Evidence map›Paper›PMID 27104944›Full record

ArticleAmerican journal of respiratory and critical care medicine2016

Discovery of Clinically Approved Agents That Promote Suppression of Cystic Fibrosis Transmembrane Conductance Regulator Nonsense Mutations.

Venkateshwar Mutyam, Ming Du, Xiaojiao Xue, Kim M Keeling, E Lucile White, J Robert Bostwick, Lynn Rasmussen, Bo Liu, Marina Mazur, Jeong S Hong and 7 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
11.5field-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

56 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
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  4. ERJ open research · 2025
    Article
  5. Review
  6. A W1282X cystic fibrosis mouse allows the study of pharmacological and gene-editing therapeutics to restore CFTR function.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. 2-Guanidino-quinazoline promotes the readthrough of nonsense mutations underlying human genetic diseases.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  13. Review
  14. Article
  15. Receptor-mediated activation of CFTR via prostaglandin signaling pathways in the airway.American journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Nonsense suppression therapies in human genetic diseases.Cellular and molecular life sciences : CMLS · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 2 countries.

Venkateshwar Mutyam1 Department of Medicine.
Ming Du2 Department of Microbiology.
Xiaojiao Xue2 Department of Microbiology.
Kim M Keeling2 Department of Microbiology.
E Lucile White3 Southern Research, Birmingham, Alabama; and.
J Robert Bostwick3 Southern Research, Birmingham, Alabama; and.
Lynn Rasmussen3 Southern Research, Birmingham, Alabama; and.
Bo Liu1 Department of Medicine.
Marina Mazur4 Gregory Fleming James Cystic Fibrosis Research Center.
Jeong S Hong4 Gregory Fleming James Cystic Fibrosis Research Center.
Emily Falk Libby4 Gregory Fleming James Cystic Fibrosis Research Center.
Feng Liang6 Cystic Fibrosis Foundation Therapeutics, Boston, Massachusetts.
Haibo Shang6 Cystic Fibrosis Foundation Therapeutics, Boston, Massachusetts.
Martin Mense6 Cystic Fibrosis Foundation Therapeutics, Boston, Massachusetts.
Mark J Suto3 Southern Research, Birmingham, Alabama; and.
David M Bedwell2 Department of Microbiology.
Steven M Rowe1 Department of Medicine.ORCID 0000-0001-9045-0133
Cystic Fibrosis Foundation · USSouthern Research Institute · USCzech Academy of Sciences, Institute of Microbiology · CZ

Funding

UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Brian R. Davis · 2007 to 2026
$23.0M
Investigating the Effects of Reducing Nonsense-Mediated mRNA Decay EfficiencyR21OD019922 · OD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KEELING, KIM MARIE · 2016 to 2017
$395k
NIDDK NIH HHS P30 DK072482NIH HHS R21 OD019922
6 · The paper itself

Abstract

rationalePremature termination codons (PTCs) in the cystic fibrosis transmembrane conductance regulator (CFTR) gene cause cystic fibrosis (CF). Several agents are known to suppress PTCs but are poorly efficacious or toxic.

objectivesTo determine whether there are clinically available agents that elicit translational readthrough and improve CFTR function sufficient to confer therapeutic benefit to patients with CF with PTCs.

methodsTwo independent screens, firefly luciferase and CFTR-mediated transepithelial chloride conductance assay, were performed on a library of 1,600 clinically approved compounds using fisher rat thyroid cells stably transfected with stop codons. Select agents were further evaluated using secondary screening assays including short circuit current analysis on primary cells from patients with CF. In addition, the effect of CFTR modulators (ivacaftor) was tested in combination with the most efficacious agents. MEASUREMENTS AND MAIN

resultsFrom the primary screen, 48 agents were selected as potentially active. Following confirmatory tests in the transepithelial chloride conductance assay and prioritizing agents based on favorable pharmacologic properties, eight agents were advanced for secondary screening. Ivacaftor significantly increased short circuit current following forskolin stimulation in cells treated with pyranoradine tetraphosphate, potassium p-aminobenzoate, and escin as compared with vehicle control. Escin, an herbal agent, consistently induced readthrough activity as demonstrated by enhanced CFTR expression and function in vitro.

conclusionsClinically approved drugs identified as potential readthrough agents, in combination with ivacaftor, may induce nonsense suppression to restore therapeutic levels of CFTR function. One or more agents may be suitable to advance to human testing.

Indexed as

AnimalsCell LineCodon, NonsenseCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDrug DiscoveryDrug Evaluation, PreclinicalHumansLuciferasesRats, Inbred F344Real-Time Polymerase Chain ReactionCFTR protein, humanCodon, NonsenseCystic Fibrosis Transmembrane Conductance RegulatorLuciferasesclinical agentscystic fibrosis transmembrane conductance regulatorpremature termination codon mutationsreadthrough

Identifiers

PMID27104944
PMCPMC5114449
OpenAlexW2341428652

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.