Evidence map›Paper›PMID 30894481›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2019

From single drug targets to synergistic network pharmacology in ischemic stroke.

Ana I Casas, Ahmed A Hassan, Simon J Larsen, Vanessa Gomez-Rangel, Mahmoud Elbatreek, Pamela W M Kleikers, Emre Guney, Javier Egea, Manuela G López, Jan Baumbach and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04776499 (Clinical Evaluation in Healthy Volunteers of Potential syneRgistic Vascular Effects of PrOpylthiouracil, Riociguat, and Perphenazine a Possible STROKE Medication), which is not on this map. Cited by 118 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 2 pooled it
22.8field-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.

NCT04776499 phase1completednot on this mapstarted 2021, after this paper: background citation

Clinical Evaluation in Healthy Volunteers of Potential syneRgistic Vascular Effects of PrOpylthiouracil, Riociguat, and Perphenazine a Possible STROKE Medication

TypeinterventionalSponsorMaastricht UniversityRan2021 to 2022Enrolled8ConditionsDrug Drug Interaction, Safety IssuesArmsPropylthiouracil, Riociguat, Perphenazine
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 2 syntheses or guidelines pooled it, 235 citations in OpenAlex.

  1. Pooled it
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  9. Problems associated with the ATC system of drug classification.Naunyn-Schmiedeberg's archives of pharmacology · 2026
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  19. International journal of molecular sciences · 2025
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58 more citing papers are in PubMed but not listed here.

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

11 authors at 6 institutions in 4 countries.

Ana I CasasDepartment of Pharmacology and Personalised Medicine, Maastricht Center for Systems Biology, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6229 ER Maastricht, The Netherlands; a.casasguijarro@maastrichtuniversity.nl h.schmidt@maastrichtuniversity.nl.
Ahmed A HassanDepartment of Pharmacology and Personalised Medicine, Maastricht Center for Systems Biology, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6229 ER Maastricht, The Netherlands.
Simon J LarsenComputational Biology Lab, Department of Mathematics and Computer Science, University of Southern Denmark, 5230 Odense, Denmark.ORCID 0000-0001-8076-5035
Vanessa Gomez-RangelInstituto Teofilo Hernando, Departamento de Farmacología, Facultad de Medicina, Universidad Autónoma de Madrid, 28029 Madrid, Spain.
Mahmoud ElbatreekDepartment of Pharmacology and Personalised Medicine, Maastricht Center for Systems Biology, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6229 ER Maastricht, The Netherlands.
Pamela W M KleikersDepartment of Pharmacology and Personalised Medicine, Maastricht Center for Systems Biology, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6229 ER Maastricht, The Netherlands.
Emre GuneyDepartment of Pharmacology and Personalised Medicine, Maastricht Center for Systems Biology, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6229 ER Maastricht, The Netherlands.ORCID 0000-0002-3466-6535
Javier EgeaServicio de Farmacología Clínica, Instituto de Investigación Sanitaria-Hospital Universitario de la Princesa, 28006 Madrid, Spain.
Manuela G LópezInstituto Teofilo Hernando, Departamento de Farmacología, Facultad de Medicina, Universidad Autónoma de Madrid, 28029 Madrid, Spain.
Jan BaumbachChair of Experimental Bioinformatics, TUM School of Life Sciences Weihenstephan, Technical University of Munich, 85354 Munich, Germany.
Harald H H W SchmidtDepartment of Pharmacology and Personalised Medicine, Maastricht Center for Systems Biology, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6229 ER Maastricht, The Netherlands; a.casasguijarro@maastrichtuniversity.nl h.schmidt@maastrichtuniversity.nl.ORCID 0000-0003-0419-5549
Maastricht University · NLUniversidad Autónoma de Madrid · ESHospital Universitario de La Princesa · ESTechnical University of Munich · DEUniversitat Pompeu Fabra · ESUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug discovery faces an efficacy crisis to which ineffective mainly single-target and symptom-based rather than mechanistic approaches have contributed. We here explore a mechanism-based disease definition for network pharmacology. Beginning with a primary causal target, we extend this to a second using guilt-by-association analysis. We then validate our prediction and explore synergy using both cellular in vitro and mouse in vivo models. As a disease model we chose ischemic stroke, one of the highest unmet medical need indications in medicine, and reactive oxygen species forming NADPH oxidase type 4 (

Indexed as

Drug DiscoveryAnimalsBlood-Brain BarrierBrain IschemiaCell DeathDisease Models, AnimalDrug CombinationsDrug SynergismFemaleMaleMiceNADPH Oxidase 4NG-Nitroarginine Methyl EsterNitric Oxide SynthaseNitric Oxide Synthase Type INitric Oxide Synthase Type II2-(2-chlorophenyl)-4-methyl-5-(pyridin-2-ylmethyl)-1H-pyrazolo(4,3-c)pyridine-3,6(2H,5H)-dioneDrug CombinationsNADPH Oxidase 4NG-Nitroarginine Methyl EsterNitric Oxide SynthaseNitric Oxide Synthase Type INitric Oxide Synthase Type IINitric Oxide Synthase Type IIINos1 protein, mouseNos2 protein, mouseNos3 protein, mouseNox4 protein, mousePyrazolesPyridonesReactive Oxygen Speciesnetwork analysisnetwork pharmacologyNOX4stroke

Identifiers

PMID30894481
PMCPMC6452748
OpenAlexW2923363662

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.