Evidence map›Paper›PMID 34340553›Full record

ArticlemBio2021

The TMPRSS2 Inhibitor Nafamostat Reduces SARS-CoV-2 Pulmonary Infection in Mouse Models of COVID-19.

Kun Li, David K Meyerholz, Jennifer A Bartlett, Paul B McCray

Open access · goldAbstract read
In one paragraph

Article in mBio, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% 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

92 citing papers in PubMed, 1 synthesis or guideline pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Multicenter, single-blind, randomized controlled study of the efficacy and safety of favipiravir and nafamostat mesilate in patients with COVID-19 pneumonia.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    Trial
  3. Article
  4. Intelligent Programmable Membrane Nanosponge for Early Virus Blocking.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. TMPRSS2-mediated coronavirus spike activation and inhibition.Nature structural & molecular biology · 2026
    Article
  11. Identification ofRSC medicinal chemistry · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. An orally available MNature communications · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Review

32 more citing papers are in PubMed but not listed here.

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

4 authors at 1 institution in 1 country.

Kun LiDepartment of Pediatrics, University of Iowagrid.214572.7, Iowa City, Iowa, USA.
David K MeyerholzDepartment of Pathology, University of Iowagrid.214572.7, Iowa City, Iowa, USA.
Jennifer A BartlettDepartment of Pediatrics, University of Iowagrid.214572.7, Iowa City, Iowa, USA.
Paul B McCrayDepartment of Pediatrics, University of Iowagrid.214572.7, Iowa City, Iowa, USA.
University of Iowa · US

Funding

Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Alejandro Antonio Pezzulo · 1998 to 2026
$30.5M
SARS-CoV Proteins in Heterologous Viral InfectionP01AI060699 · NIAID · UNIVERSITY OF IOWA · PI PERLMAN, STANLEY · 2004 to 2021
$21.5M
NIAID NIH HHS P01 AI060699NIDDK NIH HHS P30 DK054759
6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has caused significant morbidity and mortality on a global scale. The etiologic agent, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), initiates host cell entry when its spike protein (S) binds to its receptor, angiotensin-converting enzyme 2 (ACE2). In airway epithelia, the spike protein is cleaved by the cell surface protease TMPRSS2, facilitating membrane fusion and entry at the cell surface. This dependence on TMPRSS2 and related proteases suggests that protease inhibitors might limit SARS-CoV-2 infection in the respiratory tract. Here, we tested two serine protease inhibitors, camostat mesylate and nafamostat mesylate, for their ability to inhibit entry of SARS-CoV-2 and that of a second pathogenic coronavirus, Middle East respiratory syndrome coronavirus (MERS-CoV). Both camostat and nafamostat reduced infection in primary human airway epithelia and in the Calu-3 2B4 cell line, with nafamostat exhibiting greater potency. We then assessed whether nafamostat was protective against SARS-CoV-2

Indexed as

Angiotensin-Converting Enzyme 2AnimalsBenzamidinesCells, CulturedCOVID-19 Drug TreatmentDisease Models, AnimalDrug Evaluation, PreclinicalEstersGuanidinesHumansLungMiceMice, Inbred C57BLMice, TransgenicMiddle East Respiratory Syndrome CoronavirusRespiratory MucosaACE2 protein, humanAngiotensin-Converting Enzyme 2BenzamidinescamostatEstersGuanidinesnafamostatSerine EndopeptidasesSerine Proteinase InhibitorsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2TMPRSS2 protein, mouseAd5-hACE2airway epitheliacamostatcoronavirusCOVID-19K18-hACE2MERS-CoVnafamostatpreclinical drug studiesSARS-CoV-2serine protease inhibitorsTMPRSS2

Identifiers

PMID34340553
PMCPMC8406266
OpenAlexW3190633741

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.