo, correlating with a decrease of chloride concentrations in sweat, as well as with a reduction of the abundance of TNF/TNF-alpha (tumor necrosis factor) and CXCL8 (chemokine [C-X-C motif] ligand 8) transcripts in nasal brushing and TNF and CXCL8 protein levels in the sputum. Altogether, these results suggest that optimal schedules of cysteamine plus EGCG might be used for the treatment of CF caused by the F508del-CFTR mutation.

Indexed as

Adaptor Proteins, Signal TransducingAdministration, OralAdolescentAdultAnimalsApoptosis Regulatory ProteinsBeclin-1CatechinCell MembraneChildChloridesCystamineCysteamineCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorFemaleAdaptor Proteins, Signal TransducingApoptosis Regulatory ProteinsBeclin-1BECN1 protein, humanBecn1 protein, mouseCatechinCFTR protein, humanChloridesCystamineCysteamineCystic Fibrosis Transmembrane Conductance Regulatorcystic fibrosis transmembrane conductance regulator delta F508epigallocatechin gallateInterleukin-8Membrane ProteinsSequestosome-1 ProteinSQSTM1 protein, humanTumor Necrosis Factor-alphaautophagyBECN1/Beclin 1, autophagy-relatedCF, cystic fibrosisCFTRCFTR, cystic fibrosis transmembrane conductance regulatorCHX, cycloheximideCSNK2, casein kinase 2CXCL2, chemokine (C-X-C motif) ligand 2CXCL8, chemokine (C-X-C motif) ligand 8cysteaminecystic fibrosisEGCG, epigallocatechin gallateepigallocatechin gallateFEV, forced expiratory volumePM, plasma membraneRPD, rectal potential differenceSQSTM1, sequestosome 1sweat chlorideTGM2, transglutaminase 2TNF, tumor necrosis factor

Identifiers

PMID25350163
PMCPMC4502695
OpenAlexW2147285875

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.