Evidence map›Paper›PMID 31418171›Full record

ArticleEMBO reports2019

Diflunisal targets the HMGB1/CXCL12 heterocomplex and blocks immune cell recruitment.

Federica De Leo, Giacomo Quilici, Mario Tirone, Francesco De Marchis, Valeria Mannella, Chiara Zucchelli, Alessandro Preti, Alessandro Gori, Maura Casalgrandi, Rosanna Mezzapelle and 2 more

Abstract read
In one paragraph

Article in EMBO reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

  1. Review
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  4. Anti-DAMP therapies for acute inflammation.Frontiers in immunology · 2025
    Review
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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.

Federica De LeoBiomolecular NMR Laboratory, Division of Genetics and Cell Biology, IRCCS Ospedale San Raffaele, Milan, Italy.
Giacomo QuiliciBiomolecular NMR Laboratory, Division of Genetics and Cell Biology, IRCCS Ospedale San Raffaele, Milan, Italy.
Mario TironeUniversità Vita-Salute San Raffaele, Milan, Italy.
Francesco De MarchisChromatin Dynamics Unit, Division of Genetics and Cell Biology, IRCCS Ospedale San Raffaele, Milan, Italy.
Valeria MannellaBiomolecular NMR Laboratory, Division of Genetics and Cell Biology, IRCCS Ospedale San Raffaele, Milan, Italy.
Chiara ZucchelliBiomolecular NMR Laboratory, Division of Genetics and Cell Biology, IRCCS Ospedale San Raffaele, Milan, Italy.
Alessandro PretiHMGBiotech s.r.l., Milan, Italy.
Alessandro GoriIstituto di Chimica del Riconoscimento Molecolare, CNR, Milan, Italy.
Maura CasalgrandiHMGBiotech s.r.l., Milan, Italy.
Rosanna MezzapelleChromatin Dynamics Unit, Division of Genetics and Cell Biology, IRCCS Ospedale San Raffaele, Milan, Italy.
Marco E BianchiUniversità Vita-Salute San Raffaele, Milan, Italy.
Giovanna MuscoBiomolecular NMR Laboratory, Division of Genetics and Cell Biology, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID 0000-0002-0469-2994

Funding

AIRC-icare 16258Associazione Italiana per la Ricerca sul Cancro (AIRC) IG-18623Associazione Italiana per la Ricerca sul Cancro (AIRC) IG-21440Fellowship Fondazione Umberto Veronesi 2019
6 · The paper itself

Abstract

Extracellular HMGB1 triggers inflammation following infection or injury and supports tumorigenesis in inflammation-related malignancies. HMGB1 has several redox states: reduced HMGB1 recruits inflammatory cells to injured tissues forming a heterocomplex with CXCL12 and signaling via its receptor CXCR4; disulfide-containing HMGB1 binds to TLR4 and promotes inflammatory responses. Here we show that diflunisal, an aspirin-like nonsteroidal anti-inflammatory drug (NSAID) that has been in clinical use for decades, specifically inhibits in vitro and in vivo the chemotactic activity of HMGB1 at nanomolar concentrations, at least in part by binding directly to both HMGB1 and CXCL12 and disrupting their heterocomplex. Importantly, diflunisal does not inhibit TLR4-dependent responses. Our findings clarify the mode of action of diflunisal and open the way to the rational design of functionally specific anti-inflammatory drugs.

Indexed as

3T3 CellsAnimalsChemokine CXCL12ChemotaxisDiflunisalDisulfidesGlycyrrhizic AcidHMGB1 ProteinHumansInflammationLeukocytesMacrophagesMagnetic Resonance SpectroscopyMiceChemokine CXCL12DiflunisalDisulfidesGlycyrrhizic AcidHMGB1 ProteinCXCL12diflunisalHMGB1inflammationNMR

Identifiers

PMID31418171
PMCPMC6776901

What OpenQuestion holds

Textmetadata
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.