Evidence map›Paper›PMID 32926453›Full record

ArticleJournal of medical virology2021

Methotrexate inhibits SARS-CoV-2 virus replication "in vitro".

Arnaldo Caruso, Francesca Caccuri, Antonella Bugatti, Alberto Zani, Marco Vanoni, Paolo Bonfanti, Marina E Cazzaniga, Carlo F Perno, Cristina Messa, Lilia Alberghina

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical virology, 2021. 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
1.2field-weighted citation impact, top 12% 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

30 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Article
  3. Methotrexate, an anti-inflammatory drug, inhibits Hepatitis E viral replication.Journal of enzyme inhibition and medicinal chemistry · 2023
    Article
  4. Article
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  10. Review
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  15. Article
  16. Review
  17. Observational
  18. Article
  19. Molnupiravir-A Novel Oral Anti-SARS-CoV-2 Agent.Antibiotics (Basel, Switzerland) · 2021
    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

10 authors at 6 institutions in 2 countries.

Arnaldo CarusoDepartment of Molecular and Translational Medicine, Section of Microbiology and Virology, University of Brescia Medical School, Brescia, Italy.
Francesca CaccuriDepartment of Molecular and Translational Medicine, Section of Microbiology and Virology, University of Brescia Medical School, Brescia, Italy.
Antonella BugattiDepartment of Molecular and Translational Medicine, Section of Microbiology and Virology, University of Brescia Medical School, Brescia, Italy.
Alberto ZaniDepartment of Molecular and Translational Medicine, Section of Microbiology and Virology, University of Brescia Medical School, Brescia, Italy.
Marco VanoniDepartment of Biotechnology and Biosciences, ISBE.IT-SYSBIO/Centre of Systems Biology, University of Milano Bicocca, Milano, Italy.ORCID 0000-0002-8690-2587
Paolo BonfantiSchool of Medicine and Surgery, University of Milano Bicocca, Milano, Italy.
Marina E CazzanigaSchool of Medicine and Surgery, University of Milano Bicocca, Milano, Italy.
Carlo F PernoIrccs Children Hospital Bambino Gesù, Rome, Italy.
Cristina MessaSchool of Medicine and Surgery, University of Milano Bicocca, Milano, Italy.
Lilia AlberghinaDepartment of Biotechnology and Biosciences, ISBE.IT-SYSBIO/Centre of Systems Biology, University of Milano Bicocca, Milano, Italy.
University of Brescia · ITUniversity of Milano-Bicocca · ITASST Melegnano e della Martesana · ITAzienda Ospedaliera San Gerardo · ITBambino Gesù Children's Hospital · ITTecnalia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In early 2020 the new respiratory syndrome COVID-19 (caused by the zoonotic SARS-CoV-2 virus) spread like a pandemic, starting from Wuhan, China, causing severe economic depression. Despite some advances in drug treatments of medical complications in the later stages of the disease, the pandemic's death toll is tragic, as no vaccine or specific antiviral treatment is currently available. By using a systems approach, we identify the host-encoded pathway, which provides ribonucleotides to viral RNA synthesis, as a possible target. We show that methotrexate, an FDA-approved inhibitor of purine biosynthesis, potently inhibits viral RNA replication, viral protein synthesis, and virus release. The effective antiviral methotrexate concentrations are similar to those used for established human therapies using the same drug. Methotrexate should be most effective in patients at the earliest appearance of symptoms to effectively prevent viral replication, diffusion of the infection, and possibly fatal complications.

Indexed as

AnimalsAntiviral AgentsCell LineChlorocebus aethiopsCOVID-19MethotrexatePandemicsRNA, ViralSARS-CoV-2Vero CellsVirus ReplicationAntiviral AgentsMethotrexateRNA, ViralCOVID-19drug repurposingmethotrexatepurine biosynthesis inhibition

Identifiers

PMID32926453
PMCPMC7891346
OpenAlexW3085591857

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.