Evidence map›Paper›PMID 36172600›Full record

ArticleNature aging2021

Experimental and real-world evidence supporting the computational repurposing of bumetanide for

Alice Taubes, Phil Nova, Kelly A Zalocusky, Idit Kosti, Mesude Bicak, Misha Y Zilberter, Yanxia Hao, Seo Yeon Yoon, Tomiko Oskotsky, Silvia Pineda and 16 more

Erratum issued Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Nature aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06052163 (Phase IIa, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Safety and Tolerability of Bumetanide in Patients With Alzheimer's Disease.), which is not on this map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
11.4field-weighted citation impact, top 1% 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.

NCT06052163 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Phase IIa, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Safety and Tolerability of Bumetanide in Patients With Alzheimer's Disease.

TypeinterventionalSponsorStanford UniversityRan2023 to 2026Enrolled40ConditionsAlzheimer DiseaseArmsBumetanide, Placebo
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 107 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 3 institutions in 1 country.

Alice TaubesGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Phil NovaGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Kelly A ZalocuskyGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Idit KostiBakar Computational Health Sciences Institute, University of California, San Francisco, CA 94158, USA.
Mesude BicakHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY 10065, USA.
Misha Y ZilberterGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Yanxia HaoGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Seo Yeon YoonGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Tomiko OskotskyBakar Computational Health Sciences Institute, University of California, San Francisco, CA 94158, USA.
Silvia PinedaBakar Computational Health Sciences Institute, University of California, San Francisco, CA 94158, USA.
Bin ChenBakar Computational Health Sciences Institute, University of California, San Francisco, CA 94158, USA.
Emily A Aery JonesGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Krishna ChoudharyGladstone Institute of Data Science and Biotechnology, Gladstone Institutes, San Francisco, CA 94158, USA.
Brian GroneGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Maureen E BalestraGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Fayzan ChaudhryHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY 10065, USA.
Ishan ParanjpeHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY 10065, USA.
Jessica De FreitasHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY 10065, USA.
Nicole KoutsodendrisGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Nuo ChenGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Celine WangGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
William ChangGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Alice AnGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Benjamin S GlicksbergHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY 10065, USA.
Marina SirotaBakar Computational Health Sciences Institute, University of California, San Francisco, CA 94158, USA.
Yadong HuangGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158, USA.
Gladstone Institutes · USIcahn School of Medicine at Mount Sinai · USUniversity of California, San Francisco · US

Funding

ApoE Genotype-Directed Drug Repositioning and Combination Therapy for Alzheimer's DiseaseR01AG057683 · NIA · J. DAVID GLADSTONE INSTITUTES · PI HUANG, YADONG, SIROTA, MARINA · 2017 to 2021
$4.3M
SYSTEMATIC DRUG REPURPOSING TARGETING IMMUNE ACTIVATION NETWORKS IN ALZHEIMER'S DISEASE (AD)RF1AG059319 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI EHRLICH, MICHELLE E, GANDY, SAMUEL E. · 2018 to 2018
$4.2M
Apolipoprotein E4-related Electrophysiological and Metabolic Impairments in Aging and Alzheimer's DiseaseR01AG061150 · NIA · J. DAVID GLADSTONE INSTITUTES · PI ZILBERTER, MISHA YURI · 2019 to 2023
$3.3M
Repurpose open data to discover therapeutics for understudied diseasesR01GM134307 · NIGMS · MICHIGAN STATE UNIVERSITY · PI CHEN, BIN · 2019 to 2023
$2.5M
Apolipoprotein E in Alzheimer's Disease: Molecular MechanismR01AG048017 · NIA · J. DAVID GLADSTONE INSTITUTES · PI HUANG, YADONG · 2015 to 2019
$1.9M
Integrating transcriptomic, proteomic and pharmacogenomic data to inform individualized therapy in cancersK01ES028047 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHEN, BIN · 2017 to 2020
$682k
Targeting glucose metabolism for the treatment of Hepatocellular CarcinomaR21TR001743 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHEN, BIN · 2017 to 2018
$560k
Determining How Alzheimer's Disease Alters Hippocampal Network Signatures of Memory in Mouse ModelsF31AG057150 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AERY JONES, EMILY ASTER · 2017 to 2019
$69k
Drug Repositioning for ApoE4-Mediated Alzheimer's DiseaseF31AG058439 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TAUBES, ALICE LORRAINE · 2017 to 2017
$36k
NCATS NIH HHS R21 TR001743NIA NIH HHS F31 AG057150NIA NIH HHS F31 AG058439NIA NIH HHS R01 AG048017NIA NIH HHS R01 AG057683NIA NIH HHS R01 AG061150NIA NIH HHS RF1 AG059319NIEHS NIH HHS K01 ES028047NIGMS NIH HHS R01 GM134307
6 · The paper itself

Abstract

The evident genetic, pathological, and clinical heterogeneity of Alzheimer's disease (AD) poses challenges for traditional drug development. We conducted a computational drug repurposing screen for drugs to treat apolipoprotein (apo) E4-related AD. We first established apoE-genotype-dependent transcriptomic signatures of AD by analyzing publicly-available human brain database. We then queried these signatures against the Connectivity Map database containing transcriptomic perturbations of >1300 drugs to identify those that best reverse apoE-genotype-specific AD signatures. Bumetanide was identified as a top drug for apoE4 AD. Bumetanide treatment of apoE4 mice without or with Aβ accumulation rescued electrophysiological, pathological, or cognitive deficits. Single-nucleus RNA-sequencing revealed transcriptomic reversal of AD signatures in specific cell types in these mice, a finding confirmed in apoE4-iPSC-derived neurons. In humans, bumetanide exposure was associated with a significantly lower AD prevalence in individuals over the age of 65 in two electronic health record databases, suggesting effectiveness of bumetanide in preventing AD.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAnimalsApolipoprotein E4Apolipoproteins EBumetanideDrug RepositioningHumansMiceMice, TransgenicAmyloid beta-PeptidesApolipoprotein E4Apolipoproteins EBumetanide

Identifiers

PMID36172600
PMCPMC9514594
OpenAlexW3205064505

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.