Evidence map›Paper›PMID 33273695›Full record

ArticleCell death and differentiation2021

Primidone blocks RIPK1-driven cell death and inflammation.

Theresa Riebeling, Kunzah Jamal, Rebecca Wilson, Benedikt Kolbrink, Friedrich Alexander von Samson-Himmelstjerna, Caroline Moerke, Laura Ramos Garcia, Eileen Dahlke, Friederike Michels, Fred Lühder and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Cell death and differentiation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 71 citations in OpenAlex.

  1. Mechanisms, regulation and clinical relevance of necroptosis.Nature reviews. Molecular cell biology · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. RIPK1: A Promising Target for Intervention Neuroinflammation.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Review
  8. Emerging role of PANoptosis in kidney diseases: molecular mechanisms and therapeutic opportunities.Apoptosis : an international journal on programmed cell death · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. The role of cell death in SARS-CoV-2 infection.Signal transduction and targeted therapy · 2023
    Review
  16. Article
  17. Review
  18. Regulated cell death pathways in kidney disease.Nature reviews. Nephrology · 2023
    Review
  19. Role of necroptosis in kidney health and disease.Nature reviews. Nephrology · 2023
    Review
  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

19 authors at 7 institutions in 2 countries.

Theresa RiebelingDepartment of Nephrology and Hypertension, University Hospital Schleswig-Holstein, 24105, Kiel, Germany.ORCID http://orcid.org/0000-0001-9084-3826
Kunzah JamalThe Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, Fulham Road, London, SW3 6JB, UK.
Rebecca WilsonThe Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, Fulham Road, London, SW3 6JB, UK.
Benedikt KolbrinkDepartment of Nephrology and Hypertension, University Hospital Schleswig-Holstein, 24105, Kiel, Germany.
Friedrich Alexander von Samson-HimmelstjernaDepartment of Nephrology and Hypertension, University Hospital Schleswig-Holstein, 24105, Kiel, Germany.ORCID http://orcid.org/0000-0002-4492-696X
Caroline MoerkeDepartment of Nephrology and Hypertension, University Hospital Schleswig-Holstein, 24105, Kiel, Germany.
Laura Ramos GarciaThe Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, Fulham Road, London, SW3 6JB, UK.
Eileen DahlkeInstitute of Anatomy, Christian-Albrechts-University Kiel, 24118, Kiel, Germany.
Friederike MichelsDepartment of Neurosurgery, University Hospital Schleswig-Holstein, 24105, Kiel, Germany.
Fred LühderInstitute for Neuroimmunology and Multiple Sclerosis Research, University Medical Center Göttingen, 37075, Göttingen, Germany.
Domagoj SchunkDepartment of Emergency Medicine, University Hospital Schleswig-Holstein, 24105, Kiel, Germany.
Philipp DoldiMedizinische Klinik und Poliklinik I, Ludwig-Maximilians-University Munich, 81377, Munich, Germany.
Bartosz TyczynskiDepartment of Nephrology, University Hospital Essen, University of Duisburg-Essen, 45147, Essen, Germany.
Andreas KribbenDepartment of Nephrology, University Hospital Essen, University of Duisburg-Essen, 45147, Essen, Germany.
Charlotte FlühDepartment of Neurosurgery, University Hospital Schleswig-Holstein, 24105, Kiel, Germany.
Franziska TheiligInstitute of Anatomy, Christian-Albrechts-University Kiel, 24118, Kiel, Germany.
Ulrich KunzendorfDepartment of Nephrology and Hypertension, University Hospital Schleswig-Holstein, 24105, Kiel, Germany.
Pascal MeierThe Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, Fulham Road, London, SW3 6JB, UK.
Stefan KrautwaldDepartment of Nephrology and Hypertension, University Hospital Schleswig-Holstein, 24105, Kiel, Germany. krautwald@nephro.uni-kiel.de.ORCID http://orcid.org/0000-0001-7768-2132
University Hospital Schleswig-Holstein · DEInstitute of Cancer Research · GBChristian-Albrechts-Universität zu Kiel · DEUniversity of Duisburg-Essen · DEAstraZeneca (United Kingdom) · GBLudwig-Maximilians-Universität München · DEUniversitätsmedizin Göttingen · DE

Funding

Cancer Research UK 24399Medical Research Council G1000089Medical Research Council MR/M019217/1
6 · The paper itself

Abstract

The receptor-interacting serine/threonine protein kinase 1 (RIPK1) is a key mediator of regulated cell death and inflammation. Recent studies suggest that RIPK1 inhibition would fundamentally improve the therapy of RIPK1-dependent organ damage in stroke, myocardial infarction, kidney failure, and systemic inflammatory response syndrome. Additionally, it could ameliorate or prevent multi-organ failure induced by cytokine release in the context of hyperinflammation, as seen in COVID-19 patients. Therefore, we searched for a RIPK1 inhibitor and present the aromatic antiepileptic and FDA-approved drug primidone (Liskantin®) as a potent inhibitor of RIPK1 activation in vitro and in a murine model of TNFα-induced shock, which mimics the hyperinflammatory state of cytokine release syndrome. Furthermore, we detected for the first time RIPK1 activation in the respiratory tract epithelium of hospitalized patients who tested positive for SARS-CoV-2 infection. Our data provide a strong rationale for evaluating the drug primidone in conditions of hyperinflammation in humans.

Indexed as

AnimalsCell DeathCOVID-19COVID-19 Drug TreatmentHEK293 CellsHT29 CellsHumansInflammationJurkat CellsMiceNIH 3T3 CellsPrimidoneReceptor-Interacting Protein Serine-Threonine KinasesSARS-CoV-2U937 CellsPrimidoneReceptor-Interacting Protein Serine-Threonine KinasesRIPK1 protein, humanRipk1 protein, mouse

Identifiers

PMID33273695
PMCPMC7712602
OpenAlexW3108699353

What OpenQuestion holds

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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.