Evidence map›Paper›PMID 32463611›Full record

ArticleBiomedica : revista del Instituto Nacional de Salud2020

In vitro effectivity of three approved drugs and their synergistic interaction against Leishmania infantum.

Iman Fathy Abou-El-Naga, Rasha Fadly Mady, Nermine Mogahed Fawzy Hussien Mogahed

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Biomedica : revista del Instituto Nacional de Salud, 2020. 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
2.3field-weighted citation impact, top 11% 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, 19 citations in OpenAlex.

  1. Antimicrobial agents and chemotherapy · 2026
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  7. Nanoformulation-Based 1,2,3-Triazole Sulfonamides for Anti-Tropical medicine and infectious disease · 2023
    Article
  8. Structure ofInternational journal of molecular sciences · 2023
    Article
  9. Article
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  11. 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

3 authors at 1 institution in 1 country.

Iman Fathy Abou-El-NagaMedical Parasitology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. imanabouelnaga@hotmail.com.
Rasha Fadly MadyMedical Parasitology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. roshykareem@gmail.com.
Nermine Mogahed Fawzy Hussien MogahedMedical Parasitology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. nermine_mogahed@yahoo.com.
Alexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLeishmaniasis remains one of the neglected tropical diseases. Repurposing existing drugs has proven to be successful for treating neglected tropical diseases while combination therapy is a strategic alternative for the treatment of infectious diseases. Auranofin, lopinavir/ritonavir, and sorafenib are FDA approved drugs used in the treatment of diverse diseases by acting on different essential biological enzymes.

objectiveTo evaluate the effects of monotherapy and combined therapies with the three drugs against Leishmania infantum. MATERIALS AND

methodsWe compared the leishmanicidal effects of the three drugs on promastigotes in vitro as regards the parasite count, the drug concentration providing a half-maximal response, and the ultrastructural changes of the parasite. We determined the fractional inhibitory concentration index of combined drugs in two ways, as well as the activity of the three drugs together to establish their synergetic effect.

resultsThe monotherapy with the three drugs was effective with auranofin showing the best leishmanicidal effect (EC50=1.5 μM), whereas sorafinib reduced parasite growth at EC50=2.5 μM. The scanning electron microscopy of promastigotes from all treated media showed distortion in the shape with loss of flagella and bleb formation. Acidocalcinosis was evident by transmission electron microscopy with all treatments suggesting apoptosis. Treatment with lopinavir/ritonavir showed signs of autophagy. The two-way combination of the drugs led to additive interactions while the combination of the three drugs showed synergistic action.

conclusionEach drug when used as monotherapy against Leishmania spp. was effective, but the combination therapy was more effective than the individual drugs due to the additive or synergistic effects.

Indexed as

AuranofinDrug CombinationsDrug SynergismLeishmania infantumLopinavirParasitologyRitonavirSorafenibAuranofinDrug CombinationsLopinavirlopinavir-ritonavir drug combinationRitonavirSorafenibapoptosisautophagydrug synergismLeishmania infantum

Identifiers

PMID32463611
PMCPMC7449103
OpenAlexW3032239182

What OpenQuestion holds

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Registered trials

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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.