Evidence map›Paper›PMID 35972289›Full record

ArticleAntimicrobial agents and chemotherapy2022

The Azithromycin Pro-Drug CSY5669 Boosts Bacterial Killing While Attenuating Lung Inflammation Associated with Pneumonia Caused by Methicillin-Resistant Staphylococcus aureus.

Anno Saris, Wanhai Qin, Christine C A van Linge, Tom D Y Reijnders, Sandrine Florquin, Michael Burnet, Simon Strass, Alex F de Vos, Tom van der Poll

Open access · hybridAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Immune Camouflage inClinical ophthalmology (Auckland, N.Z.) · 2025
    Article
  2. Design and Synthesis of Novel Antimicrobial Agents.Antibiotics (Basel, Switzerland) · 2023
    Review
  3. Dalbavancin Boosts the Ability of Neutrophils to Fight Methicillin-ResistantInternational journal of molecular sciences · 2023
    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

9 authors at 3 institutions in 2 countries.

Anno SarisCenter for Experimental and Molecular Medicine, Amsterdam University Medical Centers, Academic Medical Centergrid.5650.6, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-0493-9501
Wanhai QinCenter for Experimental and Molecular Medicine, Amsterdam University Medical Centers, Academic Medical Centergrid.5650.6, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-7776-5007
Christine C A van LingeCenter for Experimental and Molecular Medicine, Amsterdam University Medical Centers, Academic Medical Centergrid.5650.6, University of Amsterdam, Amsterdam, the Netherlands.
Tom D Y ReijndersCenter for Experimental and Molecular Medicine, Amsterdam University Medical Centers, Academic Medical Centergrid.5650.6, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-1764-0114
Sandrine FlorquinDepartment of Pathology, Amsterdam University Medical Centers, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Michael BurnetSynovo GmbH, Tübingen, Germany.
Simon StrassSynovo GmbH, Tübingen, Germany.
Alex F de VosCenter for Experimental and Molecular Medicine, Amsterdam University Medical Centers, Academic Medical Centergrid.5650.6, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-2472-3014
Tom van der PollCenter for Experimental and Molecular Medicine, Amsterdam University Medical Centers, Academic Medical Centergrid.5650.6, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-9199-5079
Amsterdam UMC Location University of Amsterdam · NLSynovo (Germany) · DELeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic resistance is a major problem, with methicillin-resistant Staphylococcus aureus (MRSA) being a prototypical example in surgical and community-acquired infections. S. aureus, like many pathogens, is immune evasive and able to multiply within host immune cells. Consequently, compounds that aid host immunity (e.g., by stimulating the host-mediated killing of pathogens) are appealing alternatives or adjuncts to classical antibiotics. Azithromycin is both an antibacterial and an immunomodulatory drug that accumulates in immune cells. We set out to improve the immunomodulatory properties of azithromycin by coupling the immune activators, nitric oxide and acetate, to its core structure. This new compound, designated CSY5669, enhanced the intracellular killing of MRSA by 45% ± 20% in monocyte-derived macrophages and by 55% ± 15% in peripheral blood leukocytes, compared with untreated controls. CSY5669-treated peripheral blood leukocytes produced fewer proinflammatory cytokines, while in both monocyte-derived macrophages and peripheral blood leukocytes, phagocytosis, ROS production, and degranulation were unaffected. In mice with MRSA pneumonia, CSY5669 treatment reduced inflammation, lung pathology and vascular leakage with doses as low as 0.01 μmol/kg p.o. CSY5669 had diminished direct

Indexed as

Methicillin-Resistant Staphylococcus aureusPneumonia, StaphylococcalProdrugsStaphylococcal InfectionsAnimalsAnti-Bacterial AgentsAzithromycinCytokinesInflammationMiceMicrobial Sensitivity TestsNitric OxideReactive Oxygen SpeciesStaphylococcus aureusAnti-Bacterial AgentsAzithromycinCytokinesNitric OxideProdrugsReactive Oxygen Speciesdrug resistancehost directed therapieshost-pathogen interactionsimmune responseMRSAStaphylococcus aureus

Identifiers

PMID35972289
PMCPMC9487537
OpenAlexW4291964177

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.