Evidence map›Paper›PMID 30531960›Full record

ArticleNature communications2018

Host-targeted niclosamide inhibits C. difficile virulence and prevents disease in mice without disrupting the gut microbiota.

John Tam, Therwa Hamza, Bing Ma, Kevin Chen, Greg L Beilhartz, Jacques Ravel, Hanping Feng, Roman A Melnyk

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 67 citations in OpenAlex.

  1. Trial
  2. Article
  3. Addressing Unmet Needs inCurrent medicinal chemistry · 2026
    Review
  4. Article
  5. Mechanisms ofFrontiers in cellular and infection microbiology · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Melatonin Is Neuroprotective inInternational journal of molecular sciences · 2022
    Article
  15. ACS chemical biology · 2022
    Article
  16. Niclosamide-A promising treatment for COVID-19.British journal of pharmacology · 2022
    Review
  17. A determination of pan-pathogen antimicrobials?Medicine in drug discovery · 2022
    Review
  18. Review
  19. Article
  20. Review
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 2 countries.

John TamMolecular Medicine, Hospital for Sick Children, 686 Bay St., Toronto, ON, M5G 0A4, Canada.
Therwa HamzaDepartment of Microbial Pathogenesis, University of Maryland Dental School, Baltimore, MD, 21201, USA.
Bing MaInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
Kevin ChenDepartment of Microbial Pathogenesis, University of Maryland Dental School, Baltimore, MD, 21201, USA.ORCID http://orcid.org/0000-0002-5120-6119
Greg L BeilhartzMolecular Medicine, Hospital for Sick Children, 686 Bay St., Toronto, ON, M5G 0A4, Canada.
Jacques RavelInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-0851-2233
Hanping FengDepartment of Microbial Pathogenesis, University of Maryland Dental School, Baltimore, MD, 21201, USA.
Roman A MelnykMolecular Medicine, Hospital for Sick Children, 686 Bay St., Toronto, ON, M5G 0A4, Canada. roman.melnyk@sickkids.ca.
University of Maryland, Baltimore · USUniversity of Toronto · CAHospital for Sick Children · CA

Funding

Shigella Live Vector-Based Multivalent VaccineU19AI109776 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI LEVINE, MYRON MAX · 2014 to 2018
$25.4M
NIAID NIH HHS U19 AI109776
6 · The paper itself

Abstract

Clostridium difficile is the leading cause of nosocomial diarrhea and colitis in the industrialized world. Disruption of the protective gut microbiota by antibiotics enables colonization by multidrug-resistant C. difficile, which secrete up to three different protein toxins that are responsible for the gastrointestinal sequelae. Oral agents that inhibit the damage induced by toxins, without altering the gut microbiota, are urgently needed to prevent primary disease and break the cycle of antibiotic-induced disease recurrence. Here, we show that the anthelmintic drug, niclosamide, inhibits the pathogenesis of all three toxins by targeting a host process required for entry into colonocytes by each toxin. In mice infected with an epidemic strain of C. difficile, expressing all three toxins, niclosamide reduced both primary disease and recurrence, without disrupting the diversity or composition of the gut microbiota. Given its excellent safety profile, niclosamide may address an important unmet need in preventing C. difficile primary and recurrent diseases.

Indexed as

Gastrointestinal MicrobiomeAnimalsAnticestodal AgentsBacterial ToxinsCaco-2 CellsCell LineCHO CellsClostridioides difficileClostridium InfectionsCricetulusHCT116 CellsHost-Pathogen InteractionsHumansMiceMicrobial Sensitivity TestsNiclosamideAnticestodal AgentsBacterial ToxinsNiclosamide

Identifiers

PMID30531960
PMCPMC6286312
OpenAlexW2903172090

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.