Evidence map›Paper›PMID 27528504›Full record

ArticleThe American journal of pathology2016

Molecular Mechanism Underlying Pathogenesis of Lewisite-Induced Cutaneous Blistering and Inflammation: Chemical Chaperones as Potential Novel Antidotes.

Changzhao Li, Ritesh K Srivastava, Zhiping Weng, Claire R Croutch, Anupam Agarwal, Craig A Elmets, Farrukh Afaq, Mohammad Athar

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

30 citing papers in PubMed, 46 citations in OpenAlex.

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  11. A Murine Model of Vesicant-Induced Acute Lung Injury.The Journal of pharmacology and experimental therapeutics · 2024
    Article
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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

8 authors at 3 institutions in 1 country.

Changzhao LiDepartment of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama.
Ritesh K SrivastavaDepartment of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama.
Zhiping WengDepartment of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama.
Claire R CroutchMedical Countermeasures Division, MRIGlobal Research Institute, Kansas City, Missouri.
Anupam AgarwalDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Craig A ElmetsDepartment of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama.
Farrukh AfaqDepartment of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama.
Mohammad AtharDepartment of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: mathar@uab.edu.
University of Alabama at Birmingham · USMRIGlobal · USUniversity of Alabama at Birmingham Hospital · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
Human Heme Oxygenase-1 Gene Regulation in Renal InjuryR01DK059600 · NIDDK · UNIVERSITY OF FLORIDA · PI AGARWAL, ANUPAM, GEORGE, JAMES F · 2002 to 2019
$4.5M
Blocking Arsenicals-induced Cutaneous InjuryU01NS095678 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ATHAR, MOHAMMAD · 2015 to 2019
$3.8M
Therapeutic Intervention of Lewisite-Mediated Cutaneous Blistering-InflammationR21AR064595 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ATHAR, MOHAMMAD · 2012 to 2014
$806k
NCI NIH HHS P30 CA013148NIAMS NIH HHS R21 AR064595NIDDK NIH HHS R01 DK059600NINDS NIH HHS U01 NS095678
6 · The paper itself

Abstract

Lewisite is a potent arsenic-based chemical warfare agent known to induce painful cutaneous inflammation and blistering. Only a few modestly effective antidotes have so far been described in the literature. However, the discovery of effective antidotes for lewisite was hampered by the paucity of the exact molecular mechanism underlying its cutaneous pathogenesis. We investigated the molecular mechanism underlying lewisite-induced cutaneous blistering and inflammation and describe its novel antidotes. On the basis of our initial screening, we used a highly sensitive murine model that recapitulates the known human pathogenesis of arsenicals-induced cutaneous inflammation and blistering. Topically administered lewisite induced potent acute inflammation and microvesication in the skin of Ptch1(+/-)/SKH-1 mice. Even at a very low dose, lewisite up-regulates unfolded protein response signaling, inflammatory response, and apoptosis. These cutaneous lesions were associated with production of reactive oxygen species and extensive apoptosis of the epidermal keratinocytes. We confirmed that activation of reactive oxygen species-dependent unfolded protein response signaling is the underlying molecular mechanism of skin damage. Similar alterations were noticed in lewisite-treated cultured human skin keratinocytes. We discovered that chemical chaperone 4-phenyl butyric acid and antioxidant N-acetylcysteine, which significantly attenuate lewisite-mediated skin injury, can serve as potent antidotes. These data reveal a novel molecular mechanism underlying the cutaneous pathogenesis of lewisite-induced lesions. We also identified novel potential therapeutic targets for lewisite-mediated cutaneous injury.

Indexed as

AcetylcysteineAnimalsAntidotesAntioxidantsArsenicalsBlisterChemical Warfare AgentsDisease Models, AnimalFemaleHumansInflammationKeratinocytesMaleMiceMice, HairlessMice, Inbred C57BL4-phenylbutyric acidAcetylcysteineAntidotesAntioxidantsArsenicalsChemical Warfare AgentslewisiteMolecular ChaperonesPatched-1 ReceptorPhenylbutyratesPtch1 protein, mouseReactive Oxygen Species

Identifiers

PMID27528504
PMCPMC5222973
OpenAlexW2511982161

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.