Evidence map›Paper›PMID 36161945›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

Phenotypic screening of the ReFRAME drug repurposing library to discover new drugs for treating sickle cell disease.

Belhu Metaferia, Troy Cellmer, Emily B Dunkelberger, Quan Li, Eric R Henry, James Hofrichter, Dwayne Staton, Matthew M Hsieh, Anna K Conrey, John F Tisdale and 3 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.8field-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

18 citing papers in PubMed, 26 citations in OpenAlex.

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  17. Screen "play" for drug discovery.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  18. Drug discovery by a basic research scientist.Frontiers in molecular biosciences · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Belhu MetaferiaLaboratory of Chemical Physics, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892.
Troy CellmerLaboratory of Chemical Physics, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892.
Emily B DunkelbergerLaboratory of Chemical Physics, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892.ORCID 0000-0002-9951-1518
Quan LiLaboratory of Chemical Physics, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892.
Eric R HenryLaboratory of Chemical Physics, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892.
James HofrichterLaboratory of Chemical Physics, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892.
Dwayne StatonOffice of the Clinical Director, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892.
Matthew M HsiehCellular and Molecular Therapeutics Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, 20892.
Anna K ConreySickle Cell Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, 20892.
John F TisdaleCellular and Molecular Therapeutics Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, 20892.
Arnab K ChatterjeeDepartment of Medicinal Chemistry, Calibr at Scripps Research, La Jolla, CA 92037.
Swee Lay TheinSickle Cell Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, 20892.ORCID 0000-0002-9835-6501
William A EatonLaboratory of Chemical Physics, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892.ORCID 0000-0002-9244-5407
National Institute of Diabetes and Digestive and Kidney Diseases · USNational Institutes of Health · USScripps Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stem cell transplantation and genetic therapies offer potential cures for patients with sickle cell disease (SCD), but these options require advanced medical facilities and are expensive. Consequently, these treatments will not be available for many years to the majority of patients suffering from this disease. What is urgently needed now is an inexpensive oral drug in addition to hydroxyurea, the only drug approved by the FDA that inhibits sickle-hemoglobin polymerization. Here, we report the results of the first phase of our phenotypic screen of the 12,657 compounds of the Scripps ReFRAME drug repurposing library using a recently developed high-throughput assay to measure sickling times following deoxygenation to 0% oxygen of red cells from sickle trait individuals. The ReFRAME library is a very important collection because the compounds are either FDA-approved drugs or have been tested in clinical trials. From dose-response measurements, 106 of the 12,657 compounds exhibit statistically significant antisickling at concentrations ranging from 31 nM to 10 μM. Compounds that inhibit sickling of trait cells are also effective with SCD cells. As many as 21 of the 106 antisickling compounds emerge as potential drugs. This estimate is based on a comparison of inhibitory concentrations with free concentrations of oral drugs in human serum. Moreover, the expected therapeutic potential for each level of inhibition can be predicted from measurements of sickling times for cells from individuals with sickle syndromes of varying severity. Our results should motivate others to develop one or more of these 106 compounds into drugs for treating SCD.

Indexed as

Anemia, Sickle CellAntisickling AgentsDrug RepositioningHemoglobin, SickleHumansHydroxyureaOxygenAntisickling AgentsHemoglobin, SickleHydroxyureaOxygenantisickling drugshemoglobin Shigh-throughput drug screeningphenotypic drug discoverysickle cell disease

Identifiers

PMID36161945
PMCPMC9546543
OpenAlexW4297093875

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.