Evidence map›Paper›PMID 36302937›Full record

ArticleScientific reports2022

Synthesis and preliminary biological evaluation of gabactyzine, a benactyzine-GABA mutual prodrug, as an organophosphate antidote.

Michal Weitman, Arik Eisenkraft, Zeev TaShma, Igor Makarovsky, David Last, Dianne Daniels, David Guez, Ran Shneor, Yael Mardor, Abraham Nudelman and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

11 authors at 5 institutions in 1 country.

Michal WeitmanChemistry Department, Bar Ilan University, 52900, Ramat Gan, Israel.
Arik EisenkraftThe Institute for Research in Military Medicine, The Hebrew University Faculty of Medicine and The IDF Medical Corps, Jerusalem, Israel. aizenkra@gmail.com.
Zeev TaShmaThe IDF Medical Corps Headquarters, Ramat Gan, Israel.
Igor MakarovskyChemistry Department, Bar Ilan University, 52900, Ramat Gan, Israel.
David LastThe Advanced Technology Center, Sheba Medical Center, Ramat-Gan, Israel.
Dianne DanielsThe Advanced Technology Center, Sheba Medical Center, Ramat-Gan, Israel.
David GuezThe Advanced Technology Center, Sheba Medical Center, Ramat-Gan, Israel.
Ran ShneorThe Advanced Technology Center, Sheba Medical Center, Ramat-Gan, Israel.
Yael MardorThe Advanced Technology Center, Sheba Medical Center, Ramat-Gan, Israel.
Abraham NudelmanChemistry Department, Bar Ilan University, 52900, Ramat Gan, Israel. Abraham.Nudelman@biu.ac.il.
Amir KrivoyThe IDF Medical Corps Headquarters, Ramat Gan, Israel. amir.krivoy@gmail.com.
Sheba Medical Center · ILBar-Ilan University · ILGeha Mental Health Center · ILHebrew University of Jerusalem · ILIsrael Defense Forces Medical Corps · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Organophosphates (OPs) are inhibitors of acetylcholinesterase and have deleterious effects on the central nervous system. Clinical manifestations of OP poisoning include convulsions, which represent an underlying toxic neuro-pathological process, leading to permanent neuronal damage. This neurotoxicity is mediated through the cholinergic, GABAergic and glutamatergic (NMDA) systems. Pharmacological interventions in OP poisoning are designed to mitigate these specific neuro-pathological pathways, using anticholinergic drugs and GABAergic agents. Benactyzine is a combined anticholinergic, anti-NMDA compound. Based on previous development of novel GABA derivatives (such as prodrugs based on perphenazine for the treatment of schizophrenia and nortriptyline against neuropathic pain), we describe the synthesis and preliminary testing of a mutual prodrug ester of benactyzine and GABA. It is assumed that once the ester crosses the blood-brain-barrier it will undergo hydrolysis, releasing benactyzine and GABA, which are expected to act synergistically. The combined release of both compounds in the brain offers several advantages over the current OP poisoning treatment protocol: improved efficacy and safety profile (where the inhibitory properties of GABA are expected to counteract the anticholinergic cognitive adverse effects of benactyzine) and enhanced chemical stability compared to benactyzine alone. We present here preliminary results of animal studies, showing promising results with early gabactyzine administration.

Indexed as

Chemical Warfare AgentsOrganophosphate PoisoningProdrugsAcetylcholinesteraseAnimalsAntidotesBenactyzineCholinergic AntagonistsCholinesterase InhibitorsEstersgamma-Aminobutyric AcidOrganophosphatesAcetylcholinesteraseAntidotesBenactyzineChemical Warfare AgentsCholinergic AntagonistsCholinesterase InhibitorsEstersgamma-Aminobutyric AcidOrganophosphatesProdrugs

Identifiers

PMID36302937
PMCPMC9613653
OpenAlexW4307444524

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.