Evidence map›Paper›PMID 25987489›Full record

ArticleMolecular pharmacology2015

Dysregulation of Endoplasmic Reticulum Stress and Autophagic Responses by the Antiretroviral Drug Efavirenz.

Luc Bertrand, Michal Toborek

Open access · bronzeAbstract read
In one paragraph

Article in Molecular pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

31 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. The ATG14: multi-layer autophagy control and an emerging therapeutic target in cancer.Apoptosis : an international journal on programmed cell death · 2026
    Review
  3. Dolutegravir induces endoplasmic reticulum stress at the blood-brain barrier.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  4. Review
  5. Article
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  7. Article
  8. Review
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  10. Article
  11. Beneficial Effects of Cannabis on Blood-Brain Barrier Function in Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  12. Article
  13. Review
  14. Beneficial and Adverse Effects of cART Affect Neurocognitive Function in HIV-1 Infection: Balancing Viral Suppression against Neuronal Stress and Injury.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2021
    Review
  15. Cerebral Vascular Toxicity of Antiretroviral Therapy.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2021
    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

2 authors at 1 institution in 1 country.

Luc BertrandDepartment of Biochemistry and Molecular Biology, University of Miami School of Medicine, Miami, Florida.
Michal ToborekDepartment of Biochemistry and Molecular Biology, University of Miami School of Medicine, Miami, Florida mtoborek@med.miami.edu.
University of Miami · US

Funding

Tat, amyloid beta and brain endothelial barrier functionR01MH072567 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Michal Toborek · 2005 to 2026
$7.6M
Role of cerebral vasculature in brain ischemia in HIV infectionR01HL126559 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI TOBOREK, MICHAL · 2014 to 2024
$3.8M
Implications of caveolae in Tat signaling and integrity of brain endotheliumR01MH063022 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PARK, MIN SEON · 2001 to 2012
$3.1M
Role of the BBB in HIV brain infection during methamphetamine abuseR01DA039576 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI TOBOREK, MICHAL · 2015 to 2019
$2.0M
Interplay between cArt, HIV, and amyloid at the blood-brain barrier.R01MH098891 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI TOBOREK, MICHAL · 2012 to 2016
$1.9M
Exercise as a novel strategy to target methamphetamine-induced cerebrovascular toR01DA027569 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI TOBOREK, MICHAL · 2009 to 2013
$1.8M
NHLBI NIH HHS R01 HL126559NHLBI NIH HHS R01-HL126559NIDA NIH HHS R01 DA027569NIDA NIH HHS R01-DA027569NIDA NIH HHS R01 DA039576NIDA NIH HHS R01-DA039576NIMH NIH HHS R01 MH063022NIMH NIH HHS R01-MH063022NIMH NIH HHS R01 MH072567NIMH NIH HHS R01-MH072567NIMH NIH HHS R01 MH098891NIMH NIH HHS R01-MH098891
6 · The paper itself

Abstract

Increasing evidence demonstrates that the antiretroviral drugs (ARVds) used for human immunodeficiency virus (HIV) treatment have toxic effects that result in various cellular and tissue pathologies; however, their impact on the cells composing the blood-brain barrier is poorly understood. The current study focused on ARVds, used either in combination or alone, on the induction of endoplasmic reticulum (ER) stress responses in human brain endothelial cells. Among studied drugs (efavirenz, tenofovir, emtricitabine, lamivudine, and indinavir), only efavirenz increased ER stress via upregulation and activation of protein kinase-like ER kinase PERK and inositol requiring kinase 1α (IRE1α). At the same time, efavirenz diminished autophagic activity, a surprising result because typically the induction of ER stress is linked to enhanced autophagy. These results were confirmed in microvessels of HIV transgenic mice chronically administered with efavirenz. In a series of further experiments, we identified that efavirenz dysregulated ER stress and autophagy by blocking the activity of the Beclin-1/Atg14/PI3KIII complex in regard to synthesis of phosphatidylinositol 3-phosphate, a process that is linked to the formation of autophagosomes. Because autophagy is a protective mechanism involved in the removal of dysfunctional proteins and organelles, its inhibition can contribute to the toxicity of efavirenz or the development of neurodegenerative disease in HIV patients treated with this drug.

Indexed as

AlkynesAnimalsAnti-Retroviral AgentsAutophagyBenzoxazinesBlood-Brain BarrierBrainCell LineCyclopropanesDisease Models, AnimalDNA-Binding ProteinsEndoplasmic Reticulum StressEndoribonucleasesGene Expression RegulationHIV InfectionsHumansAlkynesAnti-Retroviral AgentsBenzoxazinesCyclopropanesDNA-Binding ProteinsefavirenzEndoribonucleasesRegulatory Factor X Transcription FactorsTranscription Factors

Identifiers

PMID25987489
PMCPMC4518081
OpenAlexW2407578345

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.