Evidence map›Paper›PMID 33063792›Full record

ArticleIUCrJ2020

Molecular determinants of vascular transport of dexamethasone in COVID-19 therapy.

Ivan G Shabalin, Mateusz P Czub, Karolina A Majorek, Dariusz Brzezinski, Marek Grabowski, David R Cooper, Mateusz Panasiuk, Maksymilian Chruszcz, Wladek Minor

Open access · goldAbstract read
In one paragraph

Article in IUCrJ, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  5. Article
  6. Aptamers Against COVID-19: An Untested Opportunity.Mini reviews in medicinal chemistry · 2022
    Article
  7. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Ivan G ShabalinDepartment of Molecular Physiology and Biological Physics, University of Virginia, 1340 Jefferson Park Avenue, Charlottesville, VA 22908, USA.ORCID https://orcid.org/0000-0003-3955-9242
Mateusz P CzubDepartment of Molecular Physiology and Biological Physics, University of Virginia, 1340 Jefferson Park Avenue, Charlottesville, VA 22908, USA.ORCID https://orcid.org/0000-0001-8973-4569
Karolina A MajorekDepartment of Molecular Physiology and Biological Physics, University of Virginia, 1340 Jefferson Park Avenue, Charlottesville, VA 22908, USA.ORCID https://orcid.org/0000-0002-0973-9085
Dariusz BrzezinskiDepartment of Molecular Physiology and Biological Physics, University of Virginia, 1340 Jefferson Park Avenue, Charlottesville, VA 22908, USA.ORCID https://orcid.org/0000-0001-9723-525X
Marek GrabowskiDepartment of Molecular Physiology and Biological Physics, University of Virginia, 1340 Jefferson Park Avenue, Charlottesville, VA 22908, USA.ORCID https://orcid.org/0000-0002-8072-4919
David R CooperDepartment of Molecular Physiology and Biological Physics, University of Virginia, 1340 Jefferson Park Avenue, Charlottesville, VA 22908, USA.ORCID https://orcid.org/0000-0001-5240-9789
Mateusz PanasiukDepartment of Clinical Medicine, Medical University of Bialystok, 15-089 Bialystok, Poland.ORCID https://orcid.org/0000-0003-1978-846X
Maksymilian ChruszczDepartment of Chemistry and Biochemistry, University of South Carolina, Columbia, SC 29208, USA.ORCID https://orcid.org/0000-0001-7521-5485
Wladek MinorDepartment of Molecular Physiology and Biological Physics, University of Virginia, 1340 Jefferson Park Avenue, Charlottesville, VA 22908, USA.ORCID https://orcid.org/0000-0001-7075-7090
University of Virginia · USInstitute of Bioorganic Chemistry, Polish Academy of Sciences · PLMedical University of Białystok · PLUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dexamethasone, a widely used corticosteroid, has recently been reported as the first drug to increase the survival chances of patients with severe COVID-19. Therapeutic agents, including dexamethasone, are mostly transported through the body by binding to serum albumin. Here, the first structure of serum albumin in complex with dexamethasone is reported. Dexamethasone binds to drug site 7, which is also the binding site for commonly used nonsteroidal anti-inflammatory drugs and testosterone, suggesting potentially problematic binding competition. This study bridges structural findings with an analysis of publicly available clinical data from Wuhan and suggests that an adjustment of the dexamethasone regimen should be further investigated as a strategy for patients affected by two major COVID-19 risk factors: low albumin levels and diabetes.

Indexed as

albumincoronavirusCOVID-19dexamethasonedrug transportSARS-CoV-2

Identifiers

PMID33063792
PMCPMC7553145
OpenAlexW3090494367

What OpenQuestion holds

Textmetadata
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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.