Evidence map›Paper›PMID 31786977›Full record

ArticleHypertension (Dallas, Tex. : 1979)2020

Biopolymer-Delivered, Maternally Sequestered NF-κB (Nuclear Factor-κB) Inhibitory Peptide for Treatment of Preeclampsia.

Adrian C Eddy, John Aaron Howell, Heather Chapman, Erin Taylor, Fakhri Mahdi, Eric M George, Gene L Bidwell

Open access · bronzeAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. A SynB1-conjugated antibody cocktail crosses the blood-brain barrier to produce a therapeutic effect on rabies.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  6. Article
  7. Screening and analysis of plasma differential lncRNA/mRNA in early pregnancy of preeclampsia.Malawi medical journal : the journal of Medical Association of Malawi · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Novel Drug Delivery Technologies and Targets for Renal Disease.Hypertension (Dallas, Tex. : 1979) · 2022
    Review
  17. Review
  18. Article
  19. Article
  20. Article
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.

Adrian C EddyFrom the Department of Physiology and Biophysics (A.C.E., H.C., E.T., E.M.G.), University of Mississippi Medical Center.
John Aaron HowellGraduate Program in Neuroscience (J.A.H.), University of Mississippi Medical Center.
Heather ChapmanFrom the Department of Physiology and Biophysics (A.C.E., H.C., E.T., E.M.G.), University of Mississippi Medical Center.
Erin TaylorFrom the Department of Physiology and Biophysics (A.C.E., H.C., E.T., E.M.G.), University of Mississippi Medical Center.
Fakhri MahdiDepartment of Neurology (J.A.H., F.M., G.L.B.), University of Mississippi Medical Center.
Eric M GeorgeFrom the Department of Physiology and Biophysics (A.C.E., H.C., E.T., E.M.G.), University of Mississippi Medical Center.
Gene L BidwellDepartment of Neurology (J.A.H., F.M., G.L.B.), University of Mississippi Medical Center.
University of Mississippi Medical Center · US

Funding

Role of obesity in preeclamptic pregnancy.P20GM121334 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI Babbette LaMarca, Jane F Reckelhoff · 2017 to 2026
$26.4M
A Novel Protein Delivery System for Therapy of PreeclampsiaR01HL121527 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI BIDWELL, GENE LEFLORE · 2014 to 2023
$4.1M
Microcirculation in Renovascular HypertensionR01HL095638 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI CHADE, ALEJANDRO ROBERTO · 2010 to 2021
$3.9M
A Novel Therapy For PreeclampsiaR01HL137791 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI GEORGE, ERIC MATTHEW · 2017 to 2021
$1.9M
Hypertensive Mechanisms in PreeclampsiaR00HL116774 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI GEORGE, ERIC MATTHEW · 2014 to 2016
$746k
NHLBI NIH HHS R00 HL116774NHLBI NIH HHS R01 HL095638NHLBI NIH HHS R01 HL121527NHLBI NIH HHS R01 HL137791NIGMS NIH HHS P20 GM121334
6 · The paper itself

Abstract

Preeclampsia is a hypertensive disorder of pregnancy that causes significant acute and long-term risk to the mother and the baby. The multifaceted maternal syndrome is driven by overproduction of circulating anti-angiogenic factors, widespread inflammation, and endothelial dysfunction. Nuclear factor-κB (NF-κB) is a transcription factor that plays a central role in the inflammatory response. Its activity is increased in the preeclamptic placenta, and it promotes the systemic endothelial dysfunction present in preeclampsia. There is an acute need for new therapeutics targeted to the causative pathways of preeclampsia. Our group has developed a drug delivery system based on the bioengineered protein ELP (elastin-like polypeptide) that is capable of stabilizing therapeutics in the maternal circulation and preventing their placental transfer. Here we used the ELP carrier system to deliver a peptide known to inhibit the NF-κB pathway. This polypeptide, containing a cell-penetrating peptide and an NF-κB inhibitory peptide derived from the p50 nuclear localization sequence (abbreviated SynB1-ELP-p50i), blocked NF-κB activation and prevented TNF-α (tumor necrosis factor alpha)-induced endothelin production in vitro. Fusion of the p50i peptide to the SynB1-ELP carrier slowed its plasma clearance and prevented its placental transfer in pregnant rats, resulting in increased deposition in the maternal kidney, liver, and placenta relative to the free peptide. When administered in a rat model of placental ischemia, SynB1-ELP-p50i partially ameliorated placental ischemia-induced hypertension and reduced placental TNF-α levels with no signs of toxicity. These data support the continued development of ELP-delivered NF-κB inhibitors as maternally sequestered anti-inflammatory agents for preeclampsia therapy.

Indexed as

Drug Delivery SystemsAnimalsBiopolymersDisease Models, AnimalFemaleNF-kappa BPeptidesPre-EclampsiaPregnancyRatsTumor Necrosis Factor-alphaBiopolymersNF-kappa BPeptidesTumor Necrosis Factor-alphadrug delivery systeminflammationpeptidepreeclampsiapregnancy

Identifiers

PMID31786977
PMCPMC7008946
OpenAlexW2991354359

What OpenQuestion holds

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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.