Evidence map›Paper›PMID 31074986›Full record

ArticleJournal of medicinal chemistry2019

On the Process of Discovering Leads That Target the Heparin-Binding Site of Neutrophil Elastase in the Sputum of Cystic Fibrosis Patients.

Shravan Morla, Nehru Viji Sankaranarayanan, Daniel K Afosah, Megh Kumar, Apparao B Kummarapurugu, Judith A Voynow, Umesh R Desai

Open access · greenAbstract read
In one paragraph

Article in Journal of medicinal chemistry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Immunomodulation in Cystic Fibrosis: Why and How?International journal of molecular sciences · 2020
    Review
  10. Article
  11. 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

7 authors at 1 institution in 1 country.

Shravan MorlaDepartment of Medicinal Chemistry , Virginia Commonwealth University , Richmond , Virginia 23298 , United States.
Nehru Viji SankaranarayananDepartment of Medicinal Chemistry , Virginia Commonwealth University , Richmond , Virginia 23298 , United States.
Daniel K AfosahDepartment of Medicinal Chemistry , Virginia Commonwealth University , Richmond , Virginia 23298 , United States.ORCID 0000-0001-5675-1127
Megh KumarDepartment of Medicinal Chemistry , Virginia Commonwealth University , Richmond , Virginia 23298 , United States.
Apparao B KummarapuruguChildren's Hospital of Richmond at Virginia Commonwealth University , Richmond , Virginia 23298 , United States.
Judith A VoynowChildren's Hospital of Richmond at Virginia Commonwealth University , Richmond , Virginia 23298 , United States.
Umesh R DesaiDepartment of Medicinal Chemistry , Virginia Commonwealth University , Richmond , Virginia 23298 , United States.ORCID 0000-0002-1976-6597
Virginia Commonwealth University · US

Funding

Therapeutic assessment of synthetic heparin sulfates in transplantation modelsP01HL107152 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI DESAI, UMESH RAMANLAL · 2011 to 2017
$15.8M
Glycans in Blood Homeostasis and DiseaseK12HL141954 · NHLBI · VERSITI WISCONSIN, INC. · PI DAHMS, NANCY M., DESAI, UMESH RAMANLAL · 2018 to 2022
$4.9M
Dual Direct Inhibitors of Thrombin and Factor XaR01HL090586 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI DESAI, UMESH RAMANLAL · 2009 to 2018
$3.9M
High Performance Computing Cluster for Biomedical Research at VCUS10RR027411 · NCRR · VIRGINIA COMMONWEALTH UNIVERSITY · PI CUI, MENG · 2010 to 2010
$417k
NCRR NIH HHS S10 RR027411NHLBI NIH HHS K12 HL141954NHLBI NIH HHS P01 HL107152NHLBI NIH HHS R01 HL090586
6 · The paper itself

Abstract

Cystic fibrosis (CF) is a disease of dysregulated salt and fluid homeostasis that results in the massive accumulation of neutrophil elastase, resulting in lung degradation and death. The current CF therapy relies on inhaled deoxyribonuclease and hypertonic saline but does not address the elastolytic degradation of the lung. We reasoned that allosteric agents targeting the heparin-binding site of neutrophil elastase would offer a therapeutic paradigm. Screening a library of 60 nonsaccharide glycosaminoglycan mimetics (NSGMs) led to the discovery of 23 hits against neutrophil elastase. To identify a lead NSGM that works in sync with the current CF-relieving agents, we developed a rigorous protocol based on fundamental computational, biochemical, mechanistic, and adverse effect studies. The lead NSGM so identified neutralized neutrophil elastase present in the sputum of CF patients in the presence of deoxyribonuclease and high-salt conditions. Our work presents the process for discovering potent, small, synthetic, allosteric, anti-CF agents, while also identifying a novel lead for further studies in animal models of CF.

Indexed as

Drug DiscoveryMolecular Targeted TherapyBinding SitesCystic FibrosisHeparinHumansLeukocyte ElastaseSputumStructure-Activity RelationshipHeparinLeukocyte Elastase

Identifiers

PMID31074986
PMCPMC6818412
OpenAlexW2944594656

What OpenQuestion holds

Textmetadata
LicenceTDM
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.