Evidence map›Paper›PMID 28974385›Full record

ArticleAntiviral research2017

Inhibition of rubella virus replication by the broad-spectrum drug nitazoxanide in cell culture and in a patient with a primary immune deficiency.

Ludmila Perelygina, Timo Hautala, Mikko Seppänen, Adebola Adebayo, Kathleen E Sullivan, Joseph Icenogle

Open access · greenAbstract readCase Reports
In one paragraph

Article in Antiviral research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 43 citations in OpenAlex.

  1. Review
  2. Current infectious disease management challenges in inborn errors of immunity.Annals of clinical microbiology and antimicrobials · 2025
    Review
  3. Article
  4. Review
  5. Cutaneous granulomas associated with rubella virus: A clinical review.Journal of the American Academy of Dermatology · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Safe-in-Man Broad Spectrum Antiviral Agents.Advances in experimental medicine and biology · 2021
    Article
  13. Rubella virus-associated chronic inflammation in primary immunodeficiency diseases.Current opinion in allergy and clinical immunology · 2020
    Review
  14. Article
  15. Drug repurposing of nitazoxanide: can it be an effective therapy for COVID-19?Journal, genetic engineering & biotechnology · 2020
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  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

6 authors at 4 institutions in 2 countries.

Ludmila PerelyginaDivision of Viral Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, MS C22, Atlanta, GA 30333, USA.
Timo HautalaDepartment of Internal Medicine, Oulu University Hospital, Kajaanintie 50, 90220 Oulu, Finland.
Mikko SeppänenImmunodeficiency Unit, Inflammation Center and Center for Rare Diseases, Children's Hospital, Helsinki University and Helsinki University Hospital, Helsinki, Finland.
Adebola AdebayoDivision of Viral Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, MS C22, Atlanta, GA 30333, USA.
Kathleen E SullivanDivision of Allergy and Immunology, The Children's Hospital of Philadelphia, 3615 Civic Center Blvd., Philadelphia, PA 19104, USA.
Joseph IcenogleDivision of Viral Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, MS C22, Atlanta, GA 30333, USA. Electronic address: jci1@cdc.gov.
Centers for Disease Control and Prevention · USChildren's Hospital of Philadelphia · USHelsinki University Hospital · FIOulu University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Persistent rubella virus (RV) infection has been associated with various pathologies such as congenital rubella syndrome, Fuchs's uveitis, and cutaneous granulomas in patients with primary immune deficiencies (PID). Currently there are no drugs to treat RV infections. Nitazoxanide (NTZ) is an FDA-approved drug for parasitic infections, and has been recently shown to have broad-spectrum antiviral activities. Here we found that empiric 2-month therapy with oral NTZ was associated in the decline/elimination of RV antigen from lesions in a PID patient with RV positive granulomas, while peginterferon treatment had no effect. In addition, we characterized the effects of NTZ on cell culture models of persistent RV infection. NTZ significantly inhibited RV replication in a primary culture of human umbilical vein endothelial cells (HUVEC) and Vero and A549 epithelial cell lines in a dose dependent manner with an average 50% inhibitory concentration of 0.35 μg/ml (1.1 μM). RV strains representing currently circulating genotypes were inhibited to a similar extent. NTZ affected early and late stages of infection by inhibiting synthesis of cellular and RV RNA and interfering with intracellular trafficking of the RV surface glycoproteins, E1 and E2. These results suggest a potential application of NTZ for the treatment of persistent rubella infections, but more studies are required.

Indexed as

A549 CellsAnimalsAntigens, ViralAntiviral AgentsCell SurvivalChlorocebus aethiopsFemaleGranulomaHumansHuman Umbilical Vein Endothelial CellsImmunologic Deficiency SyndromesInhibitory Concentration 50Nitro CompoundsProtein TransportRubellaRubella virusAntigens, ViralAntiviral AgentsnitazoxanideNitro CompoundsThiazolesAntiviralsNitazoxanidePatient with primary immune deficiencyRubella-positive granulomaRubella virus

Identifiers

PMID28974385
PMCPMC7127570
OpenAlexW2756484115

What OpenQuestion holds

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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.