Evidence map›Paper›PMID 28394330›Full record

ArticleNature medicine2017

Thymosin α1 represents a potential potent single-molecule-based therapy for cystic fibrosis.

Luigina Romani, Vasilis Oikonomou, Silvia Moretti, Rossana G Iannitti, Maria Cristina D'Adamo, Valeria R Villella, Marilena Pariano, Luigi Sforna, Monica Borghi, Marina M Bellet and 10 more

Erratum issued Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Nature medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06178146 (A Prospective, Open, Randomized Controlled Stage II Trial Investigating the Efficacy and Safety of Thymosin Alpha-1 in Treating Moderate to Severe Immune-related Adverse Events), which is not on this map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
15.7field-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.

NCT06178146 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

A Prospective, Open, Randomized Controlled Stage II Trial Investigating the Efficacy and Safety of Thymosin Alpha-1 in Treating Moderate to Severe Immune-related Adverse Events

TypeinterventionalSponsorJun WangRan2023 to 2025Enrolled40ConditionsIrAEArmsThymosin Alpha1, Immunosuppressant
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 100 citations in OpenAlex.

  1. Article
  2. Journal of fungi (Basel, Switzerland) · 2025
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. CFTR and Gastrointestinal Cancers: An Update.Journal of personalized medicine · 2022
    Review
  9. Review
  10. Thymosin a1 use is not associated with reduced COVID-19 mortality.The American journal of emergency medicine · 2022
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 6 institutions in 5 countries.

Luigina RomaniDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0002-1356-525X
Vasilis OikonomouDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Silvia MorettiDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Rossana G IannittiDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Maria Cristina D'AdamoDepartment of Physiology and Biochemistry, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
Valeria R VillellaEuropean Institute for Research in Cystic Fibrosis, Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Milan, Italy.
Marilena ParianoDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Luigi SfornaDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Monica BorghiDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Marina M BelletDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0001-7604-0189
Francesca FallarinoDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Maria Teresa PallottaDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Giuseppe ServilloDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Eleonora FerrariEuropean Institute for Research in Cystic Fibrosis, Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Milan, Italy.
Paolo PuccettiDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Guido KroemerCentre de Recherche des Cordeliers, INSERM U1138, Université Paris Descartes, Paris, France.
Mauro PessiaDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Luigi MaiuriEuropean Institute for Research in Cystic Fibrosis, Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Milan, Italy.
Allan L GoldsteinDepartment of Biochemistry and Molecular Medicine, George Washington University, School of Medicine and Health Sciences, Washington, DC, USA.
Enrico GaraciUniversity San Raffaele and IRCCS San Raffaele, Rome, Italy.
University of Perugia · ITUniversity of Malta · MTGeorge Washington University · USIstituti di Ricovero e Cura a Carattere Scientifico · ITKarolinska University Hospital · SEUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

European Research Council 293714
6 · The paper itself

Abstract

Cystic fibrosis (CF) is caused by mutations in the gene encoding the cystic fibrosis transmembrane conductance regulator (CFTR) that compromise its chloride channel activity. The most common mutation, p.Phe508del, results in the production of a misfolded CFTR protein, which has residual channel activity but is prematurely degraded. Because of the inherent complexity of the pathogenetic mechanisms involved in CF, which include impaired chloride permeability and persistent lung inflammation, a multidrug approach is required for efficacious CF therapy. To date, no individual drug with pleiotropic beneficial effects is available for CF. Here we report on the ability of thymosin alpha 1 (Tα1)-a naturally occurring polypeptide with an excellent safety profile in the clinic when used as an adjuvant or an immunotherapeutic agent-to rectify the multiple tissue defects in mice with CF as well as in cells from subjects with the p.Phe508del mutation. Tα1 displayed two combined properties that favorably opposed CF symptomatology: it reduced inflammation and increased CFTR maturation, stability and activity. By virtue of this two-pronged action, Tα1 has strong potential to be an efficacious single-molecule-based therapeutic agent for CF.

Indexed as

Adjuvants, ImmunologicAnimalsAutophagyBlotting, WesternCell LineChloride ChannelsCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorCytokinesDisease Models, AnimalEpithelial CellsFluorescent Antibody TechniqueHumansImmunohistochemistryImmunoprecipitationIndoleamine-Pyrrole 2,3,-DioxygenaseAdjuvants, ImmunologicChloride ChannelsClca3a1 protein, mouseCystic Fibrosis Transmembrane Conductance RegulatorCytokinesIDO1 protein, mouseIndoleamine-Pyrrole 2,3,-DioxygenaseThymalfasinThymosinUbiquitin Thiolesterase

Identifiers

PMID28394330
PMCPMC5420451
OpenAlexW2606486957

What OpenQuestion holds

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Registered trials

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.