Evidence map›Paper›PMID 33816149›Full record

ReviewWorld journal of virology2021

Bottom-up analysis of emergent properties of N-acetylcysteine as an adjuvant therapy for COVID-19.

Asimina Dominari, Donald Hathaway Iii, Abdulhusein Kapasi, Trissa Paul, Sarabjot Singh Makkar, Valeria Castaneda, Sirisha Gara, Bishnu Mohan Singh, Kuchalambal Agadi, Maliha Butt and 9 more

Open access · diamondAbstract readReview
In one paragraph

Review in World journal of virology, 2021. 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
3.5field-weighted citation impact, top 8% 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, 22 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. N-Acetylcysteine and Other Sulfur-Donors as a Preventative and Adjunct Therapy for COVID-19.Advances in pharmacological and pharmaceutical sciences · 2022
    Review
  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

19 authors at 1 institution in 1 country.

Asimina DominariDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Donald Hathaway IiiDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States. donald.hathaway@larkinhospital.com.
Abdulhusein KapasiDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Trissa PaulDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Sarabjot Singh MakkarDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Valeria CastanedaDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Sirisha GaraDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Bishnu Mohan SinghDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Kuchalambal AgadiDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Maliha ButtDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Varadha RetnakumarDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Spandana ChittajalluDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Rahima TaugirDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Muhammad Khawar SanaDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Manish KcDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Sarah RazzackDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Niala MoallemDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Alina AlvarezDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Michael TalalaevDivision of Research and Academic Affairs, Larkin Health System, South Miami, FL 33143, United States.
Larkin University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

N-acetylcysteine (NAC) is an abundantly available antioxidant with a wide range of antidotal properties currently best studied for its use in treating acetaminophen overdose. It has a robustly established safety profile with easily tolerated side effects and presents the Food and Drug Administration's approval for use in treating acetaminophen overdose patients. It has been proven efficacious in off-label uses, such as in respiratory diseases, heart disease, cancer, human immunodeficiency virus infection, and seasonal influenza. Clinical trials have recently shown that NAC's capacity to replenish glutathione stores may significantly improve coronavirus disease 2019 (COVID-19) outcomes, especially in high risk individuals. Interestingly, individuals with glucose 6-phosphate dehydrogenase deficiency have been shown to experience even greater benefit. The same study has concluded that NAC's ability to mitigate the impact of the cytokine storm and prevent elevation of liver enzymes, C-reactive protein, and ferritin is associated with higher success rates weaning from the ventilator and return to normal function in COVID-19 patients. Considering the background knowledge of biochemistry, current uses of NAC in clinical practice, and newly acquired evidence on its potential efficacy against COVID-19, it is worthwhile to investigate further whether this agent can be used as a treatment or adjuvant for COVID-19.

Indexed as

AntioxidantCOVID-19N-acetylcysteineSARS-CoV-2Treatment

Identifiers

PMID33816149
PMCPMC7995409
OpenAlexW3137641301

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.