Evidence map›Paper›PMID 34170074›Full record

ArticleEMBO molecular medicine2021

Attenuation of clinical and immunological outcomes during SARS-CoV-2 infection by ivermectin.

Guilherme Dias de Melo, Françoise Lazarini, Florence Larrous, Lena Feige, Etienne Kornobis, Sylvain Levallois, Agnès Marchio, Lauriane Kergoat, David Hardy, Thomas Cokelaer and 5 more

Open access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  15. Small molecules in the treatment of COVID-19.Signal transduction and targeted therapy · 2022
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  19. Potential therapeutic effects of Ivermectin in COVID-19.Experimental biology and medicine (Maywood, N.J.) · 2022
    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

15 authors at 3 institutions in 1 country.

Guilherme Dias de MeloLyssavirus Epidemiology and Neuropathology Unit, Institut Pasteur, Paris, France.ORCID 0000-0003-0747-7760
Françoise LazariniPerception and Memory Unit, Institut Pasteur, CNRS UMR 3571, Paris, France.ORCID 0000-0001-5572-6982
Florence LarrousLyssavirus Epidemiology and Neuropathology Unit, Institut Pasteur, Paris, France.ORCID 0000-0003-0881-4263
Lena FeigeLyssavirus Epidemiology and Neuropathology Unit, Institut Pasteur, Paris, France.
Etienne KornobisBiomics Technological Platform, Center for Technological Resources and Research (C2RT), Institut Pasteur, Paris, France.
Sylvain LevalloisBiology of Infection Unit, Institut Pasteur, Inserm U1117, Paris, France.ORCID 0000-0002-5805-1092
Agnès MarchioNuclear Organization and Oncogenesis Unit, Institut Pasteur, Paris, France.
Lauriane KergoatLyssavirus Epidemiology and Neuropathology Unit, Institut Pasteur, Paris, France.ORCID 0000-0002-5609-4398
David HardyExperimental Neuropathology Unit, Institut Pasteur, Paris, France.ORCID 0000-0001-5874-4377
Thomas CokelaerBiomics Technological Platform, Center for Technological Resources and Research (C2RT), Institut Pasteur, Paris, France.ORCID 0000-0001-6286-1138
Pascal PineauNuclear Organization and Oncogenesis Unit, Institut Pasteur, Paris, France.
Marc LecuitBiology of Infection Unit, Institut Pasteur, Inserm U1117, Paris, France.ORCID 0000-0002-4491-1063
Pierre-Marie LledoPerception and Memory Unit, Institut Pasteur, CNRS UMR 3571, Paris, France.
Jean-Pierre ChangeuxNeuroscience Department, Institut Pasteur, Collège de France, Paris, France.ORCID 0000-0003-0297-1583
Hervé BourhyLyssavirus Epidemiology and Neuropathology Unit, Institut Pasteur, Paris, France.ORCID 0000-0002-2608-5589
Institut Pasteur · FRCentre National de la Recherche Scientifique · FRInserm · FR

Funding

Institut Pasteur
6 · The paper itself

Abstract

The devastating pandemic due to SARS-CoV-2 and the emergence of antigenic variants that jeopardize the efficacy of current vaccines create an urgent need for a comprehensive understanding of the pathophysiology of COVID-19, including the contribution of inflammation to disease. It also warrants for the search of immunomodulatory drugs that could improve disease outcome. Here, we show that standard doses of ivermectin (IVM), an anti-parasitic drug with potential immunomodulatory activities through the cholinergic anti-inflammatory pathway, prevent clinical deterioration, reduce olfactory deficit, and limit the inflammation of the upper and lower respiratory tracts in SARS-CoV-2-infected hamsters. Whereas it has no effect on viral load in the airways of infected animals, transcriptomic analyses of infected lungs reveal that IVM dampens type I interferon responses and modulates several other inflammatory pathways. In particular, IVM dramatically reduces the Il-6/Il-10 ratio in lung tissue and promotes macrophage M2 polarization, which might account for the more favorable clinical presentation of IVM-treated animals. Altogether, this study supports the use of immunomodulatory drugs such as IVM, to improve the clinical condition of SARS-CoV-2-infected patients.

Indexed as

COVID-19IvermectinAnimalsHumansLungPandemicsSARS-CoV-2IvermectincoronavirusinflammationivermectinSARS-CoV-2viral infections

Identifiers

PMID34170074
PMCPMC8350903
OpenAlexW3174079333

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.