Evidence map›Paper›PMID 30115749›Full record

ArticleDisease models & mechanisms2018

Studying the differential efficacy of postsymptom antitoxin treatment in type A versus type B botulism using a rabbit spirometry model.

Amram Torgeman, Arieh Schwartz, Eran Diamant, Tzadok Baruchi, Eyal Dor, Alon Ben David, Avi Pass, Ada Barnea, Arnon Tal, Amir Rosner and 2 more

Open access · goldAbstract read
In one paragraph

Article in Disease models & mechanisms, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

12 authors at 1 institution in 1 country.

Amram TorgemanDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Arieh SchwartzDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Eran DiamantDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Tzadok BaruchiDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Eyal DorDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Alon Ben DavidDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Avi PassDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Ada BarneaDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Arnon TalDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Amir RosnerThe Veterinary Center for Pre-clinical Research, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Osnat RosenDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel.
Ran ZichelDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, Israel ranz@iibr.gov.il.ORCID 0000-0002-3249-4901
Israel Institute for Biological Research · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Botulinum neurotoxin (BoNT) serotypes A, B and E are responsible for most cases of human botulism. The only approved therapy for botulism is antitoxin treatment administered to patients after symptom onset. However, a recent meta-analysis of antitoxin efficacy in human botulism cases over the past century concluded that a statistically significant reduction in mortality is associated with the use of type E and type A antitoxin, but not with type B antitoxin. Animal models could be highly valuable in studying postsymptom antitoxin efficacy (PSAE). However, the few attempts to evaluate PSAE in animals relied on subjective observations and showed ∼50% protection. Recently, we developed a novel spirometry model for the quantitative evaluation of PSAE in rabbits and used it to demonstrate full protection against BoNT/E. In the current study, a comparative evaluation of PSAE in botulism types A and B was conducted using this quantitative respiratory model. A lethal dose of each toxin induced a comparable course of disease both in terms of time to symptoms (TTS, 41.9±1.3 and 40.6±1.1 h, respectively) and of time to death (TTD, 71.3±3.1 and 66.3±1.7 h, respectively). However, in accordance with the differential serotypic PSAE observed in humans, postsymptom antitoxin treatment was fully effective only in BoNT/A-intoxicated rabbits. This serotypic divergence was reflected by a positive and statistically significant correlation between TTS and TTD in BoNT/A-intoxicated rabbits (r=0.91,

Indexed as

SpirometryAnimalsAntitoxinsBotulinum Toxins, Type ABotulismDisease Models, AnimalRabbitsSerotypingTime FactorsAntitoxinsBotulinum Toxins, Type ArimabotulinumtoxinBAntitoxinBotulismEfficacyPostsymptomSpirometry

Identifiers

PMID30115749
PMCPMC6177009
OpenAlexW2886337947

What OpenQuestion holds

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Registered trials

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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.